Bleeding Risk and Thromboprophylaxis in Neurosurgical Patients after Emergency Procedures
Journal Title: Journal of Intensive and Critical Care - Year 2017, Vol 3, Issue 1
Abstract
Purpose: We aimed to evaluate its safety in the emergency neurosurgical population at a tertiary hospital center. Methods: Retrospective analyses of prospectively-collected data were performed on patients ad-mitted to the surgical intensive care unit (SICU) after emergency neurosurgical procedure. We examined patient demographic and clinical information, survival outcomes, and rates of heparin induced thrombocytopenia and pulmonary embolism in patients who received subcutaneous unfractionated heparin (SCUFH) compared to those who did not. Results: We identified 223 emergency neurosurgical patients, of which 100 received no anticoagulation (44.84%) and 123 received SCUFH (55.16%). In the SCUFH group, 88 patients received chemoprophylaxis within 24 h and 35 after 24 h. A statistically significant difference was noted with the admission APACHE II score of patients receiving SCUFH to those who did not, but APACHE III and SAPS on admission were shown to have no difference in outcome. Conclusion: Administration of SCUFH in the emergency neurosurgical population does not increase the risk of bleeding post-operatively and continues to be a safe and effective chemoprophylaxis agent against VTE.
Authors and Affiliations
Joaquin Cagliani, Garry Ritter, Chris Nelson, Kristen Hopkins, Ernesto P Molmenti, Jeffrey Nicastro, Gene Coppa, Rafael Barrera
Keywords
Related Articles
- EP ID EP299929
- DOI 10.21767/2471-8505.100069
- Views 80
- Downloads 0
Ultrasonography on Detection of Massive Pulmonary Embolism as Cause of Cardiac Arrest
Massive pulmonary embolism (MPE), defined as an acute Pulmonary Embolism (PE) with sustained hypotension, is estimated to occur in only 5% of cases of PE [1,2]. Of these 5% of cases, 10% to 20% of patients present with c...
Meaning of Caring from Critical Care Nurses Perspective: A Phenomenological Study
Background: Caring has been known as the inner core and the essence of nursing profession. It seems that critical condition of patients and presence of various and complex technological equipments in critical care units...
Effect of Early Correction of Hyponatremia on Neurological Outcome in Traumatic Brain Injury Patients
Background: Hyponatremia is common in neurocritical care. If it is timely corrected, it can prevent deadly complication like brain edema and may improve overall prognosis in these patients. Methods: Retrospective analys...
More than Expectorant: New Scientific Data on Ambroxol in the Context of the Treatment of Bronchopulmonary Diseases
Background:Ambroxol has been established for decades in the treatment of acute and chronic respiratory diseases. A reassessment of the benefit-risk was conducted recently. Objective: What new scientific data, relevant fo...
Light Intensity on Intensive Care Units- A Short Review
Circadian rhythms are autonomous, self-sustained, approximately 24 h oscillations in biological processes (e.g. daily fluctuation of core body temperature, serum melatonin, or cortisol) entrained to environmental cues, t...