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  1. Article ; Online: Prophylaxis of Venous Thromboembolism in Ankle and Foot Surgeries

    Roberto Zambelli / Marcos de Bastos / Suely Meireles Rezende

    Revista Brasileira de Ortopedia, Vol 56, Iss 6, Pp 697-

    2022  Volume 704

    Abstract: Abstract Venous thromboembolism (VTE) is among the most feared complications by orthopedists both for due to its potentially lethal outcome and the uncertainties related to its prevention. Despite the vast literature on VTE prevention in major orthopedic ...

    Abstract Abstract Venous thromboembolism (VTE) is among the most feared complications by orthopedists both for due to its potentially lethal outcome and the uncertainties related to its prevention. Despite the vast literature on VTE prevention in major orthopedic surgeries, little is known about it in ankle and foot procedures. In orthopedics, adequate thromboprophylaxis requires a careful assessment of the thrombotic and hemorrhagic risks based on the procedure to be performed, as well as and knowledge on anticoagulant agents. The presentis review has the goal of assessing the risk of developingdiscusses VTE risk assessment, the modalities of thromboprophylaxis modalities, and the drugs used, with an emphasis on foot and ankle surgeries.
    Keywords thrombosis ; orthopedics ; surgery ; foot ; ankle ; pre-exposure prophylaxis ; Medicine ; R ; Orthopedic surgery ; RD701-811
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Sociedade Brasileira de Ortopedia e Traumatologia
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Unexpected finding in computed tomographic pulmonary angiography

    Thiago Horta Soares / Marcos de Bastos / Wanderval Moreira / Suely Meireles Rezende

    Revista da Associação Médica Brasileira, Vol 58, Iss 5, Pp 516-

    2012  Volume 516

    Keywords Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language Portuguese
    Publishing date 2012-10-01T00:00:00Z
    Publisher Associação Médica Brasileira
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Tromboprofilaxia

    Marcos de Bastos / Sandhi Maria Barreto / Jackson S Caiafa / Suely Meireles Rezende

    Revista da Associação Médica Brasileira, Vol 57, Iss 1, Pp 88-

    recomendações médicas e programas hospitalares Thromboprophylaxis: medical recommendations and hospital programs

    2011  Volume 99

    Abstract: O tromboembolismo venoso (TEV) é a principal causa evitável de óbito hospitalar. O TEV hospitalar está relacionado a mais de 50% dos episódios de TEV, podendo ocorrer durante ou após a hospitalização. A tromboprofilaxia, em pacientes selecionados, é a ... ...

    Abstract O tromboembolismo venoso (TEV) é a principal causa evitável de óbito hospitalar. O TEV hospitalar está relacionado a mais de 50% dos episódios de TEV, podendo ocorrer durante ou após a hospitalização. A tromboprofilaxia, em pacientes selecionados, é a abordagem recomendada para pacientes internados. A seleção de pacientes para tromboprofilaxia requer a estratificação do risco de TEV, que inclui a doença básica acrescida de fatores adicionais de risco ou modelos padronizados de avaliação de riscos (RAM). As categorias de risco orientam a seleção da tromboprofilaxia, que pode incluir medidas gerais, mecânicas, medicamentosa ou combinada. Embora os protocolos tromboprofiláticos existam há décadas, muitos pacientes em risco (20% a 75%) continuam a não receber a tromboprofilaxia recomendada. O objetivo deste estudo é alertar sobre a importância do tema e orientar a formulação de estratégias para a organização de programas de tromboprofilaxia hospitalar, em nosso meio. Venous thromboembolism (VTE) is the most preventable cause of death in hospitalized patients. Hospital-related VTE is associated with more than half of the VTE burden in a community, either in-hospital or after discharge. Selective thromboprophylaxis is recommended for patients at risk. Patient selection for thromboprophylaxis requires proper VTE risk stratification. VTE stratification may be achieved by either risk assessment models (RAM) or by models based on patient's illness and associated risk factors. Whatever the model, a thromboprophylatic recommendation should be formulated for each VTE risk category. VTE thromboprophylaxis may include general measures, mechanic compression procedures, pharmacological intervention or a combined approach. After many decades of consensus statements, a large proportion of at risk patients (20% to 75%) still does not receive proper thromboprophylaxis. This study aims to alert to the relevance of thromboprophylaxis and to suggest hospital thromboprophylatic strategies in a Brazilian setting.
    Keywords Tromboembolia venosa ; fatores de risco ; hospitalização ; prevenção primária ; Venous thromboembolism ; risk factors ; hospitalization ; primary prevention ; Medicine (General) ; R5-920
    Language English
    Publishing date 2011-02-01T00:00:00Z
    Publisher Associação Médica Brasileira
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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