Thanks for weighing in. Are you saying that Lovenox use in this setting has increased, or rather that your awareness of Lovenox use in this setting has increased? Also, can you quantify what you mean by “mini dose Lovenox” in this context? Does the word mini as you’re using it refer to duration, or to the size of the doses?
It's the dose size.
DVT prophyaxis is 30mg/every 12 hrs for knee or hip surgery or 40 mg/day for abdominal surgery. DVT treatment is 1mg/kg every 12 hours (about double the dose for prophylaxis).
The rate of usage is going up. Unless you have some big contraindication most pateints end up on the prophyaxis dose. I think the government is monitoring hospitals rate of nosocomial DVT for acute care patients.
Lovenox reversal would be very helpful in expediting the performance of invasive procedures. It wouldn't be a huge seller but in the right setting it would likely be cost effective.
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