SCCM Resource Library-How Do We Treat Pediatric Venous Thromboembolism?

Video Transcription

Video Summary

In this conference presentation, a hematologist discusses the treatment of pediatric venous thromboembolism (VTE), especially in ICU settings. Key points include the use of various anticoagulants, some off-label, in children. Unfractionated heparin and low molecular weight heparin are highlighted for their roles in targeting specific coagulation factors, with notes on their reversibility and monitoring requirements. Bivalirudin, a direct thrombin inhibitor, is gaining popularity despite its lack of reversibility, due to its short half-life. The discussion also covers the role of direct oral anticoagulants such as apixaban and rivaroxaban, noting their advantages and limitations, including the absence of pediatric-specific reversal agents. The speaker also addresses thrombolysis, particularly for life or organ-threatening thrombosis, and underscores that treatment decisions should involve multidisciplinary collaboration. The presentation concludes by introducing Pulmonary Embolism Response Teams (PERTs) to improve care decisions and outcomes in pediatric cases.

Asset Caption

One-Hour Concurrent Session | Pediatric Venous Thromboembolism: An Update on Predictive Risk Factors, Prevention, and Treatment

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

pediatric venous thromboembolism

anticoagulants

direct oral anticoagulants

thrombolysis

Pulmonary Embolism Response Teams

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