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UNIVERSAL VTE PROPHYLAXIS
PREVIOUS VTE AND / OR THROMBOPHILIA
y y y y lmwh R I S K F A C T O R S Y SCORE OF 3 OR HIGHER CONSIDER @ LEAST 7 DAYS OF LMWH LOVENOX  +SCD 1 Weight < 50 kg = 20 mg Lovenox/ Q 24 Weight 50–90 kg = 40 mg Lovenox/ Q 24 Weight 91–130 kg = 60 mg Lovenox/ Q 24 Weight 131–170 kg = 80 mg Lovenox/ Q 24 Weight > 170 kg = 0.6 mg/kg/day  H eparin  PRE -operative dose 5000 – no  sooner than 1 hour prior to spinal or epidural  / SCD PLACED PRIOR TO  SPINAL Lovenox administration 8-12 hours after c/s  and no sooner than 2 hours after removal of epidural catheter
VTE Risk factors Defined ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contraindications to Low-molecular-weight Heparin (LMWH) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EPIDURAL OR SPINAL PRE-OPERATIVE  ASRA GUIDELINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Regional anesthesia & pain medicine 2010; 35:  102
EPIDURAL OR SPINAL POST-OPERATIVE  ASRA GUIDELINES ,[object Object],[object Object],[object Object],[object Object],Regional anesthesia & pain medicine 2010; 35:  102
EPIDURAL OR SPINAL POST-OPERATIVE  ASRA GUIDELINES TWICE DAILY DOSING  ,[object Object],[object Object],[object Object],Regional anesthesia & pain medicine 2010; 35:  102

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Vte prophylaxis

  • 2. PREVIOUS VTE AND / OR THROMBOPHILIA
  • 3. y y y y lmwh R I S K F A C T O R S Y SCORE OF 3 OR HIGHER CONSIDER @ LEAST 7 DAYS OF LMWH LOVENOX +SCD 1 Weight < 50 kg = 20 mg Lovenox/ Q 24 Weight 50–90 kg = 40 mg Lovenox/ Q 24 Weight 91–130 kg = 60 mg Lovenox/ Q 24 Weight 131–170 kg = 80 mg Lovenox/ Q 24 Weight > 170 kg = 0.6 mg/kg/day H eparin PRE -operative dose 5000 – no sooner than 1 hour prior to spinal or epidural / SCD PLACED PRIOR TO SPINAL Lovenox administration 8-12 hours after c/s and no sooner than 2 hours after removal of epidural catheter
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.