Deep venous thrombosis and pulmonary embolism following physical restraint.

Abstract:

OBJECTIVE:We describe a case of deep venous thrombosis (DVT) and pulmonary embolism (PE) following the use of physical restraint in a patient with a diagnosis of acute delusional psychotic disorder. METHOD:A new case report of DVT and PE associated with prolonged physical restraint is presented. The literature on physical restraint, DVT, and PE was reviewed using a search of Medline and Psychinfo from 1966 to the present. RESULTS:Four other reported cases of DVT and PE were found in association with physically restrained patients. CONCLUSION:Risk of DVT and PE in association with immobilization during physical restraint may occur in spite of no pre-existing risk factors. Medical guidelines for the prevention of thrombosis following physical restraint are presented. Despite the absence of controlled trials of treatment effectiveness, the catastrophic outcome of DVT and PE warrants early and vigorous intervention in patients undergoing physical restraint.

journal_name

Acta Psychiatr Scand

authors

Laursen SB,Jensen TN,Bolwig T,Olsen NV

doi

10.1111/j.1600-0447.2004.00456.x

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

324-7; discussion 327

issue

4

eissn

0001-690X

issn

1600-0447

pii

ACP456

journal_volume

111

pub_type

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