Abstract
To investigate the efficacy of A-V impulse technology (A-V) for oedema prevention and treatment following PTFE femoropopliteal surgery.
Prospective randomized clinical trial.
36 patients undergoing PTFE femoropopliteal bypass reconstructions, either being treated postoperatively with a compression s...
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PMID: 20667751
PDF is available here.
Abstract
In this small pilot study, the rate of presyncope in the non-countermeasure group was similar to that reported previously in subjects without a compression garment. In contrast, thigh-high graded compression garments mitigated the symptoms of orthostatic intolerance by improving stroke volume, cardi...
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PMID: 20824997
PDF is available here.
Abstract
The association between total hip arthroplasty and subsequent postoperative deep venous thrombosis is of particular concern because it can lead to symptomatic venous thromboembolic events. However, controversy remains about the optimal approach to prophylaxis. Some authors recommend the use of vario...
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PMID: 20839680
PDF is available here.
Abstract
Venous thromboembolism remains the most common cause of hospital readmission and death after total joint arthroplasty. The 2008 American College of Chest Physicians (ACCP) guidelines, based on prospective randomized clinical trials with a venography endpoint, endorse the use of low-molecular-weight...
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PMID: 20839678
PDF is available here.
Abstract
The combination of ES and ICP seems to be useful to decrease the incidence and severity of perioperative PTE in cancer patients in Japan....
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PMID: 20662301
PDF is available here.
Abstract
This study showed that the use of an SCD could reduce the incidence of hypotension from 64% to 28% and supports hemodynamic variables such as mean arterial pressure and stroke volume index when patients were changed from the supine to the beach-chair position in those undergoing shoulder arthroscopy...
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PMID: 20511029
PDF is available here.
Abstract
Ten direct comparisons were found, 9 of which were with surgical patients. The difference in DVT outcome only reached statistic significance in 3, all of which showed IPC to have the lower DVT rate. Five of the trials that did not produce statistic significance included fewer than 40 patients in eac...
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PMID: 20083996
PDF is available here.
Abstract
We observed a high prevalence of VTE prophylaxis, with many critically ill patients receiving two or more modalities of prophylaxis. These results show that the potential risk of VTE in critically ill patients is recognised in Australia and New Zealand, and strategies to mitigate this serious compli...
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PMID: 20196708
PDF is available here.
Abstract
Pneumatic muscle actuators (PMAs) offer significant advantages over more traditional actuators, which make them prime candidates in rehabilitation devices. A dynamic test station (DTS) is modified to demonstrate the use of a PMA for this application. The DTS includes two dynamic systems: a PMA and a...
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PMID: 19488911
PDF is available here.
Abstract
Venous thromboembolism (VTE) is a common, sometimes even fatal though preventable complication after surgical interventions, especially in orthopaedic surgery. The risk can be reduced by more than 50 % by mechanical means and different anticoagulant drugs. However, only few patients receive adequate...
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PMID: 20135590
PDF is available here.
Abstract
BACKGROUND. Venous thromboembolism is known to be an important social and health care problem because of its high incidence among patients who undergo surgery. For instance, 20-30% of patients develop this problem after general surgical operations, while 5.5% of patients have this complication when...
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PMID: 20234158
PDF is available here.
Abstract
We speculated that bilateral lower extremity sequential compression devices (SCDs), commonly used in the inpatient setting for DVT prophylaxis, could indeed serve as mini-EECP devices. We carried out an outpatient pilot study of its use to prevent IDH in three patients who otherwise had failed other...
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PMID: 20113263
PDF is available here.
Abstract
IPC is safe for PAD patients, does not activate coagulation, but decreases platelet activation and improves endothelial health; this coincides with significant prolongation of walking distance....
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PMID: 19935591
PDF is available here.
Abstract
New data are available regarding intermittent pneumatic compression. Several novel laboratory-synthesized anticoagulants have demonstrated both efficacy and safety in orthopedic surgery patients and are in various stages of approval. These drugs are pills and have a similar or improved efficacy/safe...
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PMID: 19478668
PDF is available here.
Abstract
This study focuses on the parameter characterisation of a three-element phenomenological model for commercially available pneumatic muscle actuators (PMAs). This model consists of a spring, damping and contractile element arranged in parallel. Data collected from static loading, contraction and rela...
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PMID: 19675979
PDF is available here.
Abstract
Most patients undergoing neurosurgery are considered at increased risk for venous thromboembolism (VTE). Several studies have demonstrate that intracranial surgery, malignancy, leg weakness, prolonged procedures and advanced age can to increase VTE. Use of thromboprophylaxis is recommended to avoid...
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PMID: 19546842
PDF is available here.
Abstract
The deep vein thrombosis point prevalence was highest in the control group (22%), which was significantly higher than in patients receiving IPC (8%, p=0.032) or enoxaparin (6%, p=0.001). One patient each in the control and GCS groups developed a non-fatal pulmonary embolism. Patients on enoxaparin r...
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PMID: 19398783
PDF is available here.
