Perioperative Management to Prevent Postoperative Pulmonary Embolism in General Surgical Patients
10.2185/jjrm.54.887
- Author:
Masatoshi SHIGETA
;
Takayuki KUGA
;
Manabu SUDO
;
Akimasa YAMASHITA
;
Noriyasu MORIKAGE
;
Tetsuro KOBAYASHI
;
Tomita NAKAYAMA
;
Yasuhiro FUJII
- Publication Type:Journal Article
- MeSH:
cisplatin/etoposide protocol;
Pulmonary Embolism;
Postoperative Period;
Patients;
Cesium
- From:Journal of the Japanese Association of Rural Medicine
2005;54(6):887-892
- CountryJapan
- Language:Japanese
-
Abstract:
Recently, the incidence of pulmonary embolism (PE) after surgery began to increase in Japan and to prevent PE has become essentially important. During the period between July 2003 and August 2004, we placed 203 general surgical patients under our perioperative management using intermittent pneumatic compression (IPC) and compression stockings (CS). We evaluated the effect of our management on the prevention of postoperative PE in those patients. The incidence of PE, prognosis, complications, patient's complaints, cost-benefit were examined. No fatal PE occurred. One patient with low SpO2 had a chest pain and dyspnea but pulmonary scintigrams revealed no PE. Two other patients had contact dermatitis by CS and another patient using an epidural catheter suffered temporary paraplegia after heparin injection. The government has approved a fee for PE prophylaxis since April 2004. Our management using IPC and CS for PE prophylaxis after surgery proved to be an effective in reducing the risk of PE. However, we must take the atmost care in injecting heparin into patients with epidural catheters.
