Table 1 Clinical Vignettes summary with risk level and proposed prophylaxis strategyin the CPG.
Clinical Vignettes Summary | Post-operative DVT risk | Prophylaxis | Comment |
|---|---|---|---|
Case 1: 31- years female post rhinoplasty, no past medical history, uneventful operation. | Small | ED/GCS | |
Case 2: 25 years male insulin dependent diabetes after a correction of hallux valgus. Developed postoperative hyperglycemia. | Small | EM/GCS* | |
Case 3: 63- years old female post hysterectomy with non-insulin dependent diabetes. After returning from the operating room a blood pressure of 225/130 was noted responding to analgesia. | High | Nadroparin | |
Case 4: 42- years old obese male with chronic stable angina history. Resection of melanoma in the malar region. | Moderate | Calcium Heparin | |
Case 5: 50- years old male with a 2-month history of macroscopic hematuria and pain in the right lumbar fossa. CT scan showed a right renal mass. He was neprhectomised | High | Nadroparin | IPCC** not indicated since hemorrhage source was controlled |
Case 6: 88- years old female with a history of duodenal ulcer in her youth admitted due to hip fracture and operated 24 hs later. She was stable in the immediate postoperative period. | High | Nadroparin | |
Case 7: 38- year old male with an upper gastrointestinal haemorrhage gastrectomised after failure of medical therapy. An ulcerated leiomioma was diagnosed. | Moderate | Calcium heparin | IPCC could be acceptable |
Case 8: 46 years-old obese male with hip septic arthritis and previous pulmonary embolism diagnosis. A resection of the femoral head was performed. | High | Nadroparin +IPCC |