Mechanical prophylaxis is warranted in patients at high risk of bleeding; otherwise LDUH or LMWH is recommended for moderate-risk patients, and LMWH is recommended for high-risk patients.
Patients who require surgery for hip fracture should receive anticoagulant prophylaxis with fondaparinux, LMWH, LDUH, or adjusted-dose vitamin K antagonist (target INR 2.
Patients undergoing major gynecologic or open urologic procedures should receive prophylaxis with LDUH administered b.
Burn patients with any additional risk factors for thromboembolism should be given prophylaxis with LDUH or LMWH as soon as the physician considers it safe.
IPC with GCS for intracranial surgery; LDUH or postoperative LMWH are acceptable alternatives
LDUH or LMWH for medical patients with cancer, bedrest, congestive heart failure, or severe lung disease
LDUH, GCF, IPC, or LMWH for open urologic procedures
Alternative GCS or IPC in combination with LMWH or LDUH, if LMWH is contraindicated
LDUH, LMWH, or IPC for higher-risk surgery patients
For very-high-risk surgery patients, LDUH or LMWH combined with GCS or IPC.
Daily LDUH or IPC for major gynecologic procedures for benign disease
LDUH plus GCS or LMWH for gynecologic surgery for malignancy