[Iliocaval venous thrombosis. Clinical and paraclinical aspects and therapeutic approach, apropos of 58 cases].
The authors report 58 cases of ilio-femoral and ilio-caval thrombosis and emphasise the considerable contribution of two vascular function tests: Doppler and occlusion rheoplethysmography, which now compensate for clinical deficiencies. Nevertheless, phlebography remains essential in defining management which is based upon age, general condition, and the site and type of thrombosis (floating or adherent clot). An outline therapeutic approach is suggested on the basis of these data.
Systematic reflection on practice remains a vexed issue for many nurses and the context of a busy hospital environment poses a challenge. As a process to meet this challenge, Grand Rounds is worth considering. Medical practitioners have used this case study-based process over many years almost as a cultural ritual (Myint & Sabanathan, 2005: 297; Wolak, Cairns & Smith, 2008: 176). The format allows exploration of broad topics related to patient care through facilitated discussion with peers (Wolak et al., 2008 p 173). This paper shares how this format was used to encourage ongoing reflective practice, and foster clinical reasoning amongst nurses at The Maitland Hospital.