Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Venous thromboembolism deserves your attention. | Available online http content 5 6 277 Commentary Venous thromboembolism deserves your attention Charles Marc Samama Department of Anesthesiology and Intensive Care Hopital Avicenne Bobigny France Correspondence Charles Marc Samama cmsamama@ Published online 3 November 2001 Critical Care 2001 5 277-279 2001 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Ọ o 3 3 cp ST See Research page 336 Abstract The survey of how Canadian intensive care units ICUs prevent and diagnose venous thromboembolism VTE presented in this issue of Critical Care illustrates considerable variability. Lack of optimal patient care reflects how VTE is rated in ICUs. The discussion should no longer focus on the incidence of thrombosis but rather on its prevention. Unfractionated heparin remains the most commonly used agent to prevent VTE despite the recognized efficacy and safety of low-molecular-weight heparins LMWHs in the ICU setting. In addition too few ICU directors consider the use of mechanical prophylactic measures such as graded elastic stockings and venous foot pump. The present situation calls for large randomized controlled trials in either medical or surgical ICU patients and for new education programmes in order to modify the care of ICU patients with regard to VTE. Keywords compression intensive care unit low-molecular-weight heparin thromboembolism Deep vein thrombosis DVT remains an underestimated problem in ICU patients despite the findings of many randomized controlled trials performed in the field of DVT prophylaxis after surgery during the past few decades 1 2 . Several consensus statements have been reported 3-5 that summarize the conclusions of those studies. The Canadian survey reported in the present issue of Critical Care page 336 provides a useful snapshot of daily clinical practice in Canada with regard to DVT prophylaxis 6 . It strongly suggests that studies dedicated to DVT prophylaxis in ICU patients should be performed in order
