静脉血栓和肺栓塞风险患者的围手术期管理

IF 0.2 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2024-08-01 DOI:10.1016/j.mpaic.2024.06.021

Calvin Tsun Wai Liu, Timothy Xianyi Yang

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引用次数: 0

摘要

围手术期静脉血栓栓塞症（VTE）对发病率和死亡率有重大影响。预防围术期 VTE 首先要进行风险评估并制定血栓预防策略，以平衡出血和血栓形成的风险。利用相关指南评估这些风险的标准化方法有助于指导适当使用机械和药物预防措施。然而，急性肺栓塞（PE）也可能出现在围手术期。这篇简短的综述总结了当前的诊断算法，包括使用经胸超声心动图来指导急性肺栓塞的即时处理，尤其是在术中环境下。

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Perioperative management of patients with venous thrombosis and pulmonary embolism risks

Perioperative venous thromboembolism (VTE) has a significant impact on morbidity and mortality. Prevention of perioperative VTE begins with risk assessment and formulating a thromboprophylaxis strategy that balances bleeding and thrombosis risks. A standardized approach to assess these risks using relevant guidelines can help direct appropriate use of mechanical and pharmacological prophylaxis. Nevertheless, acute pulmonary embolism (PE) can present in the perioperative period. This brief review summarizes current diagnostic algorithms including the use of transthoracic echocardiography to guide immediate management of acute PE, particularly in an intraoperative setting.

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.