The use of thromboembolic prophylaxis in oral and maxillofacial surgery.
OBJECTIVE
To investigate the use of thromboembolic prophylaxis in oral and maxillofacial surgery.


METHODS
Postal questionnaire.


METHODS
Oral and maxillofacial surgery departments in the UK.


METHODS
Consultant Oral and Maxillofacial surgeons as listed in the BAOMS Handbook of Hospitals, Oral and Maxillofacial Surgery.


METHODS
Factors used in the decision to use thromboembolic prophylaxis and the methods of prophylaxis used.


RESULTS
The response rate was 73%. Previous thromboembolism (85% of respondents), prolonged immobilisation (79%) and length or magnitude of operation (78% and 74%) were the most commonly used risk factors, in the decision to use prophylaxis against DVT. Pre-operative trauma, cardiovascular disease and varicose veins were the risk factors most infrequently used. No forms of prophylaxis were used by 18% of respondents, with the remaining respondents using a variety of methods. The most widely used methods were graduated elastic compression stockings (74%) and low dose subcutaneous heparin (73%).


CONCLUSIONS
The majority of known risk factors were taken into account when considering the use of prophylaxis against DVT. The methods of thromboembolic prophylaxis used in oral and maxillofacial surgery are considered to provide a satisfactory degree of protection, in moderate and low risk patient groups.
Farr
D R
DR
Ipswich Hospital, UK.
Hare
A R
AR
D001458:Bandages; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007103:Immobilization / Q000009:adverse effects; D007866:Leg / Q000098:blood supply; D011183:Postoperative Complications / Q000517:prevention & control*; D011312:Pressure; D011655:Pulmonary Embolism / Q000517:prevention & control; D012307:Risk Factors; D013515:Surgery, Oral / Q000379:methods*; D011795:Surveys and Questionnaires; D013923:Thromboembolism / Q000517:prevention & control*
D006493:Heparin