Precision Medicine for Individualized VTE Prophylaxis in the Neurosurgical Patient, Including Trauma and Critical Care-VTE Prophylaxis: Clinical Practice Update Guidelines

Video Transcription

Video Summary

In this video, Dr. Ryan Kitagawa discusses VTE (venous thromboembolism) prophylaxis clinical practices and guidelines. He explains how the approach to chemoprophylaxis has changed over time, becoming more aggressive in his current practice. Dr. Kitagawa highlights the patient populations at risk for developing DVTs and PEs, such as immobile patients or those with traumatic brain injury. He mentions various guidelines from different societies, pointing out that they do not provide clear guidance for clinical practice. Dr. Kitagawa then shares his own approach, which involves starting DVT chemoprophylaxis immediately upon admission, with the timing depending on the patient's condition and type of injury. He also discusses the use of aspirin and anticoagulants in patients with traumatic intracranial hemorrhage, noting that their risks are less than previously thought. Dr. Kitagawa concludes by acknowledging the need for a rational approach to blood thinners and encourages healthcare professionals to use this information to guide their clinical treatment. No credits were granted in the video.

Keywords

VTE prophylaxis

chemoprophylaxis

patient populations at risk

DVTs

PEs

clinical practice