Document Detail


Inferior vena cava filter use as pulmonary embolism prophylaxis in trauma.
MedLine Citation:
PMID:  21422890     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in trauma. What is known regarding VTE prophylaxis has been extrapolated from nontrauma data. Optimal methods of VTE prevention for trauma remain controversial and unknown. Trauma patients are unique and heterogeneous rendering many forms of treatment inappropriate. The most fatal complication of VTE is a pulmonary embolism (PE). There is a long history of protection against PE as vena caval interruption. Inferior vena cava (IVC) filters were designed to protect against PE. Since the approval by the Food and Drug Administration for the use of retrievable filters, trauma care specialists are increasingly choosing this form of prophylaxis. Indications for use, efficacy, and safety of IVC filters remain debated. There is lack of rigor in studies concerning IVC filters. Filters are not without complications. Removal rates for retrievable filters are poor. Nursing is instrumental in IVC filter prophylaxis, efficacy, and safety success.
Authors:
Mary Kay Welle
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orthopaedic nursing / National Association of Orthopaedic Nurses     Volume:  30     ISSN:  1542-538X     ISO Abbreviation:  Orthop Nurs     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-03-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8409486     Medline TA:  Orthop Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  98-114     Citation Subset:  N    
Affiliation:
Mary Kay Welle, MSN, CNS, ONC, Assistant Professor, Department of Nursing, Saint Mary's College, Notre Dame, Indiana.
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