Abstract
The cycle time and number of chambers in the pneumatic sleeve may influence the outcome of lymphedema therapy with intermittent compression devices. The aim of our study was to assess efficacy of several commonly used different IPC protocols on edema volume reduction in women with postmastectomy lym...
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PMID: 19499765
PDF is available here.
Abstract
Chronic, recurring limb ulcers require a comprehensive approach that addresses the wound pathology, vascular status, and swelling. Although studies have shown that compression, especially high compression, is more effective than dressings alone, evidence to support one particular method of compressi...
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PMID: 19359708
PDF is available here.
Abstract
These results have implications for the modification of venous haemodynamics by such systems and could help to improve cuff design....
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PMID: 19272917
PDF is available here.
Abstract
Anatomical localization of venous pathology and ulcer localization were found as important prognostic factors; longer healing time and lower probability of healing was observed among patients with deep venous insufficiency and when the ulcer was localized in the atypical back calf region. No differe...
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PMID: 19179971
PDF is available here.
Abstract
Twenty-five articles were eligible for full review. DVT risk ranged from 0.3% to 31%, varying between patient populations and methods of surveillance. Pooling data from the 25 studies, the overall rate of DVT was 2.1%. DVT rate was influenced by prophylaxis method: no prophylaxis, 2.7%; compression...
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PMID: 19179925
PDF is available here.
Abstract
An analysis of frequency of venous thrombitic complications after different operations on 69 patients aged from 69 through 87 was made. The greatest number of venous thromboses was noted after amputations of the femur. Intermittent pneumatic compression of the lower extremities in addition to standa...
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PMID: 19514391
PDF is available here.
Abstract
ICP treatment performed two hours once-a-day for four months provide excellent results with satisfactory treatment compliance. However, these effects are not durable and vanish about one year after the end of IPC treatment....
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PMID: 19580706
PDF is available here.
Abstract
Deep vein thrombosis (DVT) is a risk factor for patients with acute stroke. Subclinical DVT is more common than clinically apparent DVT. DVT manifests with lower extremity swelling that might be associated with pain. Venous duplex ultrasound is a simple diagnostic procedure for detection of a DVT. H...
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PMID: 19367220
PDF is available here.
Abstract
Initial data collected from 116 medical, 110 general surgery, and 72 orthopedic patients (n = 298) showed that there was a significant association between diagnosis category and level of observed appropriate VTE prophylaxis (P < 0.0001). Fifty-six medical patients (48%) received no prophylaxis, comp...
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PMID: 19005426
PDF is available here.
Abstract
This study highlights that despite the presence of evidence-based guidelines, appropriate thromboprophylaxis is severely underused in all types of at-risk cancer patients. Greater efforts are needed to improve the implementation of guidelines, and to ensure that more cancer patients receive appropri...
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PMID: 19209141
PDF is available here.
Abstract
This preliminary prospective study to determine the rate of deep venous thrombosis (DVT) examined 277 patients undergoing total knee or total hip arthroplasty (TKA or THA) who were randomized to use a portable, continuous enhanced circulation therapy (CECT) compression device and low-molecular-weigh...
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PMID: 18534421
PDF is available here.
Abstract
Baseline VAR was higher in the controls 63.8 +/- 6.4% than in patients with PAD (31.7 +/- 13.4%, P = .0162). In both groups SBF was significantly higher with IPC than at rest (P < .0001). A higher percentage increase with IPC was demonstrated in the controls (242 +/- 85% to 788 +/- 318%) than in sub...
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PMID: 18829220
PDF is available here.
Abstract
Six of the 311 women meeting inclusion criteria in 2006 (1.9%) and 19 of 294 (6.5%) in 2005 had venous thromboembolism (odds ratio 0.33, 95% confidence interval 0.12-0.88, multivariable analysis adjusting for baseline differences between the groups). Heparin was given to 98.1% of patients in the hos...
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PMID: 18978110
PDF is available here.
Abstract
This methodology provides means for the investigation of relationships between the pressure in the garment, interface pressure, tissue deformation, and hemodynamic respond to IPC. The clinical efficacy of IPC should not be explicitly attributed to the magnitude of the pressure in the garment. Simila...
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PMID: 18572366
PDF is available here.
Abstract
We compared the surgical and postsurgical complications noted for low-dose unfractionated heparin patients with the results of those who received no heparin prophylaxis and analyzed this data using the Mann-Whitney U-test. There was no significant difference in the mean of the blood loss volumes. Th...
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PMID: 18685443
PDF is available here.
Abstract
Venous obstruction is an underappreciated and often unrecognized component of the pathophysiology of symptomatic chronic venous disease (CVD). Moreover, standard methods used to detect venous obstruction, such as maximal venous outflow, are inadequate as they typically test patients at rest and in t...
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PMID: 18727975
PDF is available here.
Abstract
During 4 years, 2,939 patients were admitted to trauma with length of stay >2 days. There was a 3.2% incidence of VTE in the length of stay >2 days population, 2.5% rate of deep venous thrombosis (DVT), and 0.7% pulmonary embolism. All VTE patients had factors known to increase risk of VTE and were...
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PMID: 18695464
PDF is available here.
