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Precision Medicine for Individualized VTE Prophyla ...
VTE Prophylaxis in Adult Degenerative Spine Surger ...
VTE Prophylaxis in Adult Degenerative Spine Surgery
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Video Transcription
Video Summary
In this video, Joseph Spinelli, Chief of Neurosurgery at Walter Reed National Military Medical Center, discusses VTE prophylaxis in neurosurgery, specifically focusing on adult degenerative spine surgery. He highlights the significant impact of Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) on patient safety and the associated costs. The incidence of VTE in adult degenerative spine surgery varies widely in the literature. Spinelli mentions certain factors that contribute to higher VTE occurrence rates in neurosurgery, including prolonged immobilization and longer operative times in higher-risk populations. He explores different guidelines and consensus statements that provide recommendations for VTE prophylaxis, such as the use of mechanical prophylaxis and low molecular weight heparin. Spinelli concludes by emphasizing the need to develop a practical approach based on individual patient needs and institutional guidelines.
Keywords
VTE prophylaxis
neurosurgery
adult degenerative spine surgery
Deep Vein Thrombosis
Pulmonary Embolism
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