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Quick reference guide
Issue date: January 2010
Venous thromboembolism: reducing the risk
Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital This guideline updates NICE clinical guideline 46 and replaces it
NICE clinical guideline 92 Developed by the National Clinical Guideline Centre for Acute and Chronic Conditions
Venous thromboembolism: reducing the risk
Contents
Contents
Assessing risks of VTE and bleeding Care pathway Overview of care Introduction Definitions and abbreviations Key priorities for implementation Using VTE prophylaxis Medical patients Non-orthopaedic surgery Orthopaedic surgery Major trauma or spinal injury Lower limb plaster casts Critical care Pregnancy and up to 6 weeks post partum Planning for discharge Further information 3 4 5 6 6 7 9 12 16 18 20 21 22 23 24 25
About this booklet
This is a quick reference guide that summarises the recommendations NICE has made to the NHS in ‘Venous thromboembolism: reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital’ (NICE clinical guideline 92). This guidance is an update of NICE clinical guideline 46 (published April 2007) and replaces it. For more information on how NICE clinical guidelines are developed, go to www.nice.org.uk
2
NICE clinical guideline 92
Quick reference guide
Venous thromboembolism: reducing the risk
Assessing risks of VTE and bleeding
Assessing risks of VTE and bleeding
Patients who are at risk of VTE Medical patients G If mobility significantly reduced for ≥ 3 days or G If expected to have ongoing reduced mobility relative to normal state plus any VTE risk factor. Surgical patients and patients with trauma G If total anaesthetic + surgical time > 90 minutes or G If surgery involves pelvis or lower limb and total anaesthetic + surgical time > 60 minutes or G If acute surgical admission with...
Issue date: January 2010
Venous thromboembolism: reducing the risk
Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital This guideline updates NICE clinical guideline 46 and replaces it
NICE clinical guideline 92 Developed by the National Clinical Guideline Centre for Acute and Chronic Conditions
Venous thromboembolism: reducing the risk
Contents
Contents
Assessing risks of VTE and bleeding Care pathway Overview of care Introduction Definitions and abbreviations Key priorities for implementation Using VTE prophylaxis Medical patients Non-orthopaedic surgery Orthopaedic surgery Major trauma or spinal injury Lower limb plaster casts Critical care Pregnancy and up to 6 weeks post partum Planning for discharge Further information 3 4 5 6 6 7 9 12 16 18 20 21 22 23 24 25
About this booklet
This is a quick reference guide that summarises the recommendations NICE has made to the NHS in ‘Venous thromboembolism: reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital’ (NICE clinical guideline 92). This guidance is an update of NICE clinical guideline 46 (published April 2007) and replaces it. For more information on how NICE clinical guidelines are developed, go to www.nice.org.uk
2
NICE clinical guideline 92
Quick reference guide
Venous thromboembolism: reducing the risk
Assessing risks of VTE and bleeding
Assessing risks of VTE and bleeding
Patients who are at risk of VTE Medical patients G If mobility significantly reduced for ≥ 3 days or G If expected to have ongoing reduced mobility relative to normal state plus any VTE risk factor. Surgical patients and patients with trauma G If total anaesthetic + surgical time > 90 minutes or G If surgery involves pelvis or lower limb and total anaesthetic + surgical time > 60 minutes or G If acute surgical admission with...