Abstract
Vacuum-Assisted Closure System((R)) (V.A.C.((R))), tested and introduced by MJ Moryk- was and LC Argenta in 1977, is a wide-spread procedure used for the treatment of defects and chronic wounds. In the middle of the 19th century, a French surgeon tried hopelessly to convince the medical authorities...
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PMID: 18395314
PDF is available here.
Abstract
In a mixed neurosurgical population, LMWH and ICDs are both effective in the prevention of VTE. Sensitivity analyses have suggested that isolated high-risk groups, such as those with patients undergoing craniotomy for neoplasm, may benefit from a combination of prophylactic methods, suggesting the n...
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PMID: 18641095
PDF is available here.
Abstract
With an overall average pressure of 26.0+/-8.5 mmHg, no body region showed significantly different pressures. Only the pressure values on the cheek were significantly lower with 12.3+/-1.3 mmHg, (p
PDF is available here.
Abstract
The application of sequential pneumatic compression to the lower limbs is associated with minor increases in mean arterial blood pressure, with moderate reduction of cardiac output and heart rate....
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PMID: 18761240
PDF is available here.
Abstract
The mean arterial pressures (MAPs), systolic blood pressures (SBPs), and diastolic blood pressures (DBPs) measured by both the RACD and the RAL were compared. The R for the RAL/RACD were 0.94, 0.96, and 0.85 for MAP, SBP, and DBP, respectively (P<0.05). The mean difference between the RAL MAP and th...
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PMID: 18635974
PDF is available here.
Abstract
Patients using the Flexitouch system were satisfied with the device and perceived it to be beneficial in management of their lymphedema. IMPLICATIONS FOR NURSING: Patients using the Flexitouch system should be assessed for adherence to the prescribed treatment protocol and use of other self-care tre...
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PMID: 18591171
PDF is available here.
Abstract
A total of 15 subjects involving 30 limbs were examined in this study. On comparing flows between the horizontal and sitting position, there was a mean reduction in blood flow of 23% (p < 0.005). Immediately after compression of the foot and calf, there was an increase in blood flow of between 4% an...
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PMID: 18658010
PDF is available here.
Abstract
Compression therapy is the cornerstone of treatment for patients with venous leg ulcers (VLUs). Although it is generally accepted that the therapeutic outcomes are directly related to the quality of compression therapy, delivering precise and sustained compression therapy is an ongoing challenge for...
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PMID: 18494631
PDF is available here.
Abstract
The International Compression Club met once in Vienna and corresponded by email in order to reach an agreement of how the data should be interpreted. A wide range of compression levels was reported to be effective. Low levels of compression 10-30 mmHg applied by stockings are effective in the manage...
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PMID: 18506124
PDF is available here.
Abstract
The efficacy of both PLC and Vascupump in the treatment of the peripheral vasculopathies was confirmed. From a subjective point of view, patients referred benefits both in clinical terms, i.e. increased walking distance (average increaseaegroup I: DB 102%, NDB 118%; group II: DB 94%, NDB 193%; group...
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PMID: 18506129
PDF is available here.
Abstract
Venous thromboembolism (VTE), a term indicative of both deep vein thrombosis and pulmonary embolism, is a life-threatening condition that often can be prevented by knowledge and preparedness. Surgical patients are at a great risk for VTE due to immobility and other factors. Recent research on VTE in...
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PMID: 18686423
PDF is available here.
Abstract
The purpose of this study is to stress the value of using intermittent pneumatic compression (IPC) in immobile patients. The use of IPC helps prevent limb oedema and the associated skin changes frequently seen on the legs of the immobile patient. Oedema formation is caused by an increase of fluid ex...
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PMID: 18593389
PDF is available here.
E Rabe,
H Partsch,
M Jünger,
M Abel,
I Achhammer,
F Becker,
A Cornu-Thenard,
M Flour,
J Hutchinson,
K Issberner,
Ch Moffatt and
F Pannier
Abstract
The form of compression therapy including the comparators used in the clinical study must be clearly characterised. In future studies the characteristics of the material provided by the manufacturer should be described including in vivo data on pressure and stiffness of the final compression system....
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PMID: 18249571
PDF is available here.
Abstract
We previously demonstrated that the use of intermittent pneumatic soft tissue compression (IPC) treatment enhanced fracture healing in an animal model, but the exact mechanism remained unknown. The purpose of this study was to determine the local and remote effects of IPC treatment on blood flow wit...
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PMID: 17985392
PDF is available here.
Abstract
We determined whether the incidence of all-cause mortality and pulmonary embolism in patients undergoing total joint arthroplasty differs with currently used thromboprophylaxis protocols. We reviewed articles published from 1998 to 2007 that included 6-week or 3-month incidence of all-cause mortalit...
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PMID: 18264861
PDF is available here.
Abstract
Of the 652 ICUs approached, 470 (72.3%) participated. Thromboembolism prophylaxis was prescribed in 98% of the ICUs. For mechanical prophylaxis graded elastic stockings were used in 93% and pneumatic compression devices in 24%. For pharmacologic prophylaxis low molecular weight heparin was the predo...
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PMID: 18256805
PDF is available here.