Intermittent pneumatic compression plus pharmacological thromboprophylaxis to prevent deep vein thrombosis

Jara‐Palomares, Luis; Marín-Romero, Samira; Asensio-Cruz, María Isabel; Elías-Hernández, Teresa; Otero, Remedios

doi:10.21037/jtd.2019.05.38

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Mas, muitos profissionais da saúde mesmo tendo conhecimento da diminuição da incidência de TVP ainda não utilizam a profilaxia adequada 10,7,11,15 . Vale ressaltar que estudos recentes demonstram que a junção de dispositivos de compressão pneumática junto ao tratamento farmacológico não demonstraram resultados significativos se comparado com o tratamento farmacológico de forma isolada 18,19 . No entanto, o uso destas de maneira colaborativa com outras técnicas e de uma forma multimodal pode ser considerada uma forma eficaz e de baixo custo para prevenção da TVP em pacientes imóveis como no caso de pacientes AVC ou pós cirúrgicos 20,21,22,23 .…”

Section: Discussionunclassified

Aplicabilidade da mobilização precoce na prevenção de Trombose Venosa Profunda em ambiente hospitalar: Uma Revisão Sistemática

Viviani¹,

Silva²,

Gomes³

et al. 2019

Rev Pesq Fisio

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INTRODUÇÃO: A Trombose Venosa consiste em um trombo que leva a obstrução ao fluxo sanguíneo. Desencadeada por lesão endotelial, estase sanguínea e/ou hipercoagulabilidade. Sendo que muitos dos fatores que levam ao desencadeamento destes quadros, são a imobilidade, paralisia e algumas doenças respiratórias. Portanto, a profilaxia da TVP é considerada uma intervenção eficaz e segura, mas por muitas vezes não é utilizada rotineiramente nos ambientes hospitalares. OBJETIVO: Verificar a utilização da mobilização precoce como profilaxia da trombose venosa profunda em ambientes hospitalares. MÉTODO: O estudo consiste em uma Revisão Sistemática realizada com buscas em periódicos, revistas e artigos entre o ano de 2005 a 2018 encontrados em bases de dados eletrônicos, sendo elas Pubmed, Scielo, PEDro, Lilacs, Cochrane, Medline, ResearchGate. Incluindo pacientes de ambos os gêneros com idade superior a 18 anos. RESULTADOS: Foram obtidos para análise 26 artigos, dos quais 14 foram excluídos por não estarem de acordo com os critérios de inclusão. Do total de 3005 pacientes, 1828 não receberam profilaxia fisioterapêutica e 1220 receberam. CONCLUSÃO: A mobilização precoce em ambientes hospitalares subutilizada e seus benefícios pouco conhecidos, aumentando o número de incidentes relacionados a TVP.

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Section: Discussionunclassified

Aplicabilidade da mobilização precoce na prevenção de Trombose Venosa Profunda em ambiente hospitalar: Uma Revisão Sistemática

Viviani¹,

Silva²,

Gomes³

et al. 2019

Rev Pesq Fisio

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“…The risk ratio was 0.49 (95% CI, 0.29–0.84), and the patient group had a severe PTS incidence of 3% (11% in the control group) and a cumulative incidence of PTS in the first 6 months of 21% (40% in the control group). Second, intermittent pneumatic compression with a device that exerts a compression pressure of 35–40 mmHg at a rate of approximately 10 times/minute onto the calf and/or thigh muscles to simulate the muscle-pumping effect of walking can promote fibrinolysis and has been proven to reduce the risk of VTE [ 84 ]. Third, venous foot pumps mimic normal walking by compressing the plantar vein plexus to generate pulsating flow into the veins to increase venous outflow and reduce venous stasis.…”

Section: Management Of Diabetic Footmentioning

confidence: 99%

Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease (2020 edition)

