Wednesday, January 13, 2016

New Guidelines for DVT Management

Interesting new guidelines for treatment of patients with Deep Vein Thrombosis:
-Goodbye to Warfarin
-Goodbye to compression stocking recommendations

I agree with the first, but the second is kind of silly. Warfarin was difficult to manage and newer oral anticoagulants have been shown to be as effective or better with similar or safer safety profiles. I don't understand the second recommendation or new recommendation not to offer compression stockings post DVT. The stockings don't prevent the post thrombotic syndrome but due decrease acute and chronic pain.  Acutely, they decrease pain and swelling. Chronically, they aid to prevent ulcers.



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