Lovenox and Epidurals

greenspun.com : LUSENET : Orthopedic Healthcare Professionals : One Thread

We have been very pleased with epidural PCA for our total joint patients, but are concerned about bleeding problems with Lovenox. Therefore, we are waiting until POD #2 to start Lovenox and pulling the epidurals 2-3 hours prior. What are other people doing about this?

-- Harry Greenspun, MD (hgg@clinpath.com), September 06, 1998

Answers

we use spinal too but are concerned not only with spinal area bleeding but also general bleeding particularly knees. Therefore we have completely discontinued the use of Lovenox Instead we use aspirin and sequential below knee pulsatile stocking. Lower dvt rate and no problems with the wounds. Also cheaper. How can you beat that?

-- david hungerford (daveheide@earthlink.net), September 07, 1998.

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