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Suggested prophylactic scheme
| CrCl | BMI | Enoxaparin | Fondaparinux | UFH |
|---|---|---|---|---|
| ≥30 | <40 | 40 mg SC every 24h | 2.5 mg SC daily | 5000 units SC every 8 to 12 hours |
| ≥40 | 60 mg SC every 24h or 40 mg SC every 12 hours | Not recommended | 7500 units SC every 8 to 12 hours | |
| <30 | <40 | UFH 5000 units SC every 8 to 12 hours | ||
| ≥40 | UFH 7500 units SC every 8 to 12 hours | |||
BMI indicates body mass index in kg/m2; CrCl, creatinine clearance in mL/min; SC, subcutaneous; UFH, unfractionated heparin.
