Why we need to give low molecular weight heparin in every case of laparoscopy?
| Discussion in 'All Categories' started by Dr. Mehrunnisa - Jun 7th, 2016 10:52 am. | |
Dr. Mehrunnisa
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Dear Sir, My question is that is it necessary to give low molecular weight heparin in every case of laparoscopy? If it is required what should be the dose and how should I administer it and how much hour before surgery? |
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re: Why we need to give low molecular weight heparin in every case of laparoscopy?
by Dr.S.Hussain -
Jun 7th, 2016
3:23 pm
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Dr.S.Hussain
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Dear Dr. Mehrunnisa, Laparoscopic surgery of all types causes serum hypercoagualability of varying degrees.Venous thromboembolism (VTE) is a common complication during laparoscopic surgery. Pulmonary embolism (PE) is the most common cause of preventable death in patients hospitalized for different type of surgical procedures. The risk for VTE in surgical patients is determined by the different factors like patient age, immobility, history of venous thromboembolism (VTE), varicose veins, malignant disease, severe infection, chronic renal failure, multiparus pregnant women, CAD, history of MI, inflammatory bowel disease, hormone replacement therapy, oral contraceptive use, and obesity all increase risk. Doses depends on patients condition and associated risk factors. Ardeparin :- 5,000 U in 0.5 mL; 10,000 U in 0.5 mL 50 U per kg SC on the evening of the day of surgery or the following morning, then every 12 hours for 14 days. Dalteparin:- 16 mg per 0.2 mL; 32 mg per 0.2 mL 2,500 IU SC 1 to 2 hours before surgery, then 2,500 IU every day for 5 to 10 days . |
