Abstract: . . .  Nervous System (CNS) injury including TBI, intracranial hemorrhage 2. Incomplete spinal cord injury with perispinal hematoma 3. On-going bleeding 4. Uncorrected coagulopathy 5. Presence of an epidural catheter** 6. Status post Abdominal Aortic Aneurysm (AAA) repair C. The presence of a head injury, complete spinal cord injury, laceration or contusion of the lungs, liver, spleen, kidneys, or the presence . . .
. . .  UNIVERSITY OF PENNSYLVANIA MEDICAL CENTER HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA Surgical Critical Care Department of Surgery ADMINISTRATIVE SUBJECT : DEEP VEIN THROMBOSIS / PULMONARY EMBOLUS PROPHYLAXIS NUMBER CC.04 X CLINICAL Reference: Surgical Critical Care Policy Manual Page 7 of 7 Last Revised: 9/9/2004 Risk  . . .
. . .  ultrasound should only be considered in those patients in which a positive finding would change the clinical management. F. For patients with reliable enteral access, in whom risk factors are likely to persist after discharge from the hospital, conversion from Heparin or Enoxaparin to low- dose Warfarin should be considered prior to discharge. The optimal duration of prophylaxis is not known but a patient is considered . . .
. . .  1 Level Risk profile Prophylaxis Low risk ?Minor surgery ?< 40 years-old ?No additional risk factors* ?Aggressive mobilization Moderate risk ?Minor surgery in patients with additional risk factors* ?Nonmajor surgery in patients 40-60 years-old with no additional risk factors* ?Major surgery in patients < 40 years- old with no . . .
. . .  injury with perispinal hematoma 3. On-going bleeding 4. Uncorrected coagulopathy 5. Presence of an epidural catheter** 6. Status post Abdominal Aortic Aneurysm (AAA) repair C. The presence of a head injury, complete spinal cord injury, laceration or contusion of the lungs, liver, spleen, kidneys, or the presence of a retroperitoneal hematoma associated with pelvic fracture are relative contraindications . . .
. . .  with one of the following risk factors: - History of DVT/PE - Hypercoagulability - Malignancy ?Hip or knee arthroplasty** ?Hip fracture surgery** ?Major trauma** ?Spinal Cord Injury ? Pneumatic compression device (PCD) and ?One of the following: - Heparin 5000 u SC q 8 hours - Low molecular weight heparin (LMWH)** -Low dose oral anticoagulants ?Consider . . .
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