Summary of recommendations for prevention of VTE in surgical patients
| Population . | Preferred alternative . | Proposed treatment . | Specific strategy . |
|---|---|---|---|
| Patients undergoing major general surgery | Use thromboprophylaxis (recommendations 1, 2, and 6) | High risk of bleeding: Mechanical prophylaxis Average risk of bleeding: Pharmacological prophylaxis | If pharmacological prophylaxis is preferred: A short scheme (7-10 d) initiated 12 h after surgery (recommendations 9 and 10) If mechanical prophylaxis is preferred: Mechanical compression devices when available. Compression stockings may be a reasonable alternative if there are barriers to access compression devices (recommendation 8) |
| Patients undergoing surgery following major trauma | |||
| Patients undergoing major neurosurgical procedures | |||
| Patients undergoing laparoscopic cholecystectomy | No thromboprophylaxis (recommendations 3-5) | High risk of VTE: Mechanical prophylaxis Average risk of VTE: No prophylaxis | |
| Patients undergoing transurethral resection of the prostate | |||
| Patients undergoing radical prostatectomy |
| Population . | Preferred alternative . | Proposed treatment . | Specific strategy . |
|---|---|---|---|
| Patients undergoing major general surgery | Use thromboprophylaxis (recommendations 1, 2, and 6) | High risk of bleeding: Mechanical prophylaxis Average risk of bleeding: Pharmacological prophylaxis | If pharmacological prophylaxis is preferred: A short scheme (7-10 d) initiated 12 h after surgery (recommendations 9 and 10) If mechanical prophylaxis is preferred: Mechanical compression devices when available. Compression stockings may be a reasonable alternative if there are barriers to access compression devices (recommendation 8) |
| Patients undergoing surgery following major trauma | |||
| Patients undergoing major neurosurgical procedures | |||
| Patients undergoing laparoscopic cholecystectomy | No thromboprophylaxis (recommendations 3-5) | High risk of VTE: Mechanical prophylaxis Average risk of VTE: No prophylaxis | |
| Patients undergoing transurethral resection of the prostate | |||
| Patients undergoing radical prostatectomy |