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Bedside Insertion of Vena Cava Filters in the Intensive Care Unit

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Bedside Procedures for the Intensivist

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Abstract

The development of deep venous thrombosis (DVT) and pulmonary embolism (PE) remains a daily concern for physicians who care for critically ill patients. Diagnosing PE is challenging in the intensive care unit (ICU) because signs and symptoms are nonspecific. In greater than two-thirds of patients, acute PE occurs prior to the diagnosis of DVT. Subsequently, much emphasis on this disease process focuses on prophylaxis and prevention rather than treatment. Mechanical prophylaxis with graded compression stockings and pharmacologic anticoagulation with heparin, low molecular weight heparin, and warfarin remain the mainstays of prevention and treatment. However, there are patient populations that are at high risk for venous thromboembolism (VTE) who are candidates for the placement of vena cava filters (VCFs).1

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Authors and Affiliations

  1. Department of General Surgery, Carolinas HealthCare System, 1025 Morehead Medical Drive 275, Charlotte, NC, 28204, USA

    Ronald F. Sing

Authors
  1. A. Britton Christmas
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  2. Ronald F. Sing
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Correspondence to Ronald F. Sing .

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Editors and Affiliations

  1. Penn State Hershey Medical Center, 500 University Drive, Hershey, 17033-0850, USA

    Heidi L. Frankel

  2. Health Sciences Center, Louisiana State University, Perdido St. 1901, New Orleans, 70112, USA

    Bennett P. deBoisblanc

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Christmas, A.B., Sing, R.F. (2010). Bedside Insertion of Vena Cava Filters in the Intensive Care Unit. In: Frankel, H., deBoisblanc, B. (eds) Bedside Procedures for the Intensivist. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79830-1_10

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  • DOI: https://doi.org/10.1007/978-0-387-79830-1_10

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  • Print ISBN: 978-0-387-79829-5

  • Online ISBN: 978-0-387-79830-1

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