Deep venous thrombosis

By
Dr. Tahreem Memon
Definition
A thrombosis is a bolus of coagulated blood in the
circulation. Lower extremity venous thrombosis can
occur in the superficial or deep veins
A thrombus in one of the superficial veins in the calf
usually is small and resolves without serious
consequences.
Thrombus formation in the deep veins in the calf,
thigh or pelvic region known as DV, tends to be larger
and can cause serious complications.
Riskfactors
Sugery
Prolong immmobilization and bed rest(venous stasis)
Hypercoagulable state of blood
Signs abd symptoms
At early stages of DVT only 25-50% of casescan be
recognized by clinical manifestation, such as:
 pain
Swelling
Heat
Redness
Well’s criteria
the presence of two or more clini
i
Well’s criteria

The well’s criteria provide the clinician with a tool to

establishlilelihood of lower extremity DVT when the
condition is suspected.
The presence of two or more clinical features indicate
DVT while fewer than two couldn’t suggest DVT.
To reduce the risk of DVT
Prophylactic use of anti coagulant therapy(heparin) for high
risk pts because of lower extremity surgery.
Elevate the legs while supine or sitting
No prolong period of sitting especially in pts withlong-leg cast.
Initiate ambulation as soon as possible after surgery(after 1 or 2
days).
Active pumping exercises throughout a day when lying.
Use of compression stockings to support the walls of veins and
minimize venous pooling.
Use of sequential pneumatic compression unit for patients on
bed rest.
Pneumatic compression unit
Management of DVT
Thanks