Venous thromboembolism- Prevention, management and anaesthetic considerations

Safiya Imtiaz Shaikh, Deep Sengupta

Abstract


Venous thromboembolism has a high incidence in hospitalised patients. These patients may present for surgery. Type of anaesthesia may be considered, general or regional, based on the therapeutic or prophylactic anticoagulant treatment they are receiving and the type and urgency of surgery. Best informed decision regarding the type of anaesthesia can only be made if the anaesthesiologist is abreast with the latest developments in the management of venous thromboembolism.


Keywords


Deep vein thrombosis, pulmonary embolism, thromboprophylaxis, anaesthetic management

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References


D. A. Anaya and A. B. Nathens, “Thrombosis and Coa- gulation: Deep Vein Thrombosis and Pulmonary Embo- lism Prophylaxis,” The Surgical Clinics of North America, Vol. 85, No. 6, 2005, pp. 1163-1177. doi:10.1016/j.suc.2005.10.015

Stein PD, Beemath A, Olson RE. Trends in the incidence of pulmonary embolism and deep venous thrombosis in hospitalized patients. Am J Cardiol 2005;95:1525-6.

Geerts WH, Heit JA, ClagettGP,et al. Prevention of venous thromboembolism. Chest 2001;119(1 suppl):132S-75S

Geerts WH, Bergqvist D, Pineo GF, et al. American College of Chest Physicians Evidence based clinical practice guidelines (8th Edition). Chest 2008;133(6 suppl):381S-453S

Goldhaber SZ, Visani L, De Rosa M. Acute Pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet 1999;353(9162):1386-9

Qadan M, Tyson M, Mcfferty MH, Hohmann SF, Polk HCJr. Venous thromboembolismin elective operations: balancing the choices. Surgery 2008;144:654-60

. Nagahiro I, Andou A, Aoe M, Sano Y, Date H, Shimizu N.Intermittent pneumatic compression is effective in preventingsymptomatic pulmonary embolism after thoracic surgery. Surg Today 2004;34:6-10.

Sugarbaker DJ, Jaklitsch MT, Beuno R, et al. Prevention, early detection, and management of complications after 328 consecutive extrapleural pneumonectomies. J Thorac Cardiovasc Surg 2004;128:138-46.

Sakon M, Kakkar AK, Ikeda M, et al. Current status of pulmonary embolism in general surgery in Japan. Surg Today 2004;34:805-10.

Rasmussen MS, Jorgensen LN. Postoperative fatal pulmonary embolism in a general surgical department.AmJ Surg 1995;169:214-6.

Sakon M, Kakkar AK, Ikeda M, et al. Current status of pulmonary embolism in general surgery in Japan. Surg Today 2004;34:805-11.

Inderbitzin DT, Opitz I, Giger U, Kocher T, Krähenbühl L. Incidence of clinical pulmonary embolism after laparoscopic surgery. Br J Surg 2007;94:599-603.

Satiani B, Kuhns M, Evans WE. Deep venous thrombosis following operations upon the abdominal aorta. Surg Gynecol Obstet 1980;151:241-5.

Bani-Hani M, Titi M, Al-Khaffaf H. Deep venous thrombosis after arterial surgery: a literature review. Eur J Vasc Endovasc Surg 2008;36:565-73.

Moreano EH, Hutchison JL, McCulloch TM, Graham SM, Funk GF, Hoffman HT. Incidence of deep venous thrombosis and pulmonary embolism in otolaryngology-head and neck surgery. Otolaryngol Head Neck Surg 1998;118:777-84.

Chen C, Disa J, Cordeiro P, Pusic AL, McCarthy CM, Mehrara BJ. The incidence of venous thromboembolism after oncologic head and neck reconstruction. Ann Plast Surg 2008;60:476-9.

Martino MA, Borges E, Williamson E, et al. Pulmonary embolism after major abdominal surgery in gynecologic oncology. Obstet Gynecol 2006;107:666-71.

Geerts WH, Bergqvist D, Pineo GF, et al. American College of Chest Physicians. Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008;133(6 Suppl):381S-453S.

Elliott CG. Pulmonary physiology during pulmonary embolism. Chest 1992;101(4 Suppl):163S-71S.

Marcus JT, Gan CT, Zwanenburg JJ. Interventricular mechanical asynchrony in pulmonary arterial hypertension: left-to-right delay in peak shortening is related to right ventricular overload and left ventricular underfilling. J Am Coll Cardiol 2008;51:750-7.

Goldhaber SZ. Deep venous thrombosis and pulmonary embolism. In: Braunwald E, Kasper DL, Hauser SL, Jameson JL, Loscal Fanci AS, editors. Harrison's Principles of Internal Medicine, 17th edn. New York: McGraw Hill; 2008. p. 1651-7.

Vircow R. Gesammalte abhandlungen zur wissenschaftlichen medizin. Frankfurt a Main, Germany: Medinger Sohn and Co.;1856. p. 219-732.

Prandoni P, Lensing AW, Cogo A, Cuppini S, Villalta S, Carta M, et al. The long term clinical course of acute deep venous thrombosis. Ann Intern Med 1996;125:1-7.

Goldhaber SZ. Deep venous thrombosis and pulmonary embolism. In: Braunwald E, Kasper DL, Hauser SL, Jameson JL, Loscal Fanci AS, editors. Harrison's Principles of Internal Medicine, 17th edn. New York: McGraw Hill; 2008. p. 1651-7

Bombeli T, Spahn DR. Updates in perioperative coagulation: physiology and management of thromboembolism andhaemorrhage. Br J Anaesth 2004;93:275-87.

Deep vein thrombosis and pulmonary embolism. 4th ed. Anaesthesia and co-existing disease. In: Stoelting RK, Dierdorf SF editors. Philadelphia: Churchill Livingstone; 2003. p. 169-76.

