Elastic compression stockings for prevention of deep vein thrombosis

Amaragiri, Sachiendra V; Lees, Timothy

doi:10.1002/14651858.cd001484

Cited by 187 publications

(142 citation statements)

References 28 publications

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“…Graduated compression stockings also have been shown to enhance the protection from VTE provided by LDUH by a further 75%, from 15% to 4%. 8 Graduated compression stockings should be combined with pharmacological prophylaxis in high-risk patients whenever possible.…”

Section: General Surgerymentioning

confidence: 99%

Prevention of Venous Thromboembolism in Surgical Patients

2004

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Abstract-Venous thromboembolism (VTE) is a common complication of surgical procedures. The risk for VTE in surgical patients is determined by the combination of individual predisposing factors and the specific type of surgery. Prophylaxis with mechanical and pharmacological methods has been shown to be effective and safe in most types of surgery and should be routinely implemented. For patients undergoing general, gynecologic, vascular, and major urologic surgery, low-dose unfractionated heparin or low-molecular-weight heparin (LMWH) are the options of choice. For low-risk urologic surgery, early postoperative mobilization of patients is the only intervention warranted. For higher-risk patients, including those undergoing elective hip or knee replacement and surgery for hip fracture, vitamin K antagonists, LMWH, or fondaparinux are recommended. For patients undergoing neurosurgery, graduated elastic stockings are effective and safe and may be combined with LMWH to further reduce the risk of VTE. The role of prophylaxis is less defined in patients undergoing elective spine surgery, as well as laparoscopic and arthroscopic surgery. A number of issues related to prophylaxis of VTE after surgery deserve further clarification, including the role of screening for asymptomatic deep vein thrombosis, the best timing for initiation of pharmacological prophylaxis, and the optimal duration of prophylaxis in high-risk patients. Key Words: venous thromboembolism Ⅲ deep vein thrombosis Ⅲ pulmonary embolism Ⅲ heparin Ⅲ low-molecular-weight heparin Ⅲ vitamin K antagonists

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Section: General Surgerymentioning

confidence: 99%

Prevention of Venous Thromboembolism in Surgical Patients

2004

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“…It has been shown in surgical patients that the use of graduated compression stockings (GCS) reduces the risk of asymptomatic DVT [26]; this plus other factors, including the risk of intracranial hemorrhage in stroke patients on anticoagulants prompted evaluations of nonpharmacological VTE prophylaxis studies in stoke patients. Besides GCS, other physical methods for VTE prophylaxis include the use of intermittent pneumatic compression.…”

Section: Prophylaxis For Venous Thromboembolismmentioning

confidence: 99%

Care of the Stroke Patient: Routine Management to Lifesaving Treatment Options

2011

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The management of the acute ischemic stroke patient spans the time course from the emergency evaluation and treatment period through to the eventual discharge planning phase of stroke care. In this article we evaluate the literature and describe what have become standard treatments in the care of the stroke patient. We will review the literature that supports the use of a dedicated stroke unit for routine stroke care which has demonstrated reduced rates of morbidity and mortality. Also reviewed is the use of glycemic control in the initial setting along with data supporting the use of prophylactic treatments options in order to aide in the prevention of life threatening medical complications. In addition, lifesaving treatments will be discussed in light of new literature demonstrating reduced mortality in large hemispheric stroke patients undergoing surgical decompressive surgery. Both medical and surgical treatment options are discussed and compared.

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“…In addition, ongoing assessment of the fit of the device as body fluids shift may not be addressed, and the device is not consistently placed on the patient's extremities, limiting the effectiveness of mechanical therapy. [81][82][83][84][85] Efforts to correctly measure patients' extremities are required to ensure that the correct size of compression device is used. Also, as body fluids shift, the fit of the device should be reevaluated.…”

Section: -77mentioning

confidence: 99%