The Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI) Guidelines Working Group on Thromboprophylaxis in Children has reviewed the literature and where possible provided advice on the care of children in the perioperative period. Areas reviewed include the incidence of perioperative venous thromboembolism (VTE), risk factors, evidence for mechanical and chemical prophylaxis, and complications. Safe practice of regional anesthesia with anticoagulant prophylaxis is detailed. In summary, there are few areas of strong evidence. Routine prophylaxis cannot be recommended for young children. Postpubertal adolescents (approximately 13 years and over) are at a slightly increased risk of VTE and should be assessed for prophylaxis and may warrant intervention if other risk factors are present. However, the incidence of VTE is significantly lower than in the adult population. This special interest review presents a summary and discussion of the key recommendations, a decision-making algorithm and a risk assessment chart. For the full guideline, go to www.apagbi.org.uk/publications/apa-guidelines.<br /> (© 2018 John Wiley & Sons Ltd.)
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Areas reviewed include the incidence of perioperative venous thromboembolism (VTE), risk factors, evidence for mechanical and chemical prophylaxis, and complications. Safe practice of regional anesthesia with anticoagulant prophylaxis is detailed. In summary, there are few areas of strong evidence. Routine prophylaxis cannot be recommended for young children. Postpubertal adolescents (approximately 13 years and over) are at a slightly increased risk of VTE and should be assessed for prophylaxis and may warrant intervention if other risk factors are present. However, the incidence of VTE is significantly lower than in the adult population. This special interest review presents a summary and discussion of the key recommendations, a decision-making algorithm and a risk assessment chart. For the full guideline, go to www.apagbi.org.uk\/publications\/apa-guidelines. \u00a9 2018 John Wiley & Sons Ltd.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=29700892","isPdfLink":true,"isSAML":false,"an":"29700892","number_other":"","type_pub":"","issn_electronic":"1460-9592","languages":"English","language":"eng","date_entry":"","date_update":"","titleSource":"Paediatric anaesthesia [Paediatr Anaesth] 2018 May; Vol. 28 (5), pp. 382-391. Date of Electronic Publication: 2018 Apr 27.","date_pub_cy":"","type_document":"","contract_publisher":"","authored_on":"2018-05-01","description":"The Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI) Guidelines Working Group on Thromboprophylaxis in Children has reviewed the literature and where possible provided advice on the care of children in the perioperative period. Areas reviewed include the incidence of perioperative venous thromboembolism (VTE), risk factors, evidence for mechanical and chemical prophylaxis, and complications. Safe practice of regional anesthesia with anticoagulant prophylaxis is detailed. In summary, there are few areas of strong evidence. Routine prophylaxis cannot be recommended for young children. Postpubertal adolescents (approximately 13 years and over) are at a slightly increased risk of VTE and should be assessed for prophylaxis and may warrant intervention if other risk factors are present. However, the incidence of VTE is significantly lower than in the adult population. This special interest review presents a summary and discussion of the key recommendations, a decision-making algorithm and a risk assessment chart. For the full guideline, go to www.apagbi.org.uk\/publications\/apa-guidelines.<br \/> (© 2018 John Wiley & Sons Ltd.)","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=29700892&authtype=shib&custid=ns346513&group=main&profile=eds","no_of_pages":"","authored_by":"Morgan J, Checketts M, Arana A, Chalmers E, Maclean J, Powis M, Morton N","header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"29700892","RelevancyScore":"844","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"843.954772949219"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=29700892&authtype=shib&custid=ns346513&group=main&profile=eds","physicalDescription":{"Pagination":{"StartPage":"382"}},"additionalInfo":{"Authored_By":"Morgan J, Checketts M, Arana A, Chalmers E, Maclean J, Powis M, Morton N","Corporate_Authors":"Association of Paediatric Anaesthetists of Great Britain and Ireland Guidelines Working Group on Thromboprophylaxis in Children","Journal_Info":"Publisher: Arnette-Blackwell Country of Publication: France NLM ID: 9206575 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1460-9592 (Electronic) Linking ISSN: 11555645 NLM ISO Abbreviation: Paediatr Anaesth Subsets: MEDLINE","Publication_Type":"Journal Article; Practice Guideline; Review","Published_Date":"2018-05-01","Source":"Paediatric anaesthesia [Paediatr Anaesth] 2018 May; Vol. 28 (5), pp. 382-391. Date of Electronic Publication: 2018 Apr 27.","Languages":"English","Electronic_ISSN":"1460-9592","MeSH_Terms":"Anesthesia\/*standards , Anticoagulants\/*administration & dosage , Surgical Procedures, Operative\/*methods , Surgical Procedures, Operative\/*standards , Venous Thromboembolism\/*prevention & control, Adolescent ; Adult ; Anesthesia\/methods ; Anticoagulants\/standards ; Child ; Humans ; Ireland ; Perioperative Period\/methods ; Perioperative Period\/standards ; Risk Assessment\/methods ; Risk Factors ; Surgical Procedures, Operative\/adverse effects ; United Kingdom ; Venous Thromboembolism\/etiology","Subjects":"Adolescent, Adult, Anesthesia methods, Anticoagulants standards, Child, Humans, Ireland, Perioperative Period methods, Perioperative Period standards, Risk Assessment methods, Risk Factors, Surgical Procedures, Operative adverse effects, United Kingdom, Venous Thromboembolism etiology, Anesthesia standards, Anticoagulants administration & dosage, Surgical Procedures, Operative methods, Surgical Procedures, Operative standards, Venous Thromboembolism prevention & control","Title_Abbreviations":"Paediatric anaesthesia","Volume":"28"}}
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["Morgan J, Checketts M, Arana A, Chalmers E, Maclean J, Powis M, Morton N","Association of Paediatric Anaesthetists of Great Britain and Ireland Guidelines Working Group on Thromboprophylaxis in Children","Publisher: Arnette-Blackwell Country of Publication: France NLM ID: 9206575 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1460-9592 (Electronic) Linking ISSN: 11555645 NLM ISO Abbreviation: Paediatr Anaesth Subsets: MEDLINE","Journal Article; Practice Guideline; Review","2018-05-01","Paediatric anaesthesia [Paediatr Anaesth] 2018 May; Vol. 28 (5), pp. 382-391. Date of Electronic Publication: 2018 Apr 27.","English","1460-9592","Anesthesia\/*standards , Anticoagulants\/*administration & dosage , Surgical Procedures, Operative\/*methods , Surgical Procedures, Operative\/*standards , Venous Thromboembolism\/*prevention & control, Adolescent ; Adult ; Anesthesia\/methods ; Anticoagulants\/standards ; Child ; Humans ; Ireland ; Perioperative Period\/methods ; Perioperative Period\/standards ; Risk Assessment\/methods ; Risk Factors ; Surgical Procedures, Operative\/adverse effects ; United Kingdom ; Venous Thromboembolism\/etiology","Adolescent, Adult, Anesthesia methods, Anticoagulants standards, Child, Humans, Ireland, Perioperative Period methods, Perioperative Period standards, Risk Assessment methods, Risk Factors, Surgical Procedures, Operative adverse effects, United Kingdom, Venous Thromboembolism etiology, Anesthesia standards, Anticoagulants administration & dosage, Surgical Procedures, Operative methods, Surgical Procedures, Operative standards, Venous Thromboembolism prevention & control","Paediatric anaesthesia","28"]
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