Intermittent pneumatic compression in immobile patients
- 28 June 2008
- journal article
- review article
- Published by Wiley in International Wound Journal
- Vol. 5 (3), 389-397
- https://doi.org/10.1111/j.1742-481x.2008.00477.x
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 extravasation, while skin changes including leg ulcers are mainly because of a deficiency of the venous and lymphatic pumps. Conventional compression stockings and bandages impede leg swelling but are less efficient in supporting the deficient veno‐lymphatic pump when patients are unable to move. In this situation, actively compressing the limb using IPC is a very meaningful and effective treatment option. Because of a lack of literature on the specific indication of IPC in immobile patients, experimental studies and randomised controlled trials in similar situations are reviewed. IPC is a very effective although underused treatment modality, especially in immobile, wheelchair‐bound patients. By inflation and deflation of the air‐filled garments, IPC produces cycles of pressure waves on the leg, thus mimicking the working and resting pressures applied by compression bandages. IPC not only reduces leg swelling but also augments the veno‐lymphatic pump, which is essential for the restoration of the damaged microcirculation of the skin.Keywords
This publication has 35 references indexed in Scilit:
- The influence of inflation rate on the hematologic and hemodynamic effects of intermittent pneumatic calf compression for deep vein thrombosis prophylaxisJournal of Vascular Surgery, 2006
- Chronic Venous DiseaseNew England Journal of Medicine, 2006
- A survey of pregnant women on the use of graduated elastic compression stockings on the antenatal wardJournal of Obstetrics and Gynaecology, 2006
- Effect of intermittent compression therapy on bone mineral density in women with low bone massBone, 2005
- Duration and amplitude decay of acute arterial leg inflow enhancement with intermittent pneumatic leg compression: An insight into the implicated physiologic mechanismsJournal of Vascular Surgery, 2005
- Calf compression pressure required to achieve venous closure from supine to standing positionsJournal of Vascular Surgery, 2005
- Lower limb venous haemodynamic impairment on dependency: quantification and implications for the “economy class” positionThrombosis and Haemostasis, 2004
- Optimum Intermittent Pneumatic Compression Stimulus for Lower-limb Venous EmptyingEuropean Journal of Vascular and Endovascular Surgery, 2000
- Graded compression stockings in elective orthopaedic surgeryThe Journal of Bone and Joint Surgery, 2000
- TREATMENT OF FIXED FLEXION DEFORMITIES OF THE KNEE IN RHEUMATOID ARTHRITIS USING THE FLOWTRON INTERMITTENT COMPRESSION STOCKINGRheumatology, 1992