Italian intersociety consensus statement on antithrombotic prophylaxis in hip and knee replacement and in femoral neck fracture surgery

G. Della Rocca, F. Biggi, P. Grossi, D. Imberti, R. Landolfi, G. Palareti, F. Randelli, D. Prisco

Research output: Contribution to journalArticle

Abstract

Anticoagulant prophylaxis for preventing venous thrombembolism (VTE) is a worldwide established procedure in hip (HR) and knee replacement (KR) surgery, as well as in the treatment of femoral neck fractures (FNF). Different guidelines are available in the literature, with quite different recommendations. None of them is a multidisciplinary effort as the one presented. The Italian Society for Studies on Hemostasis and Thrombosis, the Italian Society of Orthopedics and Traumatology, the association of Orthopedic Traumatology of Italian Hospitals, together with the Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care have set down easy and quick suggestions for VTE prophylaxis in HR and KR surgery as well as in FNF treatment. This inter-society consensus statement aims at simplifying the grading system reported in the literature, and thus at improving its proper application. Special focus is given to fragile patients, those with high bleeding risk, and on those receiving chronic antiplatelet and vitamin K antagonists treatment. A special chapter is dedicated to regional anesthesia and VTE prophylaxis.

Original languageEnglish
Pages (from-to)1003-1010
Number of pages8
JournalMinerva Anestesiologica
Volume77
Issue number10
Publication statusPublished - Oct 2011

Keywords

  • Hip
  • Knee - arthroplasty
  • Replacement
  • Thrombosis - arthroplasty

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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    Della Rocca, G., Biggi, F., Grossi, P., Imberti, D., Landolfi, R., Palareti, G., Randelli, F., & Prisco, D. (2011). Italian intersociety consensus statement on antithrombotic prophylaxis in hip and knee replacement and in femoral neck fracture surgery. Minerva Anestesiologica, 77(10), 1003-1010.