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