Critical Care Time

12. DVT Prophylaxis In The Critically Ill

Nov 20, 2023

Delving into DVT prophylaxis in critically ill patients, the podcast covers risks, medications like Fonda and heparin, challenges with warfarin therapy, and optimizing dosing with options like Lovanox and Heparin. Exploring procedures, anticoagulation timing, and personalized approaches for trauma and stroke cases. Highlighting chemoprophylactic agents, SCDs, and managing DVT prophylaxis in special cases like HIT and TTPHUS patients.

54:30

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Episode guests

Matthew Rendo

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Episode notes

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Quick takeaways

Platelet count below 50 increases bleeding risk, not protecting from DVT, requires individual assessment.

Daily DVT prophylaxis crucial in ICU, timely initiation emphasized by experts.

Combined mechanical and pharmacologic thromboprophylaxis reduces VTE risk by 60%, LMWH preferred over UFH.

Deep dives

Importance of Platelet Count in DBT Prophylaxis

Having a platelet count below 50 significantly increases the risk of bleeding. Platelet count below 50 is often mistakenly believed to protect from DBT. Patients need individual assessment, considering comorbidities like obesity and limited mobility.

Introduction

2min

Importance of DVT Prophylaxis in Critically Ill Patients

24min

Optimizing Dosing of DVT Prophylaxis Medications in the Inpatient Setting

2min

Procedures, DVT Prophylaxis, and Anti-coagulation Timing in ICU Patients

5min

Optimizing DVT Prophylaxis in Critical Conditions

18min

Comprehensive Discussion on DVT-Prophylaxis in Critical Care for Critically Ill Patients

2min

Closing Remarks, Sponsor Acknowledgment, and Disclaimers

2min

Every time we admit or care for a critically ill patient, we must consider their risk for deep venous thrombosis, or DVT. Many of our patients are at higher risk for DVT than the general population, but anticoagulants are not wholly benign drugs. What do we do? How do we decide who to treat medically, who to treat with mechanical compressive devices and identify patients who may NOT need anything? When do risks outweigh benefits? What agent is best?

Join Nick and Cyrus as they interview hematologist & oncologist Dr. Matthew Rendo (Twitter/X: Rendoncology) as they do a deep dive into managing DVT prophylaxis in the critically ill patient!

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Critical Care Time

12. DVT Prophylaxis In The Critically Ill

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Importance of Platelet Count in DBT Prophylaxis

DBT Prophylaxis in ICU and Expert Input

Efficacy of Thromboprophylaxis in ICU Patients

DBT Prophylaxis Challenges in Specific Patient Cases

Special Considerations in Liver Disease and Thrombocytosis

Remember Everything You Learn from Podcasts