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post op dvt prophylaxis

Barry J Broderick, Cian Kennedy, Paul P Breen, Stephen R Kearns, GearĂ³id Olaighin
Neuromuscular electrical stimulation (NMES) is a potential deep vein thrombosis (DVT) preventative measure that is often over-looked. NMES could be used postoperatively in conjunction with pharmacological prophylaxis to further reduce the incidence rate of DVT following orthopaedic surgery. However, the use of NMES in the recovery period following orthopaedic surgery on patients with metallic hip/knee implants has not been tested to date. The presence of a metallic implant may interfere with the NMES generated electric field causing hypersensitivity at the implant site...
2010: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
A Shepherd, C Mills
In order to prevent fatal pulmonary embolism, TED stockings, foot pumps and early mobilisation on the second post-operative day are used at our centre. Only patients deemed to be high risk (previous DVT/PE or obese) are given clexane as inpatients and warfarin for six weeks post-op. From the hospital database 1137 primary total hip replacements and 1017 primary total knee re-placements were identified and the figures were confirmed with the theatre implant order books. The cause of death for those patients on the database, now deceased, was obtained from the coroner...
January 2006: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Gaetano J Scuderi, Georgiy V Brusovanik, Laurence N Fitzhenry, Alexander R Vaccaro
BACKGROUND: Despite a lack of any evidence to support the utilization of closed-suction drainage after spinal surgery, it is a frequently utilized procedure. MATERIAL/METHODS: A retrospective evaluation of eighty-five consecutive posterior lumbar fusions at a single level for degenerative disease was performed during the six-year period between March of 1996 and February 2002 by a single surgeon. No patient had a drain placed at the conclusion of the surgical procedure...
February 2005: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
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