Pneumatic Compression of the Calf and Postoperative Deep-Vein Thrombosis

Clark, Wesley; MacGregor, A. B.; Prescott, R. J.; Ruckley, C. V.

doi:10.1016/s0140-6736(74)91344-0

Cited by 40 publications

(12 citation statements)

References 13 publications

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“…The majority of trials assessing compression methods were conducted in a surgical setting: 14 were orthopaedic, 24,33,34,36,40,48,49,[51][52][53]59,60,63,64 16 general, 23,25,26,28,29,32,[37][38][39]41,42,44,50,54,61,62 six neurosurgical or after spinal surgery, 31,43,[55][56][57][58] three gynaecological 30,45,46 and one mixed surgical, 47 with only two trials 27,35 conducted among 257 medical patients at high risk of venous thromboembolism. After subdividing these trials into those assessing monotherapy and those assessing adjunctive therapy, the specific type of surgical or medical setting did not appear to influence the effectiveness of mechanical compression [heterogeneity 2 for monotherapy (on 5 df) = 4.6; p > 0.1, and heterogeneity 2 for adjunctive therapy (on 2 df) = 3.7; p > 0.1, not significant (NS); Figure 2].…”

Section: Description Of Trialsmentioning

confidence: 99%

“…In 19 trials [40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58] among 2255 patients assessing IPC as monotherapy, IPC produced a highly significant 66% (7) reduction in DVT [112/1108 (10.1%) IPC vs 268/1147 (23.4%) control, 2p < 0.00001; Figure 5a]. There was marginal evidence of heterogeneity of effect among these trials ( 2 on 16 df = 28.4; p = 0.03), but this was generated chiefly by one trial.…”

Section: Intermittent Pneumatic Compressionmentioning

confidence: 99%

See 1 more Smart Citation

Towards evidence-based guidelines for the prevention of venous thromboembolism: systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis

Roderick¹,

Ferris²,

Wilson³

et al. 2005

Health Technol Assess

268

151

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Section: Description Of Trialsmentioning

confidence: 99%

Section: Intermittent Pneumatic Compressionmentioning

confidence: 99%

Towards evidence-based guidelines for the prevention of venous thromboembolism: systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis

Roderick¹,

Ferris²,

Wilson³

et al. 2005

Health Technol Assess

268

151

View full text Add to dashboard Cite

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“…The incidence of asymptomatic DVT was 30% in the unstimulated group and Effect of intermittent pneumatic compression (IPC) in the prevention of deep vein thrombosis (DVT) diagnosed by surveillance with objective methods (fibrinogen uptake test or phlebography) in nonorthopaedic surgical randomized controlled studies (*contralateral leg was used as the control). [113][114][115][116][117][118][119][120][121][122] 14% in the stimulated group (OR 0.35; 95% CI 0.90-1.16). In this RCT, perfusion lung scanning and chest x-rays were performed on the day before operation and 4 to 6 days after operation.…”

Section: Prophylactic Methods and Recommendationsmentioning

confidence: 99%

General, Vascular, Bariatric, and Plastic Surgical Patients

Nicolaides¹,

Fareed²,

Kakkar³

et al. 2013

Clin Appl Thromb Hemost

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“…However, both electrical stimulation of the calf muscles and intermittent compression of the leg are effective in reducing thrombosis, probably by emptying areas of extreme venous stasis at the valve cusps within the calf muscles (Browse et al, 1974). Several studies have now shown that a simple intermittent compression machine which squeezes the calf muscles during, and for 24 hr after operation greatly reduces the incidence of thrombosis (Clark et al, 1974;Roberts and Cotton, 1974).…”

Section: Prophylaxismentioning

confidence: 99%

Review of general surgery 1974

Ellis

1975

Postgraduate Medical Journal

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Introduction In this year’s review, the author, once again, has selected those subjects which he has found of personal interest and appeal during the year. Cholecystectomy is one of the commonest major general surgical operations and, therefore, its post-operative complications are extremely important in the hospital community. Acute pancreatitis continues to be a somewhat mysterious condition which remains a clinical, diagnostic, and therapeutic challenge. There is evidence that renal calculi are being seen with ever increasing frequency in the Western World and there is naturally considerable interest in their diagnosis and management. New methods of investigation continue to make the study of deep vein thrombosis and pulmonary embolism an important and exciting topic. Realizing his surgical limitations, the surgeon is anxious to learn about new concepts of prophylaxis, early diagnosis and treatment in malignant disease; a number of interesting papers are discussed in this area. Surgeons are paying increasing attention to the local and systemic factors which are of importance in the healing of their gastro-intestinal anastomoses and much work of interest has been reported in this field. We report new studies in the management of patients with extensive burns and we conclude with one or two eye-catching papers which have been published during the year.

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Pneumatic Compression of the Calf and Postoperative Deep-Vein Thrombosis

Cited by 40 publications

References 13 publications

Towards evidence-based guidelines for the prevention of venous thromboembolism: systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis

Towards evidence-based guidelines for the prevention of venous thromboembolism: systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis

General, Vascular, Bariatric, and Plastic Surgical Patients

Review of general surgery 1974

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