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Editorials |

Assessing the Utility of Venous Thrombosis Prophylaxis in Orthopedic Surgery Patients

Marc Carrier, MD, MSc; and Mary Cushman, MD, MSc
[+] Article and Author Information

From University of Ottawa, Ottawa, Ontario K1H 8L6, Canada, and University of Vermont College of Medicine, Burlington, VT 05405.

Potential Conflicts of Interest: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-0530.

Requests for Single Reprints: Mary Cushman, MD, MSc, Department of Medicine, University of Vermont, 208 South Park Drive, Colchester, VT 05446; e-mail, mailto:Mary.Cushman@uvm.edu.

Current Author Addresses: Dr. Carrier: Ottawa Hospital–General Campus, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada.

Dr. Cushman: Department of Medicine, University of Vermont, 208 South Park Drive, Colchester, VT 05446.


Ann Intern Med. 2012;156(10):748-749. doi:10.7326/0003-4819-156-10-201205150-00422
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In this issue, 2 reviews assess the effect of type and duration of thromboprophylaxis in patients undergoing major orthopedic surgery. Neumann and colleagues compared the efficacy and safety of thromboprophylaxis using oral direct factor Xa inhibitors or LMWH. Sobieraj and colleagues compared outcomes of prolonged versus standard-duration thromboprophylaxis after major orthopedic surgery. The editorialists discuss the findings and identify the remaining questions that future studies should address.

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Starting anticoagulation after ortho surgery
Posted on May 15, 2012
Marysia, Meylan, Epidemiologist
Self-employed
Conflict of Interest: None Declared

If the surgery is performed in a teaching hospital - even one of the best - Surgical residents should always have their anticoagulation orders DOUBLE-CHECKED by the surgeon or another experienced MD before administration. I know of case in which the patient was put to risk by the fact that: a) the resident had not checked the patient's coagulation panel and b) the resident didn't know that some antidepressants tend to affect coagulation in the wrong direction...

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