You are viewing the site in preview mode

Skip to main content


Table 1 Clinical Vignettes summary with risk level and proposed prophylaxis strategyin the CPG.

From: Low agreement for assessing the risk of postoperative deep venous thrombosis when deciding prophylaxis strategies: a study using clinical vignettes

Clinical Vignettes Summary Post-operative DVT risk Prophylaxis Comment
Case 1: 31- years female post rhinoplasty, no past medical history, uneventful operation. Small ED/GCS  
Case 2: 25 years male insulin dependent diabetes after a correction of hallux valgus. Developed postoperative hyperglycemia. Small EM/GCS*  
Case 3: 63- years old female post hysterectomy with non-insulin dependent diabetes. After returning from the operating room a blood pressure of 225/130 was noted responding to analgesia. High Nadroparin  
Case 4: 42- years old obese male with chronic stable angina history. Resection of melanoma in the malar region. Moderate Calcium Heparin  
Case 5: 50- years old male with a 2-month history of macroscopic hematuria and pain in the right lumbar fossa. CT scan showed a right renal mass. He was neprhectomised High Nadroparin IPCC** not indicated since hemorrhage source was controlled
Case 6: 88- years old female with a history of duodenal ulcer in her youth admitted due to hip fracture and operated 24 hs later. She was stable in the immediate postoperative period. High Nadroparin  
Case 7: 38- year old male with an upper gastrointestinal haemorrhage gastrectomised after failure of medical therapy. An ulcerated leiomioma was diagnosed. Moderate Calcium heparin IPCC could be acceptable
Case 8: 46 years-old obese male with hip septic arthritis and previous pulmonary embolism diagnosis. A resection of the femoral head was performed. High Nadroparin +IPCC  
  1. *ED/GCS: Early mobilization or graded compression stockings. **IPCC: Intermittent pneumatic calf compression.