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DynaMed - Case Scenario #2 - Perioperative Guidelines for Prophylaxis of Venous Thromboembolism

DynaMed Search: Clinical Case Scenarios

#2 Perioperative Guidelines for Prophylaxis of Venous Thromboembolism

Mr. B is scheduled for a laparoscopic cholecystectomy. He has no other medical conditions that would place him at risk for VTE.

The general surgeon consults DynaMed to view the latest ACCP guidelines for preventing VTE in low risk surgical patients.

Search for:

  • VTE or
  • American College of… or
  • ACCP

Select (ACCP) guidelines on antithrombotic and thrombolytic therapy American College of Chest Physicians (Eighth Edition.)

Scroll to:

  • Venous Thromboembolism (VTE), then
  • Prevention of VTE, then
  • For general surgery patients

The surgeon reads that low-risk patients (minor general surgery procedures or entirely laparoscopic procedures) do not require anticoagulation, but early and frequent ambulation is recommended (Grade 1A).

ACCP Grade 1 recommendations are strong recommendations based on clear risk/benefit balance. Chest 2008 Jun;133(6 Suppl):123S full-text.

The surgeon discusses VTE prevention with the patient, i.e. frequent ambulation.