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Cardiac surgery and reduction of risk of venous thromboembolism (VTE)

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NICE has given specific advice regardind cardiac surgery and reduction of risk of DVT/PE

  • offer VTE prophylaxis to patients undergoing cardiac surgery who are not having other anticoagulation therapy and are assessed to be at increased risk of VTE
    • start mechanical VTE prophylaxis at admission. Choose any one of:
      • anti-embolism stockings or
      • intermittent pneumatic compression
      • continue until the person no longer has significantly reduced mobility relative to their normal or anticipated mobility
    • consider adding pharmacological VTE prophylaxis for a minimum of 7 days for people who are undergoing cardiac surgery and are not having other anticoagulation therapy:
      • use LMWH as first-line treatment
      • if LMWH is contraindicated, use fondaparinux sodium

Reference:

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