Preview

The Use of Anti-Thrombotic Devices for Prevention of Post-Operative Deep Vein Thrombosis

Powerful Essays
Open Document
Open Document
1593 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
The Use of Anti-Thrombotic Devices for Prevention of Post-Operative Deep Vein Thrombosis
Deep vein thrombosis often occurs in patients having major surgery, particularly orthopedic surgical patients especially if they are immobilized for any length of time post-operatively. Deep vein thrombosis could eventuate in fatal pulmonary embolism; this is preventable with appropriate prophylaxis. Joanna Briggs Institute (2008) reviewed that the risk of deep vein thrombosis formation rises with the duration of the operative procedure and period of immobility. This paper will look at 5 different prophylactic methods for prevention of deep vein thrombosis post operative, which will include: The effectiveness of anti embolic stockings, the use of intermittent pneumatic compression device, effectiveness of combined anti-embolic stockings and intermittent pneumatic compression (mechanical methods), the use of pharmacological prophylaxis - low molecular weight heparin, and the effectiveness of combined mechanical and pharmacological methods.
Many doctors prefer their patients to wear anti embolic stockings pre-operative, intra-operative and post operative as a preventative measure for deep vein thrombosis. Anti embolic stockings are designed to support the lower extremities and maintain compression of small veins and capillaries. The constant compression forces blood into larger vessels which promote venous return and prevent circulatory stasis (Crisp & Taylor 2008, p.1566). There have been many research papers conducted on the effectiveness of anti embolic stockings in the prophylaxis of post-operative deep vein thrombosis. Most of them state that the use of anti embolic stockings is assessed according to individual risk factors, the type of surgery i.e. orthopedic, cardiac or abdominal and how long the patient will be immobilized. An earlier research done by Byrne (2001) stated that when wearing anti embolic stockings properly it reduces the incidence of deep vein thrombosis by more than 60%, but they have to be correctly sized and fitted to work efficiently

You May Also Find These Documents Helpful

  • Better Essays

    When discharging the patient, teach them to monitor for s/s of MI or angina, infection, bleeding. This includes fever, swelling, oozing or bruising around cath site. The patient should also report numbness, tingling or pain in the leg used for the procedure as this might indicate a thrombosis. The patient will be taking medication, such as: antiplatelet medication (aspirin or clopidogrel) a statin and a beta blocker. The patient should also be taught to avoid pressure on the cath site, avoid lifting things heavier than 10lbs for two weeks and not to drive for a few days after the…

    • 2468 Words
    • 10 Pages
    Better Essays
  • Good Essays

    Deep Vein Thrombosis

    • 1180 Words
    • 5 Pages

    Deep Vein Thrombosis, also called (DVT or blood clots) occurs when a blood clot forms in a deep vein. Thus, that’s where it gets its name from. Part of a clot may break off and travel through the bloodstream to the lungs causing a pulmonary embolism (PE) and possibly, death. Both Deep Vein Thrombosis and Pulmonary Embolism are a major public health problem in the United States. Estimates show that thousands of Americans have a DVT or PE each year and that at least 100,000 people die as a result. (cdc.gov) Lots of people who have a DVT or PE also have other complications that can greatly impact their quality of life.…

    • 1180 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Central Venous Catheters

    • 1616 Words
    • 7 Pages

    This paper is all about peripherally inserted central catheters (PICC) and central venous catheters. There are different types of catheters and they are used in different situations. If they are to be used properly, they must be maintained and cared for. If they are not maintained there are several adverse side effects that could be life threatening. Along with providing all this information, this paper will also instruct how to initiate a peripherally inserted central catheter and how to correctly execute a dressing change.…

    • 1616 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    Foot drop is one of the contractures seen in patients on prolonged bed rest. Due to the paralysis, they do not have the ability to contract their foot up into dorsiflexion, leading to the shortening of the Achilles tendon and/or the calf muscles. Performing passive range of motion or even placing the patient in a splint or a brace can prevent this contracture from occurring. Furthermore, the paralysis of the lower extremities makes it impossible for the patient to contract their muscles moving the blood back to the heart. Therefore, causing the blood to pool in the lower extremities resulting in a deep vein thrombosis (DVT). A common symptom of this is edema in the legs. Treatment includes blood thinners, elastic stockings, TED hose, or sequential compression devices…

    • 1805 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Hot Veins At The Hospital

    • 583 Words
    • 3 Pages

    For many people, receiving an IV at the hospital can be a very scathing experience. Combined with the hospital’s sweet aroma of formaldehyde and harsh interrogation lighting, the drawing of blood makes most people fear the needle as much as the dentist’s office. The act can be even more excruciating when the phlebotomist ruptures the vein and has to stick the patient multiple times. Though there are many ways to prepare veins properly, such as hydrating, the best course of action is to keep your veins warm and to reassure the phlebotomist.…

    • 583 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Varicose Veins

    • 596 Words
    • 3 Pages

    "In the past, individuals found they were limited in terms of their treatment options with regard to varicose veins. Advances in technology now offer different solutions for people, thus every patient can find the one that best meets their needs. The…

    • 596 Words
    • 3 Pages
    Good Essays
  • Good Essays

    There are so many types of surgeons and a lot of things to do in the medical fields. There are three things in the medical fields that interests me the most which are trauma surgeons, medical examiners, and neurosurgeons. I’m going to tell you about all three of these careers, what they all do, and much, much more. To become a surgeon of any kind you need to take college course like Anatomy, Biology, English or speech class, calculus, a few classes in biochemistry, health science, or a relate.…

