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Minerva Anestesiologica 2013 July;79(7):778-92


lingua: Inglese

II Italian intersociety consensus statement on antithrombotic prophylaxis in orthopedics and traumatology

Della Rocca G. 1, Danelli G. 2, Randelli F. 3, Romanini E. 4, Biggi F. 5, Laurora N. R. 6, Imberti D. 7, Palaretti G. 8, Prisco D. 9

1 Clinica di Anestesia e Rianimazione, University of Udine, Udine, Italy; 2 UO di Anestesia Analgesia e Medicina Perioperatoria, Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; 3 Dipartimento di Ortopedia e Traumatologia V, I.R.C.C.S. Policlinico San Donato, S. Donato Milanese, Milan, Italy; 4 Divisione di Ortopedia e Traumatologia, Casa di Cura San Feliciano, Rome, Italy; 5 UOA Ortopedia e Traumatologia, Ospedale S. Martino, Belluno, Italy; 6 UOC Cure Primarie, ULSS 12, Venice, Italy; 7 UO di Medicina Interna, Centro Emostasi e Trombosi, Ospedale Civile di Piacenza, Piacenza, Italy; 8 UO Angiologia e Malattie della Coagulazione, Azienda Ospedaliera Universitaria S. Orsola-Malpighi, Bologna, Italy; 9 SOD Patologia Medica, Azienda Ospedaliera Universitaria Careggi, Florence, Italy


Pharmacological prophylaxis for preventing venous thromboembolism (VTE) is a worldwide established procedure in hip and knee replacement surgery, as well as in the treatment of femoral neck fractures, but few data exist to its regard in other fields of orthopedics and traumatology. Indeed, no guidelines or recommendations are available in the literature, except for a limited number of weak statements about knee arthroscopy and lower limb fractures. The present paper represents the first multidisciplinary effort to provide suggestions on the prophylaxis of VTE in the remaining fields of orthopedic surgery (minor orthopedic surgery and orthopedic trauma). The Italian Society for Studies on Hemostasis and Thrombosis (SISET), the Italian Society of Orthopedics and Traumatology (SIOT) and the association of Orthopedic Traumatology of Italian Hospitals (OTODI) together with the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) and the Italian Society of General Medicine (SIMG) have set down quick and easy suggestions for VTE prophylaxis in a number of surgical conditions for which only scarce evidence is available. This inter-society consensus statement aims at simplifying the approach to VTE prophylaxis in the single patient with the goal of improving its clinical application.

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