Perioperative thromboembolism prophylaxis in children – is it necessary?

Izabela Pągowska-Klimek

eISSN: 1731-2515
ISSN: 0209-1712

Anestezjologia Intensywna Terapia

Bieżący numer Archiwum O czasopiśmie Rada naukowa Recenzenci Prenumerata Kontakt Zasady publikacji prac

Panel Redakcyjny

Zgłaszanie i recenzowanie prac online

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4/2020
vol. 52

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Perioperative thromboembolism prophylaxis in children – is it necessary?

Izabela Pągowska-Klimek

¹

Department of Paediatric Anaesthesiology and Intensive Care, Warsaw Medical University, Warsaw, Poland

Anestezjologia Intensywna Terapia 2020; 52, 4: 318–324

Data publikacji online: 2020/11/15

Pełna treść artykułu Pobierz cytowanie

Perioperative antithrombotic prophylaxis in adults is widely recommended. In the past, it was believed that this does not concern the paediatric population. Recently, however, there has been growing evidence that the incidence of venous thromboembolism (VTE) in children is increasing and is probably underestimated. This is a result of advances in treatment of previously lethal conditions, wide use of central venous catheters, and improved awareness and diagnosis of VTE complications. However, large clinical trials assessing the efficacy and safety of antithrombotic treatment in children have not been conducted and there are not widely accepted protocols of perioperative prophylaxis. At the same time, there is a growing awareness of its sequelae: compartment syndrome, pulmonary embolism, pulmonary hypertension, post-thrombotic syndrome, cost, length of hospital stay, and mortality. Local recommendations based on observational studies, individual experience, and extrapolation from data of adults have emerged.

Perioperative thromboembolism prophylaxis in children – is it necessary?

Izabela Pągowska-Klimek 1

Izabela Pągowska-Klimek

¹