Postoperative Care

Risk factors to assess need for postoperative VTE prophylaxis, from Campbell's

VTE prophylaxis

Risk Criteria Recommendation
Low Minor surgery +
Age < 40yo +
No other risk factors
Early ambulation
Moderate Minor surgery + other risk factors
40-60yo without other risk factors
Heparin 5000U TID
Enoxaparin 40mg daily (30mg if CrCL < 30)
High Age > 60yo
40-60yo with other risk factors
Highest Multiple risk factors Enoxaparin 40mg daily (30mg if CrCL < 30) + SCD
Heparin 5000U TID + SCD

Non-pharmacologic DVT prophylaxis options

Wound care