Precision Medicine for Individualized VTE Prophylaxis in the Neurosurgical Patient-Heparinoids in Penetrating Brain Injury: Challenging Existing "Dogma"

Heparinoids in Penetrating Brain Injury: Challenging Existing "Dogma"

Video Transcription

Video Summary

In the video, Dr. Bell discusses the use of anti-coagulation and heparinoids in patients with penetrating brain trauma. He shares his initial skepticism about using anti-coagulation due to concerns about hemorrhages in brain injury patients. However, after analyzing data, he opened his mind to its potential benefits. He presents a pilot study on the use of chemical DVT prophylaxis in penetrating brain injury patients. The study found a potential reduction in DVTs and PEs in patients who received early chemical prophylaxis. Dr. Bell also discusses ongoing research, including animal models, to further investigate the effects of heparanoids on brain injury. He concludes by highlighting the importance of stability scans before initiating chemical prophylaxis in trauma patients and the need for further research in this area.

Keywords

anti-coagulation

penetrating brain trauma

chemical DVT prophylaxis

reduction

ongoing research

brain injury