Tromboseprofylaxe in de traumatologie

- Venous thromboembolism is frequent in trauma patients and often runs an asymptomatic course.

- Prophylaxis in these patients, who often have an increased risk of bleeding, deserves extra attention.

- After injuries to the lower extremities, low molecular weight heparin is advised during the period of immobilisation.

- Following hip-fracture surgery, fondaparinux is indicated for 4 weeks.

- In polytrauma and neurotrauma patients, low molecular weight heparin has shown the best results.

- Thrombosis prophylaxis also seems to be indicated in burn patients.

Ned Tijdschr Geneeskd. 2007;151:234-9