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Pneumatic Compression Hemodynamics in Total Hip Arthoplasty
Source:
Westrich GH, Specht LM, Sharrock NE, et al: Clin Ortho and Rel Research 372: 180-191, 2000
Summary:
Seven different pneumatic compression devices (foot: A-V Impulse and PlexiPulse, foot/calf combo: PlexiPulse, calf: VenaFlow, thigh: Kendall, Flowtron, Jobst) were evaluated on ten total hip arthroplasty patients in order to examine the effects on venous velocity and venous volume. Use of VenaFlow resulted in "the best increase in peak venous velocity… [and] has great potential for prophylaxis of thromboembolic disease." Since nursing and patient compliance are essential to the success of mechanical prophylaxis for thromboembolic disease, "the more simple, yet efficacious, devices that are easier to apply and less cumbersome appear to have a greater likelihood of success."