Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Venous Thromboembolism (DVT/PE)

Video Transcription

Video Summary

The talk on venous thromboembolism (VTE) addressed the clinical challenges and management of deep vein thrombosis (DVT) and pulmonary embolism (PE). Emphasis was placed on diagnostic and prognostic criteria, management strategies, and prophylaxis. It highlighted the significance of risk factors, including immobilization and hereditary conditions like factor V Leiden. Diagnosis often involves Doppler ultrasound, while treatment aims at anticoagulation unless contraindicated. The pathophysiology of PE and critical signs like hypotension and right ventricular failure were discussed. Treatment options range from anticoagulants to catheter-directed thrombolysis and surgical interventions. The PESI score helps in prognosis, and the importance of prompt anticoagulation was stressed. Various studies and clinical scenarios were used to underscore best practices and emerging strategies in VTE management. Prophylaxis with pharmacologic agents is preferred over mechanical methods, especially in high-risk ICU patients.

Keywords

venous thromboembolism

deep vein thrombosis

pulmonary embolism

anticoagulation

prophylaxis

risk factors

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