The first European recommendations on postoperative venous thromboembolism (VTE) are on their way, and are intended to be much more practical and clinical than the U.S. recommendations, said Prof. Charles-Marc Samama, Chair of the European Task Force on Prevention of Venous Thromboembolism in Anaesthesia and Intensive Care and Chair of the ESA Scientific Committee. Samama was speaking at Euroanaesthesia 2016 in London on Saturday 28 May to preview the guidelines, which are endorsed by five European surgical societies, the European Society of Intensive Care Medicine, the International Society on Thrombosis and Hemostasis and the Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis.
The need for European guidelines was clear, said Samama. While the global postoperative VTE risk is steadily declining, the role of VTE prophylaxis is under question with fast track procedures and day surgery. Clear guidelines are needed to address the role of elastic compression stockings and special measures for obese patients and elderly patients, he said.
The task-force includes six ESA members and some representatives from major European societies on orthopaedics, general surgery, gynaecology and obstetrics, medical intensive care and haemostasis and thrombosis.
The recommendations will deal with perioperative (pre-, per- and post-) VTE prophylaxis, including the ICU. The GRADE method will be used for the grading.
At the end of the process, it is expected that the different participating bodies will endorse the guidelines.
|Charles Marc Samama|
|Walter Ageno||International Society on Thrombosis and Hemostasis (ISTH)|
|Jacques Duranteau||European Society of Intensive Care Medicine (ESICM)|
|Jacky Nizard||European Board of Colleges of Obstetrics and Gynaecology (EBCOG)|
|Jakob Stensballe||Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis (NATA)|
|Linas Venclauskas||European Digestive Surgery (EDS)|