The need for European guidelines was clear, said Samama. While the global postoperative VTE risk is steadily declining, the role of VTE prophylaxis is under question with fast track procedures and day surgery. Clear guidelines are needed to address the role of elastic compression stockings and special measures for obese patients and elderly patients, he said.
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Samama noted that the committee’s starting hypothesis was to update the search findings of the 2012 American College of Chest Physicians guidelines for the clinical questions that are of similar character.
The clinical settings included in the guidelines are:
- Surgery in the obese patients
- Surgery in the pregnant patient and during the immediate post-partum period
- Surgery in the elderly
- Day surgery and fast track surgery
- Intensive care
- Cardiovascular and thoracic surgery
- Chronic treatments with antiplatelet agents
- Coagulation disorders/ bleeding patient
The working group found no comparative study on using aspirin for prevention, but concluded that it is an option for certain low risk patients.
The guidelines are expected to be published in the European Journal of Anaesthesiology and simultaneously in journals of the invited societies and as an app by early 2017.
Managing editor, ICU Management & Practice