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Open Access

Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document

Joseph F Rappold, Forest R Sheppard, Samuel P Carmichael II, Joseph Cuschieri, Eric Ley, Erika Rangel, Anupamaa J Seshadri, Christopher P Michetti
DOI: 10.1136/tsaco-2020-000643 Published 24 February 2021
Joseph F Rappold
1Surgery, Maine Medical Center, Portland, Maine, USA
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Forest R Sheppard
1Surgery, Maine Medical Center, Portland, Maine, USA
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Samuel P Carmichael II
2Surgery, Wake Forest University, Winston-Salem, North Carolina, USA
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  • ORCID record for Samuel P Carmichael II
Joseph Cuschieri
3Surgery, University of Washington Seattle Campus, Seattle, Washington, USA
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Eric Ley
4Surgery, Cedars-Sinai Health System, Los Angeles, California, USA
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Erika Rangel
5Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA
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Anupamaa J Seshadri
6Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
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Christopher P Michetti
7Surgery, Inova Fairfax Hospital, Falls Church, Virginia, USA
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Article Information

vol. 6 no. 1
DOI 
https://doi.org/10.1136/tsaco-2020-000643

Online ISSN 
2397-5776
History 
  • Received November 13, 2020
  • Revised January 27, 2021
  • Accepted February 6, 2021
  • Published online February 24, 2021.

Copyright & Usage 
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

Author Information

  1. Joseph F Rappold1,
  2. Forest R Sheppard1,
  3. Samuel P Carmichael II2,
  4. Joseph Cuschieri3,
  5. Eric Ley4,
  6. Erika Rangel5,
  7. Anupamaa J Seshadri6,
  8. Christopher P Michetti7
  1. 1Surgery, Maine Medical Center, Portland, Maine, USA
  2. 2Surgery, Wake Forest University, Winston-Salem, North Carolina, USA
  3. 3Surgery, University of Washington Seattle Campus, Seattle, Washington, USA
  4. 4Surgery, Cedars-Sinai Health System, Los Angeles, California, USA
  5. 5Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA
  6. 6Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  7. 7Surgery, Inova Fairfax Hospital, Falls Church, Virginia, USA
  1. Correspondence to Dr Christopher P Michetti; Christopher.Michetti{at}inova.org
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Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document
Joseph F Rappold, Forest R Sheppard, Samuel P Carmichael II, Joseph Cuschieri, Eric Ley, Erika Rangel, Anupamaa J Seshadri, Christopher P Michetti
Trauma Surg Acute Care Open Feb 2021, 6 (1) e000643; DOI: 10.1136/tsaco-2020-000643

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Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document
Joseph F Rappold, Forest R Sheppard, Samuel P Carmichael II, Joseph Cuschieri, Eric Ley, Erika Rangel, Anupamaa J Seshadri, Christopher P Michetti
Trauma Surg Acute Care Open Feb 2021, 6 (1) e000643; DOI: 10.1136/tsaco-2020-000643
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Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document
Joseph F Rappold, Forest R Sheppard, Samuel P Carmichael II, Joseph Cuschieri, Eric Ley, Erika Rangel, Anupamaa J Seshadri, Christopher P Michetti
Trauma Surgery & Acute Care Open Feb 2021, 6 (1) e000643; DOI: 10.1136/tsaco-2020-000643
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    • Abstract
    • Introduction
    • Methods
    • Traumatic brain injury
    • Solid organ injury
    • Epidural analgesia
    • Imaging surveillance for DVT
    • Prophylactic inferior vena cava filters
    • Antifactor Xa monitoring and associated dose adjustments
    • Viscoelastic monitoring and dose adjustment
    • Weight-based dosing of enoxaparin in obesity
    • Other high-risk scenarios and when to hold VTE prophylaxis
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    • References
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