Anesthesia & Clinical Research
Open Access

No patient in surgical wards without VTE prophylaxis: Triple checking

Joint Event on 2^nd World Congress on Surgeons & 12^th International Conference on Anesthesiology and Critical Care

November 11-12, 2019 | Istanbul, Turkey

Mohammad M R Miah

Queen Elizabeth Hospital Birmingham, UK

Posters & Accepted Abstracts: J Anesth Clin Res

Abstract :

The House of Commons Health Committee reported in 2005 that an estimated 25,000 people in the UK die from preventable hospital acquired Venous Thromboembolism (VTE) every year. The inconsistent use of prophylactic measures for VTE in hospital patients has been widely reported. A UK survey suggested that 71% of patients assessed to be at medium or high risk of developing deep vein thrombosis did not receive any form of mechanical or pharmacological VTE prophylaxis. Our objective was to find out: If all the patients were assessed for VTE, if any patient was not on AES and was the pharmacological prophylaxis considered? Prospective data were collected over 2 weeks by patients’ record review and bedside examination. All the patients who were admitted under cardiac surgery between 28th of May and 10th of June 2018 were included. Total 77 patients were included. Maximum age was 92 and the minimum age was 16 years. 52 patients were more than 60 years of age. 36 were male patients and 41 were female patients. 37 patients underwent surgery or invasive procedure and 40 patients were treated conservatively. VTE is a common adverse event in patients undergoing surgery. Postoperative DVT of the lower limbs is often asymptomatic; in many patients; fatal PE is the first clinical manifestation of postoperative VTE. Patient should be checked for VTE assessment and prophylaxis in three prime points: By the checking doctor on admission, 1st attending nurse on admission and at morning ward round by the registrar. More wide use of prophylaxis, early mobilization and better perioperative care has reduced the incidence of VTE in surgical patients.

Biography :

Mohammad M R Miah has completed his MRCS in 2016 from Royal College of Surgeons of England. He is working in Surgery as a middle grade Surgeon under NHS England. He has completed multiple audits and quality improvement project as a lead Auditor and presented in many national and international conferences.