2.50
Hdl Handle:
http://hdl.handle.net/10755/161877
Category:
Abstract
Type:
Presentation
Title:
Evidence-Based Practice for Mechanical VTE Prophylaxis
Author(s):
Larkin, Brenda G.; Beier, Matthew E.; Lewis, Cindy; Mitchell, Kimberly M.; Petrie, Kathryn H.
Author Details:
Brenda G. Larkin, MS, RN, CNOR, TNCC, APRN-BC, Aurora West Allis Medical Center, Lake Geneva, Wisconsin, USA, email: brenda.larkin@aurora.org; Matthew E. Beier, MS, RN, CNS-BC, CNOR; Cindy Lewis, RN; Kimberly M. Mitchell, BSN, RN, CNOR; Kathryn H. Petrie, RN
Abstract:
Poster presented at AORN's 58th Annual Congress: Purpose: Determine evidence-based practice for implementation of mechanical venous thromboembolic (VTE) prevention in the perioperative period based on a systematic literature review. Methodology: Systematic literature review of the Ovid database for all currently available years was conducted to answer the following questions. What evidence exists for optimal application time of intermittent pneumatic device (IPC) and compression stockings for perioperative prophylaxis? What evidence exists for addressing the benefit of using a combination of IPC and compression stockings? What evidence exists regarding efficacy of use of mechanical prophylaxis both perioperatively and postoperatively? What evidence exists regarding alternative configurations of mechanical prophylaxis for use on specialty operative tables? Results: Optimal application time was determined to be as soon as possible prior to the surgical procedure. In some instances, the application of device(s) may be as much as one-hour prior to transport to surgery. There is no consensus in the literature that the combination of compression stockings with IPC offers any additional benefit in preventing VTE. Fibrinolytic activity is increased by use of external compression and that the effect lasts up to three days postoperatively. No alternative configurations with significant supporting evidence were identified for use with specialty operative tables. Implications for Perioperative Nurses: Evidence suggests implementation of mechanical prophylaxis as early as possible in the perioperative period decreases occurrences of VTE for the surgical patient. Ambulatory patient prophylaxis should begin as soon as they are settled, and prior to transport to the operative suite. Prophylaxis should be maintained for all patients throughout the perioperative period.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEvidence-Based Practice for Mechanical VTE Prophylaxisen_GB
dc.contributor.authorLarkin, Brenda G.en_US
dc.contributor.authorBeier, Matthew E.en_US
dc.contributor.authorLewis, Cindyen_US
dc.contributor.authorMitchell, Kimberly M.en_US
dc.contributor.authorPetrie, Kathryn H.en_US
dc.author.detailsBrenda G. Larkin, MS, RN, CNOR, TNCC, APRN-BC, Aurora West Allis Medical Center, Lake Geneva, Wisconsin, USA, email: brenda.larkin@aurora.org; Matthew E. Beier, MS, RN, CNS-BC, CNOR; Cindy Lewis, RN; Kimberly M. Mitchell, BSN, RN, CNOR; Kathryn H. Petrie, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/161877-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Purpose: Determine evidence-based practice for implementation of mechanical venous thromboembolic (VTE) prevention in the perioperative period based on a systematic literature review. Methodology: Systematic literature review of the Ovid database for all currently available years was conducted to answer the following questions. What evidence exists for optimal application time of intermittent pneumatic device (IPC) and compression stockings for perioperative prophylaxis? What evidence exists for addressing the benefit of using a combination of IPC and compression stockings? What evidence exists regarding efficacy of use of mechanical prophylaxis both perioperatively and postoperatively? What evidence exists regarding alternative configurations of mechanical prophylaxis for use on specialty operative tables? Results: Optimal application time was determined to be as soon as possible prior to the surgical procedure. In some instances, the application of device(s) may be as much as one-hour prior to transport to surgery. There is no consensus in the literature that the combination of compression stockings with IPC offers any additional benefit in preventing VTE. Fibrinolytic activity is increased by use of external compression and that the effect lasts up to three days postoperatively. No alternative configurations with significant supporting evidence were identified for use with specialty operative tables. Implications for Perioperative Nurses: Evidence suggests implementation of mechanical prophylaxis as early as possible in the perioperative period decreases occurrences of VTE for the surgical patient. Ambulatory patient prophylaxis should begin as soon as they are settled, and prior to transport to the operative suite. Prophylaxis should be maintained for all patients throughout the perioperative period.en_GB
dc.date.available2011-10-27T08:42:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:42:06Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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