profilaxia farmacológica da trombose venosa profunda€¦ · craniotomy spinal surgery spinal...
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Profilaxia Farmacológica da Trombose Venosa Profunda:Quais as implicações e condutas?
Ricardo Lopes da Silva
TSA-SBA
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SANGRAMENTO
TVP
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Trombose Venosa Profunda
Definição
Incidência
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Grupos de Riscos
Idade > 60 anos
História de TVP
Anestesia > 2 horas
Repouso > 4 dias
Longa Hospitalização
Sexo Masculino
Sepsi
Gestação
Pós parto
Câncer
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Grupos de Riscos
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Risco de Sangramento
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Risco de Sangramento
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Risco de Sangramento
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AnticoagulantesAntagonistas da Vitamina k
Inibidores direto do Fator Xa
Inibidor indireto do Fator Xa
Inibidores indiretos da Trombina
Inibidores direto da Trombina
Antiagregante Plaquetário
Rivroxabam
ApixabamFondaparinuxIdraparinux
HEPARINAS
Aspirina
DabigatranArgatroban
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N Engl J Med 1996; 335: 701-7
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N Engl J Med 1996; 335: 701-7
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N Engl J Med 1996; 335: 701-7
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GUIDELINECIRURGIA Caprini Recomendação Evidência
Abdominal 3-4 HBPM 2B
Oncológica Independe HBPM 1B
Cardíaca Independe HBPM 2C
Torácica 3-4 HBPM 2B
Torácica >5 HBPM 1B
Neurocirurgia >5 HBPM* 2C
Trauma Independe HBPM 2C
Ortopédicas Independente HBPM 1B
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