Precision Medicine for Individualized VTE Prophylaxis in the Neurosurgical Patient-Guidelines for VTE Prophylaxis in Neurosurgery

Video Transcription

Video Summary

In this video, the speaker discusses various guidelines and recommendations for venous thromboembolism (VTE) prophylaxis in different neurosurgical conditions. The guidelines mentioned include those from the Brain Trauma Foundation, American College of Surgeons, Neurocritical Care Society, American Heart Association, Stroke Association, and the American College of Chest Physicians. The speaker highlights that brain trauma and spine surgery patients are at a higher risk for VTE and should be considered for prophylaxis. Mechanical prophylaxis with boots is commonly recommended, but there is conflicting evidence on the use of chemoprophylaxis, particularly in severe traumatic brain injury cases. The speaker also discusses the use of IVC filters and their limited role in primary prevention. Overall, the guidelines emphasize the importance of tailoring prophylaxis to each patient's specific condition, risk factors, and potential for bleeding complications. The speaker notes that there is still insufficient evidence in some areas, and various recommendations are based on expert opinion. The video concludes with an overview of the European Society of Anesthesiologists' guidelines for VTE prophylaxis in surgical patients.

Keywords

VTE prophylaxis

neurosurgical conditions

guidelines

brain trauma

spine surgery

mechanical prophylaxis

chemoprophylaxis