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British Journal of Anaesthesia, Vol 78, Issue 2 118-120, Copyright © 1997 by The Board of Management and Trustees of the British Journal of Anaesthesia

EDITORIAL

Recent advances in prophylaxis against deep vein thrombosis

T. Wheatley and P. S. Veitch
Department of Surgery, Leicester General Hospital, Leicester LE5 4PW

The major development in DVT prophylaxis in recent years has been the introduction of low molecular weight heparins. Their main improvement compared with unfractionated heparin is in the convenience of a once daily dosage, but they have not yet convincingly been shown to be more effective or safer.22 23 A-V impulse boots may have an impact on knee and hip surgery but still face problems with patient acceptability. Probably the best way to ensure that more DVT are prevented is by clinicians maintaining a high level of awareness of the risk, and developing, and adhering to, local guidelines.
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