Mehmet Ali HABEŞOĞLU, Füsun Öner EYÜBOĞLU

Yoğun bakım hastalarında venöz tromboembolizm

Yoğun bakım ünitelerinde venöz tromboembolizm (VTE) yaşamı tehdit eden önemli bir klinik sorundur. Yoğun bakım dışı hastalarda bile VTE tanısı oldukça karmaşık olup, tedavisi konusunda klinisyenler arasında fikir birliği yoktur. Yoğun bakım hastalarının heterojen olması, çoğunda tromboz ve kanama riskinin bir arada olması, VTE'nin nonspesifik belirti ve bulgularla seyretmesi, tanısal yöntemlerin uygulanabilirliğinin sınırlı olması gibi faktörler hastalığın sıklığının belirlenmesinde, tanı ve tedavisinde güçlüklere neden olmaktadır. Bu yazıda, yoğun bakım hastalarında VTE tanısı, tedavisi ve tromboprofilaksisi ile ilgili çalışmalar derlenerek yoğun bakım ünitelerindeki VTE sorununa dikkati çekmek amaçlanmıştır.

Venous thromboembolism in intensive care unit patients

In intensive care units, venous thromboembolism (VTE) is a life threatening, clinically important issue. The diagnosis of VTE is significantly complicated, even in patients except intensive care units and there is no consensus between clinicians about its treatment. The factors such as heterogeneity of intensive care units patients, the association of thrombosis and bleeding risks in the majority of patients, the non-specific signs and symptoms of VTE, the feasibility limitations of diagnostic methods are caused difficulties in the diagnosis and treatment of VTE. In this review, it has been aimed to remind VTE issue in the intensive care units, by review the investigations about the diagnosis, treatment and thromboprophylaxis of VTE.

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