Document Detail


Prevention of symptomatic pulmonary embolism in patients undergoing total hip and knee arthroplasty: clinical guideline of the American Academy of Orthopaedic Surgeons.
MedLine Citation:
PMID:  19385587     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A work group of the American Academy of Orthopaedic Surgeons, with the assistance of the Center for Clinical Evidence Synthesis at Tufts-New England Medical Center, has proposed a guideline for the prevention of symptomatic (and fatal) pulmonary embolism in patients undergoing total hip and knee arthroplasty. This guideline includes recommendations from both a consensus process and an analysis of 42 publications since 1996. The end points included symptomatic and fatal pulmonary embolism rates, total death rates, and major bleeding complications. The guideline recommends preoperative evaluation of all patients for "standard" and "high" risks of both pulmonary embolism and major bleeding complications. The use of regional anesthesia, mechanical prophylaxis, rapid mobilization, and patient education were consensus recommendations. The choice of a specific medication postoperatively should be based on an individual risk-benefit analysis of pulmonary embolism and major bleeding complications.
Authors:
Paul F Lachiewicz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Instructional course lectures     Volume:  58     ISSN:  0065-6895     ISO Abbreviation:  Instr Course Lect     Publication Date:  2009  
Date Detail:
Created Date:  2009-04-23     Completed Date:  2009-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507149     Medline TA:  Instr Course Lect     Country:  United States    
Other Details:
Languages:  eng     Pagination:  795-804     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
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MeSH Terms
Descriptor/Qualifier:
Arthroplasty, Replacement, Hip / adverse effects*
Arthroplasty, Replacement, Knee / adverse effects*
Humans
Orthopedic Procedures
Practice Guidelines as Topic
Pulmonary Embolism / etiology,  prevention & control*
Risk Factors
Societies, Medical
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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