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Prevention of the perioperative pulmonary embolism and deep vein thrombosis at the Kagawa Rosai Hospital was established by the members from every department.<BR>Recommended prophylaxis are physical exercise of feet and lower legs, wearing elastic stockings and usingthedevice for intermittent pneumatic compression for low risk patient, and antithrombotic treatment should be used for some high riskpatients. Because of the hemorrhagic side effect, doctors should decide whetherornot to use the antithrombotic treatment for high risk patients.<BR>A pamphlet and a video tape were made for informed consent about the symptoms and prophylaxis of pulmonary embolism and deep vein thrombosis. Furthermore, the critical path was used to enhance awareness of its prevention. The way of foot exercise was illustrated in the critical path for the patient, and check listsfor symptoms of pulmonary embolism and performance of foot exercise were newly made in the critical path for staff.<BR>For 14 months since the introduction of this prophylaxis, no pulmonary embolisms have occurred, compared to 16 cases occurring in 10 years before its introduction.
- 特定非営利活動法人 日本医療マネジメント学会の論文
特定非営利活動法人 日本医療マネジメント学会 | 論文
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