Haemodynamic and respiratory effects of an abdominal compression binder

Abstract

In order to elucidate the circulatory and respiratory effects of a newly developed abdominal compression binder 25 healthy, normal weight subjects were studied. In supine position the central haemodynamics were measured and estimated with a Finapress device. Lower extremity venous haemodynamics were measured in supine position with venous occlusion plethysmography. In an upright-seated position arterial oxygen saturation was measured by a pulseoxymeter for 1 h before spirometry was performed with a turbine flow measurement device. All the tests were performed in a randomized order with or without the abdominal compression binder. The results show that the compression binder significantly increases the venous volume in the lower extremities as showed by a reduction in the venous capacitance in the lower extremities and a reduction in the stroke volume and cardiac output, while it does not influence the pulmonary volumes. It is concluded that the applied abdominal binder significantly affects peripheral and central haemodynamics. It should therefore be used with caution when in the supine position for longer periods, as the pooling of blood it induces in the lower extremities may have implications for the risk of deep venous thrombosis formation.

A randomized controlled trial of abdominal binders for the management of postoperative pain and distress after cesarean delivery

“…The restrictive effect of abdominal binders could alter respiratory function and decrease lung capacity and tidal volumes [5], although the clinical consequences of such changes in lung parameters seem questionable. In a study of 25 healthy volunteers [4], application of an abdominal binder increased lower leg venous volume resulting in decreased stroke volume and cardiac output. The investigators, therefore, cautioned against the use of abdominal binders as the observed hemodynamic changes could increase the risk of thrombosis among non‐ambulatory patients.…”

“…Many patients who have undergone abdominal surgery are encouraged to splint their incisions with either their arms or pillows [4]. However, these are only temporary measures and their benefits have not been well defined.…”

Randomized controlled trial of abdominal binders for postoperative pain, distress, and blood loss after cesarean delivery

“…Abdominal binders are being used increasingly as a form of alternative medicine, the use of which dates back several centuries . Abdominal binders are most commonly used owing to physician or patient preferences, and the possible advantages have not been clearly defined . Previous studies have assessed the effect of abdominal binders on post‐operative pain control, improvements in mobility, the prevention of incisional hernia, breathing in patients with spinal cord injuries, hemorrhage, and distress .…”

The effectiveness of the abdominal binder in relieving pain after cesarean delivery: A systematic review and meta‐analysis of randomized controlled trials

“…Nevertheless, some studies stated that increased abdominal pressure as a result of using the abdominal binder might reduce the observed lung capacity 30 . Furthermore, abdominal binders can reduce cardiac output by increasing venous volume in the lower extremities 31 .…”

“…A systematic review by Rothman et al 28 showed that the ab- Nevertheless, some studies stated that increased abdominal pressure as a result of using the abdominal binder might reduce the observed lung capacity. 30 should not be ignored. Therefore, it is advised to recognize the benefits of abdominal binders in managing the most salient complications of cesarean delivery.…”