The best evidence summary for intraoperative venous thromboembolism prevention in major orthopaedic surgery
DENG Yajie
MA Yuling
MEI Yingxue
XU Fangchenglin
YU Yongqin
LI Jinping
Abstract：Objective:To retrieve,evaluate and integrate the evidence of intraoperative venous thromboembolism prevention in major orthopaedic surgery,and to give operating theatre healthcare professionals an evidence-based basis for intraoperative venous thromboembolism prevention.Methods:According to the"6S"model,literature related to intraoperative venous thromboembolism prophylaxis in major orthopaedic surgery was searched from clinical decision-making systems,guideline websites,English databases,Chinese databases,websites of domestic and international orthopaedic surgery and hematology specialty websites.Results:A total of 26 papers were included,including 1 clinical decision support,2 evidence summarizes,5 guidelines,6 expert consensus and 12 systematic reviews.Thirty items of evidence were summarized into the following 6 categories:risk assessment,basic prevention,anesthetic modalities,tourniquet using,mechanical prophylaxis and day surgery.Conclusions:The best evidence for intraoperative venous thromboembolism prevention in major orthopaedic surgery can provide a basis for clinical evidence-based practice.When translating evidence,healthcare professionals should consider the operating theatre context,the healthcare professionals'experience,and the patients'wishes,and fully consider the feasibility of the evidence in order to develop a venous thromboembolism prevention program that is suitable and easy to implement intraoperatively.
Keywords：major orthopaedic surgeryvenous thromboembolismevidence summaryevidence-based nursing
Publication Date：2024-12-31
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 4560-4565 )