Current practices in venous thromboembolism prophylaxis in otolaryngology-head and neck surgery

Head & Neck ◽  
2015 ◽  
Vol 38 (S1) ◽  
pp. E341-E345 ◽  
Author(s):  
Frank G. Garritano ◽  
Genevieve A. Andrews
Keyword(s):  
Venous Thromboembolism ◽  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Thromboembolism Prophylaxis ◽  
Venous Thromboembolism Prophylaxis ◽  
Current Practices

Prophylaxis for venous thromboembolism in head and neck surgery: the practice of otolaryngologists

1997 ◽  
Vol 111 (9) ◽  
pp. 845-849 ◽  
Author(s):  
K. W. Ah-See ◽  
J. Kerr ◽  
D. W. Sim
Keyword(s):  
Head And Neck Cancer ◽  
Venous Thromboembolism ◽  
Head And Neck ◽  
Neck Cancer ◽  
Neck Surgery ◽  
Cancer Surgery ◽  
Head And Neck Surgery ◽  
Surgical Patient ◽  
Thromboembolism Prophylaxis ◽  
Dvt Prophylaxis

AbstractDeep venous thrombosis (DVT) and pulmonary embolism (PE) are an important cause of morbidity and mortality in the surgical patient. The first guideline produced by the Scottish Intercollegiate Guidelines Network was for the prophylaxis of venous thromboembolism. Patients undergoing major head and neck cancer surgery commonly exhibit risk factors for venous thromboembolism. Currently, however, there are no data on its incidence in these patients. A questionnaire survey was performed to assess the current practice of consultant otolaryngologists regarding DVT prophylaxis in patients undergoing head and neck cancer surgery. Of those respondents who managed these patients, 57 per cent did not use routine DVT prophylaxis while 43 per cent did. A wide variety of techniques were employed among those practising DVT prophylaxis.A consensus is needed concerning the use of thromboembolism prophylaxis in head and neck surgery patients.

scholarly journals Multicenter Review of Current Practices Associated With Venous Thromboembolism Prophylaxis in Pediatric Patients After Trauma

2018 ◽  
Vol 19 (9) ◽  
pp. e448-e454 ◽  
Author(s):  
Amee M. Bigelow ◽  
Katherine T. Flynn-O’Brien ◽  
Pippa M. Simpson ◽  
Mahua Dasgupta ◽  
Sheila J. Hanson
Keyword(s):  
Venous Thromboembolism ◽  
Pediatric Patients ◽  
Thromboembolism Prophylaxis ◽  
Venous Thromboembolism Prophylaxis ◽  
Current Practices

scholarly journals Venous thromboembolism in head and neck surgery: Risk, outcome, and burden at the national level

Head & Neck ◽  
2019 ◽  
Vol 41 (5) ◽  
pp. 1545-1545 ◽  
Author(s):  
Zaid Al‐Qurayshi ◽  
Jarrett Walsh ◽  
Rodrigo Bayon ◽  
Emad Kandil
Keyword(s):  
Venous Thromboembolism ◽  
Head And Neck ◽  
National Level ◽  
Neck Surgery ◽  
Head And Neck Surgery

Implementation of a Novel Protocol for Preventing Venous Thromboembolism in Otolaryngology Patients

2021 ◽  
pp. 019459982110249
Author(s):  
Lirit Levi ◽  
Galia Spectre ◽  
Ofir Nesichi ◽  
Avi Leader ◽  
Pia Raanani ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Head And Neck ◽  
Care Center ◽  
Tertiary Care ◽  
Postoperative Bleeding ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Assessment Model ◽  
Sinus Surgery ◽  
Secondary Outcome

Objective Venous thromboembolism (VTE) is a preventable cause of postoperative morbidity and mortality. The Caprini risk assessment model (CRAM) is a validated tool for estimating the risk for postoperative VTE. Previous studies demonstrated a low risk of VTE among otorhinolaryngology–head and neck surgery (ORL-HNS). Hence, our objective was to modify the CRAM-based protocol to be applicable for otolaryngology patients and assess protocol efficacy and safety. Study Design Observational pilot study conducted on ORL-HNS patients undergoing surgery. Setting University-affiliated tertiary care center. Methods We constructed a modified protocol based on the CRAM and previous reports in the ORL-HNS literature using a reduced postoperative anticoagulation regimen. Primary end point was symptomatic VTE up to 3 months after surgery. Main secondary outcome was postoperative bleeding. Results A total of 508 patients were enrolled. Of them, 48% underwent head and neck surgery, 18% direct laryngoscopy and transoral robotic surgery, 15% endoscopic sinus surgery, and 11% otology surgery. Adherence to the protocol was 79%. Mean follow-up time was 115 days (range, 30-448 days). Only 1 patient developed deep vein thrombosis, and none developed pulmonary embolism. Two patients had major bleeding not related to the use of anticoagulation. Conclusions Our novel CRAM-based protocol appears to be efficacious and safe for VTE prevention in otolaryngology. A larger-scale study is required to validate these findings. Level of Evidence Level 2b.

Justification of routine venous thromboembolism prophylaxis in head and neck cancer reconstructive surgery

Head & Neck ◽  
2017 ◽  
Vol 39 (12) ◽  
pp. 2450-2458 ◽  
Author(s):  
Hui Shan Ong ◽  
Sandhya Gokavarapu ◽  
Laith Al-Qamachi ◽  
Min Yi Yin ◽  
Li Xin Su ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Venous Thromboembolism ◽  
Head And Neck ◽  
Neck Cancer ◽  
Reconstructive Surgery ◽  
Thromboembolism Prophylaxis ◽  
Venous Thromboembolism Prophylaxis
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