Weinmann EE, Salzman EW. Deep vein thrombosis. N Engl J Med 1994;331:1630-42.

Adess M, Eisner R, Nand S, Godwin J, Messmore HL Jr, Wehrmacher WH. Thromboembolism in cancer patients: Pathogenesis and treatment. ClinApplThrombHemost 2006;12:254-66.

Lindberg F, Bergqvist D, Rasmussen I. Incidence of thromboembolic complications after laparoscopic cholecystectomy: review of the literature. Surg Laparosc Endosc 1997;7:324-31.

Gargiulo NJ 3rd, Veith FJ, Lipsitz EC, et al. The incidence of pulmonary embolism in open versus laparoscopic gastric bypass. Ann Vasc Surg 2007;21:556-9.

Prisco D, De Gaudio AR, Carla R, et al. Videolaparoscopic cholecystectomy induces a hemostasis activation of lower grade than does open surgery. Surg Endosc 2000;14:170-4.

Auer RC, Schulman AR, Tuorto S, et al. Use of helical CT is associated with an increased incidence of postoperative pulmonary emboli in cancer patients with no change in the number of fatal pulmonary emboli. J Am Coll Surg 2009;208:871-80.

Elliott CG. Pulmonary physiology during pulmonary embolism. Chest 1992;101(4 Suppl):163S-71S.

Marcus JT, Gan CT, Zwanenburg JJ. Interventricular mechanical asynchrony in pulmonary arterial hypertension: left-to-right delay in peak shortening is related to right ventricular overload and left ventricular underfilling. J Am Coll Cardiol 2008;51:750-7.

Goldhaber SZ. Deep venous thrombosis and pulmonary embolism. In: Braunwald E, Kasper DL, Hauser SL, Jameson JL, Loscal Fanci AS, editors. Harrison's Principles of Internal Medicine, 17th edn. New York: McGraw Hill; 2008. p. 1651-7.

Vircow R. Gesammalte abhandlungen zur wissenschaftlichen medizin. Frankfurt a Main, Germany: Medinger Sohn and Co.; 1856. p. 219-732.

Carrier M, Le Gal G, Wells PS, Fergusson D, Ramsay T, Rodger MA. Systematic review: the Trousseau Syndrome revisited: should we screen extensively for cancer patients with venous thromboembolism Ann Intern Med 2008;149:323-33.

Auer RC, Schulman AR, Tuorto S, et al. Use of helical CT is associated with an increased incidence of postoperative pulmonary emboli in cancer patients with no change in the number of fatal pulmonary emboli. J Am Coll Surg 2009;208:871-80.

Elliott CG. Pulmonary physiology during pulmonary embolism. Chest 1992;101(4 Suppl):163S-71S.

Collaborative overview of randomized trials of antiplatelet therapy – III: reduction in venous thrombosis and pulmonary embolism by antiplatelet prophylaxis among surgical and medical patients. Antiplatelet Trialists’ Collaboration. BMJ 1994;308:235-46.

Marcus JT, Gan CT, Zwanenburg JJ. Interventricular mechanical asynchrony in pulmonary arterial hypertension: left-to-right delay in peak shortening is related to right ventricular overload and left ventricular underfilling. J Am Coll Cardiol 2008;51:750-7.

Goldhaber SZ. Deep venous thrombosis and pulmonary embolism. In: Braunwald E, Kasper DL, Hauser SL, Jameson JL, Loscal Fanci AS, editors. Harrison's Principles of Internal Medicine, 17th edn. New York: McGraw Hill; 2008. p. 1651-7.

Vircow R. Gesammalte abhandlungen zur wissenschaftlichen medizin. Frankfurt a Main, Germany: Medinger Sohn and Co.; 1856. p. 219-732.

Carrier M, Le Gal G, Wells PS, Fergusson D, Ramsay T, Rodger MA. Systematic review: the Trousseau Syndrome revisited: should we screen extensively for cancer patients with venous thromboembolism?Ann Intern Med 2008;149:323-33.

Verso M, Agnelli G. Venous thromboembolism associated with longterm use of central venous catheters in cancer patients. J Clin Oncol 2003;21:3665-75.

Goldhaber SZ, Grodstein F, Stampfer MJ, et al. A prospective study of risk factors for pulmonary embolism in women. JAMA 1997;277:642-5.

van Beek EJ, Kuyer PM, Schenk BE, Brandjes DP, ten Cate JW, Büller HR. A normal lung scan in patients with clinically suspected pulmonary embolism. Frequency and clinical validity. Chest 1995;108:170-3.

Hatipoglu ON, Hanci E, Tabakoglu E, Altiay G, Cermik TF, Caglar T. A new clinical model in pulmonary embolism and its correlation with V/P scan results. Clin Appl Thromb Hemost 2006;12:344-51.

Stein PD, Hull RD, Saltzman HA, Pineo G. Strategy for diagnosis of patients with suspected acute pulmonary embolism. Chest 1993;103:1553-9.

Huisman MV, Büller HR, ten Cate JW, van Royen EA, Vreeken J, Kersten MJ, et al. Unexpected high prevalence of silent pulmonary embolism in patients with deep venous thrombosis. Chest 1989;95:498-502.

Girard P, Musset D, Parent F, Maitre S, Phlippoteau C, Simonneau G. High prevalence of detectable deep venous thrombosis in patients with acute pulmonary embolism. Chest 1999;116:903-8.

Garcia D, Ageno W, Libby E. Update on the diagnosis and management of pulmonary embolism. Br J Haematol 2005;131:301-12.




DOI: http://dx.doi.org/10.7439/ijbr.v6i2.1551

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