alexa Intermittent Pneumatic Compression from a Surgical Perspective
ISSN: 2329-8790

Journal of Hematology & Thromboembolic Diseases
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Short Communication

Intermittent Pneumatic Compression from a Surgical Perspective

Mehmet Kurtoglu1,* and Emre Sivrikoz2
1Department of General Surgery, Istanbul School of Medicine, Istanbul University, Turkey
2Department of General Surgery, Gaziosmanpasa Taksim Training and Research Hospital, Turkey
Corresponding Author : Mehmet Kurtoglu, MD
Professor, Department of General Surgery
Istanbul School of Medicine
Istanbul University, Turkey
Tel: +90 (532) 6145171
E-mail: [email protected]
Received March 14, 2015; Accepted April 4, 2015; Published April 20, 2015
Citation: Kurtoglu M, Sivrikoz E (2015) Intermittent Pneumatic Compression from a Surgical Perspective. J Hematol Thrombo Dis 3:206. doi:10.4172/2329-8790.1000206
Copyright: ©2015 Kurtoglu, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
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Abstract

Despite pharmacological prophylaxis, 50% of the surgical patients whose Caprini score is >10 develop VTE in the postoperative period suggesting that anticoagulation alone may not be sufficient especially in these high-risk patients. Clinical studies demonstrate that the clot nidus starts to form during the time of operation. Thus, in the postoperative period when pharmacological prophylaxis is initiated, high-risk patients may have already developed a blood clot for which prophylactic doses of anticoagulants would be suboptimal to treat. Therefore, VTE prophylaxis should start at the time of anesthesia induction. Due to bleeding risks associated with pharmacological agents, mechanical modalities, i.e. intermittent pneumatic compression (IPC) devices, with their proven effectiveness in reducing VTE in trauma and high bleeding-risk patients are invaluable tools that should be utilized during surgery frequently. They should be started in the beginning of the operation and then continued together with pharmacological prophylaxis in the postoperative period until full ambulation. Furthermore, there is strong evidence that application of IPCs to any limb, including foot and arm, is sufficient for their prophylactic effect making them suitable for almost any type of surgery. In conclusion, combined pharmacological and mechanical prophylaxis should be utilized more frequently in surgical patients who have high risk for VTE.

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