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Tue Sep 15 22:45:45 BST 2009

This is what we use here at BMC.  I personally use an IVF filters on all of my spinal cord patients, and in spite of the lack of evidence to support my belief, I think that the severe TBI's that most likely will not recover functionally but that we keep going should also have an IVF filter, either retrievable or permanent.  For patients with contraindications (absolute or relative) to DVT prophylaxis I am quick to filter.

Just my 2 cents...
Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of jjsurgmd at aol.com
Sent: Tuesday, September 15, 2009 11:28 AM
To: trauma-list at trauma.org
Subject: DVT Prophylaxis in head injury

All,

?I know we have discussed this in the past but I am trying to get a general consensus about DVT prophylaxis?in head injured patients.? Meeting with our neurosurgeons later in the week and would like some input as the literature is pretty sparse.? When is it ok to start LMWH in patients with SAH?? SDH? stable exam and CT's?? thoughts?? What are you folks doing out there?

Jeffery L. Johnson, MD, FACS
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DVT Prophylaxis in head injury