Within the past few months, since we prepared our recent report1 on the prevention of thromboembolic complications by means of early ambulation, we have observed two cases that we believe should be recorded in view of our previous statement that "We have not, in the 12 years during which early ambulation has been practiced, seen a single patient with fatal or nonfatal pulmonary embolism." These observations are submitted in order to complete the record and to report the whole truth regarding our experience with thromboembolic complications. The diagnosis of pulmonary embolism was made clinically in the first case, and was regarded as a possibility in the second instance, in which the findings led to questioning of this conclusion.
A man, 58, had a high bilateral saphenous ligation, with stripping and multiple resections for varicosities, and chronic phlebitis of the right leg, with threatened ulcer. The patient was
Leithauser DJ, Saraf L, Smyka S, Sheridan M. EARLY AMBULATION IN PREVENTION OF POSTOPERATIVE THROMBOEMBOLISM: SUPPLEMENTARY CLINICAL NOTE. JAMA. 1952;149(3):268–269. doi:10.1001/jama.1952.72930200011011f
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