La Revue du praticien
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La Revue du praticien · Dec 2011
[Systematic assessment of alcohol use disorders at the emergency department].
Alcohol use disorders are frequent among patients examined in emergency. Prevalence of alcohol use disorders is 17% in this population. ⋯ It avoids consequences of long-term dependence. A brief questionnaire like the CAGE questionnaire appears useful and effective in this context.
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Prevention of venous thromboembolism relies on compliance to guidelines. Different guidelines and recommendations regarding medical and surgical situations are available from international and national sources. New strategies for venous thromboembolism prevention have been recently developed. ⋯ In bariatric surgery, prevention strategies have been clarified. In plastic and aesthestic surgery, new guidelines are now available. More precise recommendations and suggestions have been proposed for fragile patients (elderly, low body weight, altered renal function) who are at higher risk for haemorrhagic and also thrombotic events after surgery.
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Venous thromboembolism is a major risk for surgical patients during the perioperative period. Prevention of perioperative venous thromboembolism remains a critical component of surgical patient care. ⋯ Mechanical devices such as graduated compression stockings, intermittent pneumatic compressions, and venous foot pumps are also effective modalities for venous thromboembolism prophylaxis. The optimal preventive measure of venous thromboembolism should be based on the degree of risk for venous thromboembolism while balancing potential treatment benefits and risks in each individual patient.