Perioperative thromboprophylaxis in children: development of a guideline for management

    loading  Checking for direct PDF access through Ovid

Abstract

Background

Venous thromboembolic (VTE) events can occur in children at the time of surgery where a patient has associated prothrombotic risk factors. There is currently little advice available to anesthetists on how to assess the risks and provide prophylaxis.

Aim/Objective

To increase awareness of thrombosis in the perioperative pediatric patient, and to give some guidance when considering prophylaxis in this group.

Method/Results

A guideline outlining risk factors for venous thromboembolism in patients presenting for surgery was written as a flowchart. Recommendations for low risk patients was early mobilization and good hydration; for moderate risk patients having major general surgery to include physical prophylaxis where size permits, i.e. elastic stockings and compression devices; for high-risk patients undergoing major orthopaedic or general surgery to also receive prophylactic low molecular weight heparin enoxaparin 0.5 mg·kg−1 b.d.

Conclusion

Children with multiple risk factors for VTE should be considered for prophylactic measures when presenting for prolonged major surgery.

Related Topics

    loading  Loading Related Articles