BACKGROUND: Our aim was to evaluate the efficacy and safety of intermittent pneumatic compression methods (IPC) in the prevention of deep venous thrombosis (DVT) and pulmonary embolism (PE) in high-risk patients followed in our intensive care unit (ICU) for whom anticoagulation is contraindicated due to high risk of bleeding. MATERIALS AND METHODS: This prospective study was conducted between October 2001 and June 2002 at the Trauma and Surgical Emergency Service of Istanbul Medical Faculty. Thirty eight surgical ICU patients who used IPC devices for prophylaxis of venous thromboembolisim were evaluated retrospectively. RESULTS: There were 27 male (71%) and 11 female patients (29%) with a mean age of 49.69 +/- 18.61 years. Their diagnoses were as follows; 21 multi-trauma, 11 major abdominal surgery, 11 severe gastrointestinal bleeding. None of the patients had manifested DVT by venous duplex scans. A leg swelling was present in one patient without evidence of DVT by duplex scans. Symptomatic and fatal pulmonary embolism were not detected. Asymptomatic pulmonary embolism was detected by spiral thorax CT examination in one patient (2.6%). CONCLUSIONS: IPC seems to be an effective and a safe modality in preventing both DVT and PE in high-risk ICU patients with severe trauma and for those undergoing major surgery.
BACKGROUND: Our aim was to evaluate the efficacy and safety of intermittent pneumatic compression methods (IPC) in the prevention of deep venous thrombosis (DVT) and pulmonary embolism (PE) in high-risk patients followed in our intensive care unit (ICU) for whom anticoagulation is contraindicated due to high risk of bleeding. MATERIALS AND METHODS: This prospective study was conducted between October 2001 and June 2002 at the Trauma and Surgical Emergency Service of Istanbul Medical Faculty. Thirty eight surgical ICU patients who used IPC devices for prophylaxis of venous thromboembolisim were evaluated retrospectively. RESULTS: There were 27 male (71%) and 11 female patients (29%) with a mean age of 49.69 +/- 18.61 years. Their diagnoses were as follows; 21 multi-trauma, 11 major abdominal surgery, 11 severe gastrointestinal bleeding. None of the patients had manifested DVT by venous duplex scans. A leg swelling was present in one patient without evidence of DVT by duplex scans. Symptomatic and fatal pulmonary embolism were not detected. Asymptomatic pulmonary embolism was detected by spiral thorax CT examination in one patient (2.6%). CONCLUSIONS: IPC seems to be an effective and a safe modality in preventing both DVT and PE in high-risk ICU patients with severe trauma and for those undergoing major surgery.
Authors: Hasan M Al-Dorzi; Abdulaziz Al-Dawood; Fahad M Al-Hameed; Karen E A Burns; Sangeeta Mehta; Jesna Jose; Sami Alsolamy; Sheryl Ann I Abdukahil; Lara Y Afesh; Mohammed S Alshahrani; Yasser Mandourah; Ghaleb A Almekhlafi; Mohammed Almaani; Ali Al Bshabshe; Simon Finfer; Zia Arshad; Imran Khalid; Yatin Mehta; Atul Gaur; Hassan Hawa; Hergen Buscher; Hani Lababidi; Abdulsalam Al Aithan; Yaseen M Arabi Journal: Sci Rep Date: 2022-05-20 Impact factor: 4.996
Authors: Jennifer A Summers; James Clinch; Muralikrishnan Radhakrishnan; Andy Healy; Viktoria McMillan; Elizabeth Morris; Tiago Rua; Mercy Ofuya; Yanzhong Wang; Paul W Dimmock; Cornelius Lewis; Janet L Peacock; Stephen F Keevil Journal: Appl Health Econ Health Policy Date: 2015-04 Impact factor: 2.561