    • 850 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Icus Case Study

    • 530 Words
    • 3 Pages

    Initially, anesthetists were responsible for the planning, administration, and supervision of ICUs [2]. However, most patients requiring intensive care suffered from hemorrhagic or septic shock, acute renal failure, or acute respiratory distress syndrome. Because general surgeons had the expertise to perform fluid resuscitation, blood transfusion, central venous and pulmonary artery catheter…

    • 530 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Post Angioplasty

    • 271 Words
    • 2 Pages

    Post-angioplasty with or without stent placement involves continuous careful patient assessment and monitoring for recurring chest pain, which may indicate reclosing of the artery or thrombosis. Heart attack, stroke, and arrhythmias are possible post-procedure complications; thus, should a recovering telemetry patient complain of chest pain certain additional steps should be taken immediately, including performing a focused assessment, checking client’s level of consciousness, getting vital signs, especially blood pressure and pulse to monitor for hemodynamic instability, and interpreting the EKG strip to ascertain if an ST elevation, depression or T wave changes are present. Depending upon what the EKG shows, actions are taken accordingly.…

    • 271 Words
    • 2 Pages
    Good Essays
  • Good Essays

    This is the most bothersome part of the procedure. The when the vein is being closed there is usually no pain. The compression stocking will help reduce tenderness and bruising. You should avoid prolonged sitting after the procedure and air travel for a few days. You can go back to work and remain active. It is not necessary to stay in bed, and this may even increase the chances of complications.…

    • 515 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Databases have become an essential part of contemporary society. Harvey, Rowan, Harrison, and Black (2010) stated that databases consists of collections of data in which each record is stored in a certain format, allowing for sorting and organization of such data to generate information and knowledge. Therefore, in order to capture information and identify patients at risk for developing atrial fibrillation (AFib) after open heart surgery a database plan will need to be developed. The aim of developing this database plan is for early detection and implementing preventive measures to decrease the prevalence of AFib following open heart surgery. This paper will discuss the information management problem, conceptual data model, planned data entities, justification or rationale for entities, entity-relationship (E-R) diagram, entity identifier, relationships between entities, and provide three query questions in the database.…

    • 1077 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    Emboli Case Study

    • 308 Words
    • 2 Pages

    One outlier in this scenario that could have been addressed is the bruising and swelling of Mr. B.’s calf. In the event it was determined before-hand it was indeed a deep vein thrombus, it could have become dislodged during the hip manipulation procedure, causing a large emboli. The emboli, or blood clot, could have moved and blocked blood flow to the heart, which could cause a medical emergency in itself. If the family request an autopsy this report can provide clarification, it a blood clot or emboli indeed existed and if it was a determining factor in the terrible outcome of this scenario. Not knowing this information it will not be used in regard to root cause analysis in this paper, due to this might be a complete hypothesis. Inadequate staffing is the highest order root cause for this unfortunate event. The four identified root cause analysis in this paper are in order inadequate staffing, sedation protocol, post sedation monitoring, and LPN monitoring post…

    • 308 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Postoperative care is an essential role in nursing practice. It prevents postoperative complications that may arise due to surgeries. Postoperative care includes a pathway of healing and recovering leading to prophylaxis of many pulmonary complications. Postoperative pulmonary complications include respiratory failure, pneumonia, and atelectasis. Preventing such complications is important in the clinical setting because it avoids a decline in patients’ well-being. I chose this topic for it is a common set of complications that arises postoperatively. Preventing these complications will avoid longer hospital stays and will also speed up the recovery time. The…

    • 1792 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Anticoagulants

    • 14566 Words
    • 59 Pages

    Venous thrombi, which form under low shear conditions, are predominantly composed of fibrin and red cells. Thrombi may develop anywhere within the venous system but most commonly arise in the deep veins of the leg through an interplay among 3 factors that include vessel wall damage, venous stasis, and hypercoagulability. Direct damage to the veins helps explain the propensity to deep vein thrombosis (DVT) after major orthopedic surgery. Thrombi often originate in the calf, either in the muscular sinuses or valve cusps of deep veins. Immobility delays emptying of muscular veins and retards clearance of activated clotting factors. With stasis, endothelial cells lining the avascular valve cusps are activated by hypoxemia, a process exacerbated by inflammatory cytokines generated postoperatively or in medical illness. Leukocytes tethered to activated endothelial cells express tissue factor, whereas platelets become activated and aggregate. Congenital or acquired disorders associated with hypercoagulability promote coagulation at these sites, thereby increasing the risk of thrombosis. Signs and symptoms develop when there is obstruction to venous outflow and inflammation of the vessel wall and perivascular tissue. Symptoms of pulmonary embolism arise when segments of thrombus detach and embolize to the pulmonary circulation.…

    • 14566 Words
    • 59 Pages
    Good Essays
  • Good Essays

    Deep Vein Thrombosis

    • 628 Words
    • 3 Pages

    A hospitalization for a deep vein thrombosis (DVT) is a serious matter and can be life threatening. DVT is a venous obstruction caused by incompetent valves. This is treated extremely aggressively due to the potential for it to cause embolization to the pulmonary circulation. Patient T.V. has recently had abdominal surgery and is now in the hospital to treat DVT in her left leg. After the third day she begins having shortness of breath and supplemental oxygen is needed. Considering T.V.’s history and her recent abdominal surgery, she is most likely experiencing respiratory distress due to pulmonary emboli. DVT is the most frequent source of pulmonary emboli, which is a blockage in the main artery of the lung. Pulmonary embolism is usually caused by thrombi that are dislodged from the leg veins or the pelvis, but they most commonly arise in the deep veins of the legs. There are a number of predisposing factors that might cause a pulmonary embolism. In T.V.’s case, it was most likely due to her recent surgery since there is not enough evidence given to determine if there is another predisposing factors.…

    • 628 Words
    • 3 Pages
    Good Essays