Precision Medicine for Individualized VTE Prophylaxis in the Neurosurgical Patient, Including Trauma and Critical Care-VTE Prophylaxis in Adult Degenerative Spine Surgery

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