Hematology and Oncology Book

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DVT Prevention in Travelers

Aka: DVT Prevention in Travelers, Travel-Related Deep Vein Thrombosis Prevention
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  1. See Also
    1. Deep Vein Thrombosis
    2. Deep Vein Thrombosis Prevention
  2. Indications: Prevention
    1. Hypercoagulable State
    2. Age over 50 years
    3. Prior Venous Thromboembolism
    4. Recent surgery
    5. Recent trauma
    6. Estrogen or Oral Contraceptive use
    7. Active cancer
    8. Pregnancy
    9. Obesity
  3. Management: Travel recommendations for flights over 4 hours
    1. Walk 15 minutes each hour of flight
    2. Avoid window seats
    3. Wear Compression stockings during flight
      1. Below the knee Compression stockings (15-20 mmHg or 20-30 mmHg)
      2. Require prescription and measurements for proper fitting (may be covered by insurance)
    4. Maintain adequate hydration
    5. Aspirin 80 to 325 mg orally daily is controversial
      1. Not routinely recommended
  4. Course
    1. Venous Thromboembolism may be attributable to travel if event occurs within 8 weeks of travel
  5. References
    1. Scurr (2001) Lancet 357:1485-9
    2. Watson (2011) Br J Haematol 152: 31-4

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