![]() The current evidence base to guide selection of a specific device or type of device is limited.Īnticoagulation intermittent pneumatic compression devices joint arthroplasty surgery venous thromboembolism prophylaxis.Ĭopyright © 2016 Elsevier Inc. Intermittent pneumatic compression devices are appropriate for VTE thromboprophylaxis when used in accordance with current clinical guidelines. Anesthesia was induced and maintained with propofol (. There were no consistent associations between IPCDs and ease of use or adherence. E0675 Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) (Non-Covered Refer to the Medicare Advantage Coverage Summary titled. On arrival in the operating room, ES or sleeves of the SCD Express were applied, according to their group. When compared with the conventional graduated compression stockings alone, the intraoperative application of IPCD and stockings contributed the significant reduction of DVT (3.92, 2/51 versus 9.84, 6/61, X 2 5.632, P 0.034). Subgroup analyses did not show significant differences by device location, mode of inflation, or risk of bias elements. Limited data suggest that concurrent use of anticoagulation with IPCD may lower VTE risk compared with anticoagulation alone, and that IPCD compared with anticoagulation may lower major bleeding risk. Pneumatic compression devices are also applied in clinical practice (e.g., in venous thromboembolism prevention). Intermittent pneumatic compression devices were comparable to anticoagulation for major clinical outcomes (VTE: risk ratio, 1.39 95% confidence interval, 0.73-2.64). IPC devices involve various sleeves with inflatable air chambers, which are sequentially inflated to generate a peristaltic-like pressure pattern, causing fluids to flow towards the heart. Background To estimate the effects of different intensities of intermittent pneumatic soft-tissue compression on bone defect repair in an animal model. We identified 14 eligible randomized controlled trials (2633 subjects) and 3 eligible observational studies (1724 subjects) most were conducted in joint arthroplasty patients. We searched MEDLINE (via PubMed), Embase, CINAHL, and Cochrane CENTRAL from January 1, 1995, to October 30, 2014, for randomized controlled trials, as well as relevant observational studies on ease of use and adherence. This is a systematic review of the comparative effectiveness of IPCDs for selected outcomes (mortality, venous thromboembolism, symptomatic or asymptomatic deep vein thrombosis, major bleeding, ease of use, and adherence) in postoperative surgical patients. There are a wide variety of IPCDs available, but it is uncertain if they vary in effectiveness or ease of use. ![]() Thromboprophylaxis regimens include pharmacologic and mechanical options such as intermittent pneumatic compression devices (IPCDs). Mechanical intermittent pneumatic compression (IPC) is a simple therapy during which pneumatic cuffs connected to a pump are applied to limbs. ![]()
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