Venous Thromboembolism in Trauma

Prevention and Treatment from Admission to Discharge and Beyond

Inbunden, Engelska, 2026

AvEric J. Ley,Navpreet K. Dhillon,Elliott R. Haut,Todd W. Costantini

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Trauma patients are at increased risk for developing venous thromboembolism (VTE), which includes pulmonary embolism and deep vein thrombosis. Despite evidence-based guidelines and concerted efforts to implement optimal prophylaxis strategies, VTE remains a frequent diagnosis in trauma patients. Standard prophylaxis dosing of low-molecular-weight heparin is insufficient in trauma, shifting focus toward alternative dosing strategies to include anti-Xa-guided dosage, weight-based dosing, and anti-platelet agents. Trauma patients who develop VTE require therapeutic anticoagulation, presenting a challenge due to increased risk for bleeding. Post-discharge VTE prophylaxis and treatment guidelines also identify patients at the highest risk for developing complications of VTE.This book provides a thorough yet practical perspective on the prevention and treatment of venous thromboembolism from admission to discharge. It focuses on the importance of a multidisciplinary approach for preventing and treating venous thromboembolism, highlighting the importance of updated guidelines from the WTA, AAST, and Committee on Trauma. Chapters are thematically arranged in five sections highlighting key areas of care, covering background and systems, VTE prophylaxis, treatment, discharge therapy, and special populations.

Produktinformation

Utgivningsdatum2026-07-25
Mått155 x 235 x undefined mm
FormatInbunden
SpråkEngelska
Antal sidor454
FörlagSpringer Nature Switzerland AG
ISBN9783032269348

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Eric J. Ley, MD, FACS, Department of Surgery, University of Maryland Medical Center, R. Adams Cowley Shock Trauma Center, Baltimore, MD, USANavpreet K. Dhillon, MD, FACS, Department of Surgery, Riverside University Health System Medical Center, Moreno Valley, CA, USAElliott R. Haut, MD, PhD, FACS, Department of Surgery, Johns Hopkins University, Baltimore, MD, USATodd W. Costantini, MD, FACS, Department of Surgery, University of Minnesota, Minneapolis, MN, USA

Part 1 Background and systems.- 1. The history of preventing venous thromboembolism after trauma.- 2. Guidelines: New and Old.- 3. Venous Thromboembolism Prediction in Trauma.- 4. Team approach, Pharmacy, and Pulmonary Embolism Response Team (PERT).- 5. Electronic Health Record System’s Role in Venous Thromboembolism Prevention.- 6. Venous Thromboembolism Quality Measurement.- Part 2 Prophylaxis.- 7. Mobilization and Compression Devices.- 8. Venous duplex ultrasound for high risk trauma patients.- 9. Low Molecular Weight Heparin versus Unfractionated Heparin for Optimal Chemoprophylaxis after Trauma.- 10. Early versus delayed chemical prophylaxis after trauma.- 11. Anti-Xa Level Guided VTE Prophylaxis.-12. LEY Weight-Based Dosing for Venous Thromboembolism Prophylaxis.- 13. Creatinine clearance to guide enoxaparin dosing.- 14. Does Antithrombin have a Role in VTE prophylaxis?.- 15. Aspirin for Venous Thromboembolic Prophylaxis.- Part 3 Treatment.- 16. Reversing Anticoagulation, Antiplatelet, and Direct Oral Anticoagulation Therapy in Trauma Patients.- 17. Management of intravenous heparin in trauma patients.- 18. Thrombolysis and endovascular treatment for DVT and PE.-19. PE or PT: Embolism versus Thrombus.- 20. The role of prophylactic IVC filters in trauma patients.- 21. Heparin – Induced Thrombocytopenia.- 22. The use of DOACs in trauma.- 23. Upper Extremity Deep Venous Thrombosis: Pathophysiology, Diagnosis, and Management.- 24. Management of Line Associated Deep Venous Thrombosis.- Part 4 Discharge therapy.- 25. Which trauma patients require outpatient VTE prophylaxis?.- Part 5 Special populations.- 27. Venous Thromboembolisim in Traumatic Brain Injury.- 28. VTE Chemoprophylaxis in Orthopedic Trauma Patients.- 29. Blunt Cerebrovascular Injuries (BCVI).- 30. Venous thromboembolism in spinal cord injury.- 31. Coagulation Paradox: Venous Thromboembolism Prophylaxis in Cirrhosis.- 32. Venous Thromboembolism in the Pregnant Trauma Patient.- 33. Venous Thromboembolism in Renal Failure.- 34. Considerations and Management of Venous Thromboembolism After Trauma in the Bariatric Patient.- 35. Pediatric Trauma and Venous Thromboembolism.- 36. Anticoagulation Management in Patients Receiving Epidural Analgesia and Peripheral Nerve Blocks.