DVT Prophylaxis in head injury

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LMWH 24 hours after CT shows the bleed has stabilized in non-operatively
managed TBI's.

S. D. Bricker, M.D.
Los Angeles

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Sent: Tuesday, September 15, 2009 2:46 PM
To: trauma-list at trauma.org
Subject: trauma-list Digest, Vol 75, Issue 16

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Today's Topics:

   1. DVT Prophylaxis in head injury (jjsurgmd at aol.com)
   2. Re: DVT Prophylaxis in head injury (Ian Seppelt)
   3. Re: DVT Prophylaxis in head injury (nappio at aol.com)
   4. RE: DVT Prophylaxis in head injury (Gross, Ronald)


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Message: 1
Date: Tue, 15 Sep 2009 11:28:12 -0400
From: jjsurgmd at aol.com
Subject: DVT Prophylaxis in head injury
To: trauma-list at trauma.org
Message-ID: <8CC04304591950D-3740-27928 at webmail-d020.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"


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


------------------------------

Message: 2
Date: Wed, 16 Sep 2009 06:13:31 +1000
From: Ian Seppelt <seppelt at med.usyd.edu.au>
Subject: Re: DVT Prophylaxis in head injury
To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
Cc: "trauma-list at trauma.org" <trauma-list at trauma.org>
Message-ID: <3C8A16C1-8C62-4E7D-A863-844E98922300 at med.usyd.edu.au>
Content-Type: text/plain;	charset=us-ascii;	format=flowed;
delsp=yes

48 hours after injury / haenorrhage control. That is a totally random  
number, but one I could get all our neurosurgeons to agree to.

Ian Seppelt

On 16/09/2009, at 1:28 AM, jjsurgmd at aol.com wrote:

>
> 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
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/


------------------------------

Message: 3
Date: Tue, 15 Sep 2009 21:32:04 +0000
From: nappio at aol.com
Subject: Re: DVT Prophylaxis in head injury
To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
Message-ID:
	
<1730196941-1253049953-cardhu_decombobulator_blackberry.rim.net-1334364431-@
bda299.bisx.prod.on.blackberry>
	
Content-Type: text/plain

What about a removable greenfield filter instead?dn
------Original Message------
From: Ian Seppelt
Sender: trauma-list-bounces at trauma.org
To: Trauma-List [TRAUMA.ORG]
Cc: trauma-list at trauma.org
ReplyTo: Trauma-List [TRAUMA.ORG]
Subject: Re: DVT Prophylaxis in head injury
Sent: Sep 15, 2009 16:13

48 hours after injury / haenorrhage control. That is a totally random  
number, but one I could get all our neurosurgeons to agree to.

Ian Seppelt

On 16/09/2009, at 1:28 AM, jjsurgmd at aol.com wrote:

>
> 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
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/


Sent from my Verizon Wireless BlackBerry

------------------------------

Message: 4
Date: Tue, 15 Sep 2009 17:45:45 -0400
From: "Gross, Ronald" <Ronald.Gross at baystatehealth.org>
Subject: RE: DVT Prophylaxis in head injury
To: "'Trauma-List [TRAUMA.ORG]'" <trauma-list at trauma.org>
Message-ID:
	<FD2BE6867A90F543AAD02E429F878633014A174323A2 at bhsexc11.bhs.org>
Content-Type: text/plain; charset="iso-8859-1"

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
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

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