AANS Beyond 2021: Full Collection-VTE Prophylaxis: Clinical Practice Guidelines

Video Transcription

Video Summary

In this video, Dr. Ryan Kitagawa discusses venous thromboembolism (VTE) prophylaxis guidelines and clinical practices. He explains that in the past, DVT chemoprophylaxis was not commonly used, but now it is more aggressively implemented. He discusses the patient populations at risk for developing DVTs and PEs, such as ICU patients, cancer patients, stroke patients, and immobile patients. Dr. Kitagawa emphasizes that in his practice, he generally administers DVT chemoprophylaxis to all patients, starting 24 hours after stability scan or surgery. He also discusses the use of aspirin and anticoagulants, stating that they are generally safe to start within 48 to 72 hours after stability scan. He highlights that the guidelines on when to start these medications are challenging and do not provide clear instructions. Dr. Kitagawa concludes by emphasizing the importance of a rational approach in administering blood thinners and tailoring treatment based on the individual patient's risk factors and medical history.

Keywords

venous thromboembolism

VTE prophylaxis

DVT chemoprophylaxis

patient populations at risk

aspirin and anticoagulants

blood thinners