Prolaxia de tromboembolismo pulmonar e trombose venosa profunda em pacientes ortopédicos / Prevention of pulmonary thromboembolism and venous thromboembolism in orthopedic pacients
Rev. méd. Minas Gerais
;
19(4,supl.3): S26-S29, out.-dez. 2009. tab
Article
in Portuguese
| LILACS
| ID: lil-568864
RESUMO
A anticoagulação representa medida fundamental em terapêutica profilática de pacientes submetidos a cirurgia ortopédica e deve ser utilizada de rotina, exceto em casos específicos. Recomenda-se na artroplastia de joelho e quadril a utilização de Heparina de Baixo Peso Molecular (HBPM), Fondaparinux ou Warfarina com doses ajustadas. Em cirurgias de reparação de fraturas pélvicas, Fondaparinux é a droga de escolha, seguida de HBPM, Heparina não-fracionada e Warfarina com doses ajustadas como alternativas. A artroplastia do quadril e reparo de fratura pélvica requerem profilaxia por quatro a cinco semanas.
ABSTRACT
Anticoagulation is a key measure of prophylactic therapy in patients undergoing orthopedic surgery and should be used routinely, except in specific cases. It is recommended the use of Low Molecular Weight Heparin (LMWH), Fondaparinux or adjusted-dose Warfarin, in knee and hip arthroplasty. In surgical repair of pelvic fractures, Fondaparinux is the choice drug, followed by LMWH, unfractionated heparin and adjusted-doses Warfarin as alternative. Arthroplasty of the hip and pelvic fracture repair requires prophylaxis for four to five weeks, but is not required routinely in patients undergoing knee arthroscopy.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Orthopedics
/
Pulmonary Embolism
/
Venous Thrombosis
/
Anticoagulants
Type of study:
Etiology study
Limits:
Humans
Language:
Portuguese
Journal:
Rev. méd. Minas Gerais
Journal subject:
Medicine
Year:
2009
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de Minas Gerais/BR
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