[Prophylactic strategies for perioperative pulmonary embolism]. Masui 2003 May;52(5):547-50
Date
06/11/2003Pubmed ID
12795143Scopus ID
2-s2.0-0038119831 (requires institutional sign-in at Scopus site)Abstract
BACKGROUND: Incidence of perioperative pulmonary embolism (PE) has increased in Japan probably due to the modernized life style. As the mortality rate of PE is very high, its prophylaxis is important. Therefore, prophylactic strategies for PE were instituted in the entire hospital.
METHODS: Elastic stockings (ES) for preventing perioperative deep vein thrombosis in lower extremities were worn from the morning of the operation until the beginning of ambulation. Intermittent pneumatic compression (IPC) apparatuses were used in combination with ES. IPC apparatus was employed right after induction of anesthesia until leaving postanesthetic care unit (PACU). Seventy percent of patients stayed in PACU until the morning after the operation and the other patients for a few hours after the end of surgery.
RESULTS: We managed 4,200 patients with this method. We experienced one symptomatic deep vein thrombosis but not severe or moderately severe PE. However, it is difficult to evaluate the incidence of mild PE because it is usual that symptom such as chest discomfort is thought as an indefinite complaint and its cause is not investigated further.
CONCLUSIONS: Our preventive strategies seem to be useful to decrease the incidence and severity of perioperative PE.
Author List
Kambara N, Kishi Y, Taniguchi H, Nakagawa M, Mammoto T, Tanigami H, Sakai T, Imaoka SAuthor
Tadanori Mammoto MD, PhD Associate Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
BandagesHumans
Postoperative Complications
Pulmonary Embolism
Venous Thrombosis