Wang¹,

Cheng

et al. 2020

Burns &Amp; Trauma

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Abstract In recent years, as living standards have continued to improve, the number of diabetes patients in China, along with the incidence of complications associated with the disease, has been increasing. Among these complications, diabetic foot disease is one of the main causes of disability and death in diabetic patients. Due to the differences in economy, culture, religion and level of medical care available across different regions, preventive and treatment methods and curative results for diabetic foot vary greatly. In multidisciplinary models built around diabetic foot, the timely assessment and diagnosis of wounds and appropriate methods of prevention and treatment with internal and external surgery are key to clinical practice for this pathology. In 2019, under the leadership of the Jiangsu Medical Association and Chinese Diabetes Society, the writing group for the Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease (2020 edition) was established with the participation of scholars from the specialist areas of endocrinology, burn injury, vascular surgery, orthopedics, foot and ankle surgery and cardiology. Drawing lessons from diabetic foot guidelines from other countries, this guide analyses clinical practices for diabetic foot, queries the theoretical basis and grades and gives recommendations based on the characteristics of the pathology in China. This paper begins with assessments and diagnoses of diabetic foot, then describes treatments for diabetic foot in detail, and ends with protections for high-risk feet and the prevention of ulcers. This manuscript covers the disciplines of internal medicine, surgical, nursing and rehabilitation and describes a total of 50 recommendations that we hope will provide procedures and protocols for clinicians dealing with diabetic foot.

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“…[12] Previous studies have demonstrated that pneumatic compression has thrombo-prophylactic effects and can prevent the development of serious DVT. [13][14][15] Several studies have also demonstrated that low-molecular-weight heparin combined with pneumatic pressure can reduce the incidence of DVT and improve the clinical efficacy of the treatment regimen. [13,16] However, relevant data regarding the effect of low molecular heparin combined with pneumatic pressure in the prevention and treatment of lower limb DVT after cesarean delivery are lacking.…”

Section: Introductionmentioning

confidence: 99%

The effect of low molecular weight heparin combined with air pressure in the prevention of lower extremity venous thrombosis after cesarean section: A single-center retrospective study

Guo

et al. 2023

Medicine

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In this study, we investigated the effect of low-molecular-weight heparin combined with pneumatic pressure in preventing lower extremity deep vein thrombosis after cesarean section, as well as on the visual analog scale (VAS) score. 120 women who underwent cesarean sections at full term in our hospital from January 2019 to January 2022 were included and divided into a control group (55 cases) and an observation group (65 cases) based on the different treatment methods: the control group was treated with low-molecular-weight heparin and the observation group was treated with pneumatic compression therapy based on the control group. The 2 groups were analyzed for thrombosis, clinical efficacy of the treatment methods, and VAS scores. The incidence of deep vein thrombosis in the observation group were significantly lower than in the control group (4.62% vs 21.82%, P < .05). There were no statistically significant differences in activated partial thromboplastin time, prothrombin time, and thrombin time between the 2 groups ( P > .05) before treatment; however, after treatment, activated partial thromboplastin time, prothrombin time, and thrombin time in the observation group were significantly higher than those in the control group ( P < .05). The clinical efficacy was significantly higher in the observation group compared with the control group (95.38% vs 78.18%, respectively). The VAS scores in the observation group were significantly lower than those in the control group ( P < .05). Hence, low-molecular-weight heparin combined with pneumatic pressure therapy significantly reduces the incidence of lower limb deep vein thrombosis after cesarean section. It also improves the coagulation index and reduces post-operative pain. Therefore, it should be considered for use in clinical practice.

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Intermittent pneumatic compression plus pharmacological thromboprophylaxis to prevent deep vein thrombosis

Cited by 3 publications

References 9 publications

Aplicabilidade da mobilização precoce na prevenção de Trombose Venosa Profunda em ambiente hospitalar: Uma Revisão Sistemática

Aplicabilidade da mobilização precoce na prevenção de Trombose Venosa Profunda em ambiente hospitalar: Uma Revisão Sistemática

Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease (2020 edition)

The effect of low molecular weight heparin combined with air pressure in the prevention of lower extremity venous thrombosis after cesarean section: A single-center retrospective study

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