A deep vein thrombosis prevention program for patients undergoing long-term invasive epilepsy monitoring.
Some patients may require invasive monitoring techniques, such as implanted depth or subdural grid electrodes, prior to resection of the epileptogenic focus. The additive effect from the lack of anticoagulant therapy, due to the unique nature of invasive monitoring, constraints on mobility associated with continuous EEG recording, along with other risk factors predisposes patients to vessel occlusion. Deep vein thrombosis (DVT) is an unfortunate, potentially life-threatening and often overlooked post-surgical complication. A team approach in developing and implementing a DVT prevention program has been successful in preventing pulmonary embolus in the invasive monitoring patient population. The use of graduated elastic compression stockings, intermittent pneumatic compressive devices and exercises are the major features of the program.
Cysyk
B J
BJ
Epilepsy Monitoring Unit, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Wruble
E R
ER
D001458:Bandages; D001931:Brain Mapping; D004827:Epilepsy / Q000175:diagnosis* / Q000601:surgery; D005081:Exercise Therapy; D006801:Humans; D008991:Monitoring, Physiologic / Q000009:adverse effects / Q000451:nursing; D010347:Patient Care Planning; D012307:Risk Factors; D013924:Thrombophlebitis / Q000209:etiology* / Q000517:prevention & control*; D013997:Time Factors