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Thromboembolism in Orthopedic Surgery (Hardcover, 2013 ed.)
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Thromboembolism in Orthopedic Surgery (Hardcover, 2013 ed.)
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This book reviews the main topics in thromboprophylaxis around
orthopedic surgery, from a general scope of the problems with the
disease highlighting them in orthopedics to the new specific
protocols involving, for example, new oral anticoagulants. The
prevalence of the venous thromboembolism in each procedure (from
"easy" to "hard" surgeries, with different rates of related
thrombosis) and the risk factors to bear in mind in each one
(related and non-related with the orthopedic procedure) are also
revised. A chapter focus on the diagnosis and treatment of venous
thromboembolism, which is commonly "forgotten" in many books
addressed to orthopedic surgeons and anaesthesiologists. The
methods for thromboprophylaxis have three specific chapters: the
most common drugs used and recommended when pharmacological
prophylaxis is needed, new drugs which are arising day by day and
which management will be of main importance in a close near future,
and mechanical methods, recommended both as additional when
possible and for sole indications when the risk of bleeding could
move us to minimize the real risk of thrombosis. Anaesthetic
implications for thromboprophylaxis and, also, main implications of
the application of antithrombotic protocols in the anaesthetic
practice are covered by another chapter. In our opinion it was very
important to divide the orthopedic procedures according to their
own thrombotic risk, so having their own protocols for
thromboprophylaxis: high risk, day surgery procedures and "special"
surgical procedures are included in three different chapters, from
three different authors with complementary views. Finally, in a
last chapter, we review the problems involving the perioperatory
management of antiaggregated and anticoagulated patients, with a
special part in hip fracture surgery.
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