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Scd dvt prophylaxis11/28/2023 Data collection was be considered complete upon removal of the PICC line. In case of suspected symptomatic venous thromboembolism, the investigations were performed according to current practice standards. Two-thirds (68) of physicians treated at least one patient with SCD-associated VTE during the preceding 12 months. If the PICC line was removed before 5-7 days, an upper extremity ultrasound was obtained upon PICC removal. Sequential Compression Device, per protocol, until fully ambulatory Note: VTE pharmacologic prophylaxis not indicated m k All patients without history of VTE, high risk thrombophilia or current anticoagulant use and who have 2 MAJOR OR 1 MAJOR AND 2 MINOR RISK FACTORS from the table below: o MAJOR VTE RISK FACTORS MINOR VTE RISK FACTORS Any. The Huntleigh AC600 is designed with flexibility and simplicity in mind, the Flowtron Universal DVT Prophylaxis System provides clinically effective. The patients also had the ultrasound again 12-14 days post insertion if the PICC was kept for more than 10 days. Sixty-seven (0.22) patients had VTE, with DVT in 55 cases and PE in 12 cases. Patients randomized to the intervention arm had an SCD placed in the arm with the PICC within 24 hours of PICC placement.įive to seven days after placement of the PICC, the patients were examined with venous duplex ultrasound of the upper extremity to assess for the presence of venous thrombosis. New cases of DVT and pulmonary embolism were rare (4 and 1, respectively), and incidences were similar in both intervention and control groups. All patients had an indwelling 5 French, double lumen PICC unless additional venous access was required by the primary service. Lower-extremity ultrasound assessment for deep venous thrombosis (DVT) was performed twice weekly, and clinical care continued throughout the trial. Standardized vascular access patency protocols was used in all enrolled patients. In a pilot prospective randomized controlled trial, consecutive patients requiring placement of a PICC line in the Neuroscience intensive care unit were randomly assigned to either the SCD (intervention) group or a non SCD (control) group.
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