Outpatient Surgery Magazine

Post Your Prices Online - September 2013 - Outpatient Surgery Magazine - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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OSE_1309_part3_Layout 1 9/6/13 12:21 PM Page 139 SAFETY fatal within minutes or hours. Who's at risk? Anyone who undergoes surgery, because injuries to vessels when surgeons operate and changes in blood chemistry caused by dehydration or general anesthetics increase the likelihood of clots forming. That said, more invasive procedures in the abdomen or lower extremities put patients at increased risk. Other factors that heighten DVT possibilities include advanced age, obesity, recent physical trauma, varicose veins, personal or family history of circulation problems, surgeries lasting longer than 45 minutes, and hip or knee replacement surgery. Pick the prophylaxis Muscles in prone, anesthetized patients aren't working as they normally would; even sleeping individuals move slightly every few minutes to keep blood flowing properly. Two effective preventative measures against DVT: • Sequential compression devices. SCDs combat venous stasis and coagulation changes by squeezing legs to stimulate muscles and move blood through the veins. • Anti-embolism stockings. Stockings protect against venous stasis and vessel wall damage by keeping leg muscles tight and firm, which reduces pooling of blood in the veins. Using both in combination therefore protects patients against all 3 risk factors of DVT. The stimulation and constriction combine to regulate the blood's chemistry and break down any blood clots that might form. We put SCDs on all patients, except those undergoing quick eye cases, although some surgeons write orders to add stockings to the prevention effort. Compression devices and stockings should be applied in the preop holding area and kept on patients throughout surgery (when possible) and during their recoveries. Stockings come in thigh-length and 2 S E P T E M B E R 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 1 3 9

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