Pevention of venous thromboembolism remains a crucial component of patient care following major surgery. Although neuraxial anesthesia and analgesia reduce the risk of venous thrombosis, a significant risk remains, even in the presence of a continuous epidural infusion containing a local anesthetic.1 As a result, pharmacologic (and/or mechanical) prophylaxis is warranted. Thromboprophylaxis is based upon identification of risk factors.
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