THE IMPORTANCE OF GUIDELINES FOR PERIOPERATIVE VENOUS THROMBOEMBOLISM PROPHYLAXIS IN PEDIATRIC PATIENTS
DOI:
https://doi.org/10.46793/PP180317003BKeywords:
venous thromboembolism, thromboprophylaxis, childAbstract
Venous thromboembolism (VTE) is increasingly recognized in paediatric practice. Few clinical trials have been performed in this area in children and management is largely extrapolated from adult practice where there is a considerable evidence base. The lack of evidence results in infrequent and highly variable use of thromboprophylaxis in critically ill children. The incidence of VTE decreased after implementation of clinical guidelines for thromboprophylaxis in critically ill children.
References
Chalmers E, Ganesen V, Liesner R, Maroo S, Nokes T, Saunders D, Williams M; British Committee for Standards in Haematology. Guideline on the investigation, management and prevention of venous thrombosis in children. Br J Haematol 2011; 154(2):196-207.
Faustino EV, Hanson S, Spinella PC, Tucci M, O'Brien SH, Nunez AR, Yung M, Truemper E, Qin L, Li S, Marohn K, Randolph AG; PROphylaxis against ThRombosisprACTice (PROTRACT) Study Investigators of the PALISI BloodNet. A multinational study of thromboprophylaxis practice in critically ill children. Crit Care Med 2014; 42(5):1232-40.
Jackson PC, Morgan JM. Perioperative thromboprophylaxis in children: development of a guideline for management. PaediatrAnaesth 2008; 18(6):478-87.
Braga AJ, Young AE. Preventing venous thrombosis in critically ill children: what is the right approach? PaediatrAnaesth 2011; 21(4):435-40.
Latham GJ, Thompson DR. Thrombotic complications in children from short-term percutaneous central venous catheters: what can we do? PaediatrAnaesth 2014; 24(9):902-11.
Hanson SJ, Punzalan RC,Arca MJ, Simpson P, Christensen MA, Hanson SK et al. Effectiveness of clinical guidelines for deep vein thrombosis prophylaxis in reducing the incidence of venous thromboembolism in critically ill children after trauma. Journal of Trauma and Acute Care Surgery 2012; 72(5):1292-1297.
APA gudelines: Prevention of perioperative venous thromboembolism in paediatric patients 2017 Available from:http://www.apagbi.org.uk/publications/apa-guidelines
