Vte prophylaxis

PREVIOUS VTE AND / OR THROMBOPHILIA

y y y y lmwh R I S K F A C T O R S Y SCORE OF 3 OR HIGHER CONSIDER @ LEAST 7 DAYS OF LMWH LOVENOX +SCD 1 Weight < 50 kg = 20 mg Lovenox/ Q 24 Weight 50–90 kg = 40 mg Lovenox/ Q 24 Weight 91–130 kg = 60 mg Lovenox/ Q 24 Weight 131–170 kg = 80 mg Lovenox/ Q 24 Weight > 170 kg = 0.6 mg/kg/day H eparin PRE -operative dose 5000 – no sooner than 1 hour prior to spinal or epidural / SCD PLACED PRIOR TO SPINAL Lovenox administration 8-12 hours after c/s and no sooner than 2 hours after removal of epidural catheter

VTE Risk factors Defined ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Contraindications to Low-molecular-weight Heparin (LMWH) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EPIDURAL OR SPINAL PRE-OPERATIVE ASRA GUIDELINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Regional anesthesia & pain medicine 2010; 35: 102

EPIDURAL OR SPINAL POST-OPERATIVE ASRA GUIDELINES ,[object Object],[object Object],[object Object],[object Object],Regional anesthesia & pain medicine 2010; 35: 102

EPIDURAL OR SPINAL POST-OPERATIVE ASRA GUIDELINES TWICE DAILY DOSING ,[object Object],[object Object],[object Object],Regional anesthesia & pain medicine 2010; 35: 102

Vte prophylaxis

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Vte prophylaxis