Clinical thromboembolic detterrent stockings application: Are thromboembolic detterrent stockings in practice matching manufacturers application guidelines

Bowling, Kirk; Ratcliffe, C; Townsend, J.C.F.

doi:10.1177/0268355514542843

Cited by 6 publications

(5 citation statements)

References 12 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The findings of the current study are supported by the literature (Apold and Rydrych, 2012;Black et al, 2010;Coyer et al, 2014;VanGilder et al, 2009). The conclusion of this study demonstrates that MDRPI effect (Bowling et al, 2015). Therefore, it is particularly important to select medical devices of appropriate size for each patient, to ensure that the devices are worn correctly and to adjust the devices at any Besides, the univariate analysis represented use numerous medical devices, longer length of stay, surgical ICU stay, parenteral nutrition and use of vasopressors also related to the presence of MDRPI.…”

Section: Risk Factors Related To Mdrpi In the Icumentioning

confidence: 74%

“…When a patient has oedema, there may be a reflux disorder that causes local limb swelling. The use of certain medical devices, such as anti‐embolism stocking, may result in a ‘tourniquet' effect (Bowling et al., 2015). Therefore, it is particularly important to select medical devices of appropriate size for each patient, to ensure that the devices are worn correctly and to adjust the devices at any time according to the patients' conditions.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors of medical device‐related pressure injury in intensive care units

Dang

Yuan

Zhou

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Objectives: Intensive care unit (ICU) patients are at high risk of medical device related pressure injury (MDRPI). This study aims to ascertain the MDRPI prevalence in ICU patients and analyse the risk factors of MDRPI. Background:The occurrence of MDRPI not only increases hospitalisation time with pain and economic burden, but also causes medical disputes. A better understanding of this condition will increase knowledge and facilitate the ability to recognise and prevent MDRPI for clinical nursing staff. However, there are few multicentre studies of MDRPI prevalence in ICU patients in China. Design:A cross-sectional study design was employed.Methods: Data from 694 patients in 66 adult ICU at 30 hospitals in China were included between October 2018 and March 2019. The stage of each MDRPI was determined according to the definitions of National Pressure Ulcer Advisory Panel. The study methods were followed by the STORBE guidelines. Results:The overall prevalence rate of MDRPI was 13.1% (91/694), with 98 anatomic locations in total. The most common stages of MDRPI were stage 1 (54.1%, 53/98), stage 2 (15.3%, 15/98) and mucosal membrane pressure injury (15.3%, 15/98). MDRPI mainly occurred in the finger (32.7%, 32/98), followed by nose (18.4%, 18/98). The prevalence rate of MDRPI caused by CPAP or BiPAP masks (25%) was highest. Lower Braden scores and having skin oedema were risk factors for MDRPI in adult ICU patients. Conclusion:The prevalence of MDRPI in this study was still high. Nurses should take these related factors into consideration when taking care of ICU patients, and appropriate prevention measures should be adopted to decrease the prevalence of MDRPI.Relevance to clinical practice: The study can help to improve the PI prevention efforts in ICU patients specific to medical device related PI.

show abstract

Section: Risk Factors Related To Mdrpi In the Icumentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Risk factors of medical device‐related pressure injury in intensive care units

Dang

Yuan

Zhou

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Bowling et al also reported that the desired pressure gradient with ATS was achieved in only 14% of legs, and a positive pressure gradient from the calf to the ankle was observed in approximately 23% of the legs. 11 In the real world, it may be that compression is performed with an inverse pressure gradient, even with the commercially available ATS, in a large number of people. Considering the current results, compression not in a graduated manner, that is, TEB, might work as an alternative to the ATS in terms of venous hemodynamics.…”

Section: Discussionmentioning

confidence: 99%

Effects of leg compression and calf muscle contraction by active ankle motion on venous hemodynamics in sitting individuals

et al. 2022

View full text Add to dashboard Cite

Objectives To clarify the effects of compression and active ankle motion on venous hemodynamics in healthy sitting individuals. Methods In the sitting position, 14 participants performed plantar flexion and dorsiflexion of the ankle for 3 s each without compression. Changes in the calf volume were recorded using air plethysmography. Subsequently, the process was repeated with the application of tubular elastic bandage (TEB), followed by anti-thrombotic stocking (ATS). Results The median interface pressure at the calf was 16 mmHg with TEB and 21 mmHg with ATS. Without compression ( N), the median venous volume was 76 mL. This was reduced to 58 mL with TEB and 56 mL with ATS ( p < .01 vs. N for both). On the other hand, ejection volume by plantar flexion in N (27 mL) was not significantly changed with TEB (31 mL) or ATS (31 mL). Also, ejection volume by dorsiflexion in N (53 mL, p < .001 vs. plantar flexion) was not significantly changed with TEB (53 mL, p < .01 vs. plantar flexion) or ATS (41 mL, p < .05 vs. plantar flexion). Conclusions The venous volume, which is defined as the change in enclosed calf volume from elevation to dependency, in the sitting position reduced similarly with TEB and ATS; however, the ejection volumes did not change significantly. Dorsiflexion exerted a larger ejection volume than plantar flexion in the sitting position.

show abstract

“…Namely, the IP was higher at the C level than that at the B1 level. Inter-estingly, Bowling et al reported that the desired pressure gradient for ATS was achieved in only 14% of legs, and a positive pressure gradient from the calf to ankle was observed in approximately 23% of legs, 9) where, if the TEB is doubled only below the calf, then a pressure gradient mimicking ATS might be created in S-size legs. Considering the fact that certain prophylactic effects of ATS to prevent venous thromboembolism could be expected in such conditions, and also considering that the National Institute for Health and Care Excellence guideline recommends the use of stockings producing a calf pressure of 14-15 mmHg to prevent venous thromboembolism in in-hospital patients, Fig.…”

Section: Discussionmentioning

confidence: 99%

Interface Pressures Derived from a Tubular Elastic Bandage

Suehiro

Morikage

Harada

et al. 2020

Annals of Vascular Diseases

View full text Add to dashboard Cite

Objective: We sought to clarify the interface pressure (IP) when using a tubular elastic bandage (TEB) and examine the possibility for TEBs to provide IPs comparable to those provided by anti-thrombotic stockings. Materials and Methods: In 40 healthy patients, IPs were measured at the level of calf at its maximum diameter (C) and transition of the medial gastrocnemius muscle into the Achilles tendon (B1) while a single or double layer of TEBs (17.5 cm in circumference) were applied with the patient in a supine position. Results: Including both the C and B1 levels, circumferences and IPs showed a good correlation (single layer; r=0.72, double layer; r=0.75). The IP obtained with a single layer of TEB at the C level (median, 17 mmHg [range, 12-23 mmHg]) was higher than that at the B1 level (14 mmHg [11-18 mmHg], p<0.001). When double-layer TEB was used, the IP at B1 level increased to 18 (14-23) mmHg (p<0.001 vs. single layer). Conclusion: Considering the characteristics of TEBs and using a single or double layer appropriately, creating a pressure profile mimicking that of an anti-thrombotic stocking seemed to be feasible when using a TEB.

show abstract

Clinical thromboembolic detterrent stockings application: Are thromboembolic detterrent stockings in practice matching manufacturers application guidelines

Cited by 6 publications

References 12 publications

Risk factors of medical device‐related pressure injury in intensive care units

Risk factors of medical device‐related pressure injury in intensive care units

Effects of leg compression and calf muscle contraction by active ankle motion on venous hemodynamics in sitting individuals

Interface Pressures Derived from a Tubular Elastic Bandage

Contact Info

Product

Resources

About