Some hospital care standards require pharmacologic DVT prophylaxis for orthopedic operations (even minor surgeries) in pediatric patients. Is it necessary indeed or this a hypermeasure taken to insure against eventual litigation problems ?
I do not believe pharmacological DVT therapy should be used in minor surgeries and of course has no sense in pediatric surgery, except in cancer pathology or in patients with predisposing factors related. Litigations procedures has burst into exaggerated measures to avoid DVT complications of some surgeries
At RNOH, Stanmore, UK we do not.
This article may be a useful reference:
http://www.ingentaconnect.com/content/rcse/brcs/2013/00000095/00000001/art00027?crawler=true
We do either. If their are adolescent patient we consider sometimes dependent on surgery, but usually no.
Adolescent girls with contraceptives and expected rigid immobilsation postop.
Good day! As previously mentioned, its use is only limited to patients with tumoral pathology; In pelvic surgery and hip dysplasia (which we say are the largest surgeries we perform as pediatric orthopedics) are not used and there is little literature on prophylaxis.
I have never used antithrombotic prophylaxis in pelvic surgery or in treatment of the long bones fractures in children under the age of 13y. I use it only in chidren with tumors , cardioloical diseases and septicemia.