Pilot Study of Effects of Intermittent Pneumatic Compression in the Immediate Peri-Operative Period on Hemodynamic Parameters in Patients After Laparoscopic Gynecologic Surgery

Abstract

The randomized controlled study investigated the impacts of immediate peri-operative Intermittent pneumatic compression (IPC) on hemodynamic indicators in patients undergoing laparoscopic gynecologic surgery. Patients scheduled for elective laparoscopic gynecologic surgery were randomized to control (IPC not used), pre-operative IPC, post-operative IPC, and peri-operative IPC (performed both before and after surgery) groups. Systolic blood pressure (SBP), mean blood pressure (MBP) cardiac output (CO), heart rate (HR) and systemic vascular resistance (SVR) were measured at different time points. The results showed that SBP changes not obviously over time in the control and peri-operative IPC group. Compared with values before surgery, the pre-operative IPC group had a lower SBP (P < 0.01) at the end of PACU stay, whereas the post-operative IPC group had a higher SBP (P < 0.01) after surgery. All groups exhibited little or no variation in HR, CO and SVR. Conclusion is peri-operative IPC has no major adverse effects on hemodynamic parameters.

Minimally Invasive Surgery in Pregnancy: Exploring the Role of Laparoscopy

“…Na avaliação pré-anestésica, a necessidade de profilaxia com tocolíticos deve ser cuidadosamente ponderada, levando em conta os riscos e benefícios para a mãe e o feto (BOAS; LUCENA; RIBEIRO, [s. Embora as pesquisas sobre profilaxia de TVP em gestantes submetidas à laparoscopia sejam limitadas, os princípios gerais para cirurgia laparoscópica se aplicam nesse contexto. A profilaxia com compressão pneumática intermitente durante a cirurgia e no pós-operatório, associada à deambulação precoce da paciente, parece ser uma estratégia eficaz para reduzir o risco elevado de trombose em gestantes (LIU et al, 2022).…”

An Evidenced-Based Review of the Prevention of Venous Thromboembolism in Traumatic Patients with Intermittent Pneumatic Compression Devices

“…At the same time, the Risk Assessment Profile for Thromboembolism (RAPT) can also be used for the risk assessment of VTE in trauma patients [ 34 ]. At present, the bleeding risk assessment models of VTE patients include the International Medical Prevention Registry on Venous Thromboembolism (IMPROVE), Kuijer score, and the European Multicenter Thromboembolism Registry (Registro Informatizado de la Enfermedad Thrombo-Embolica, RIETE) [ 35 ], among which the bleeding risk assessment model for VTE prevention only has the IMPROVE score, which is applicable to nonsurgical patients. The prediction ability of bleeding risk for surgical patients in VTE high-risk groups needs to be verified; however, other bleeding risk assessment models still lack validation and comparison of clinical use [ 36 , 37 ].…”

“…The prediction ability of bleeding risk for surgical patients in VTE high-risk groups needs to be verified; however, other bleeding risk assessment models still lack validation and comparison of clinical use [ 36 , 37 ]. The guidelines do not recommend any scoring model but list the risk factors related to bleeding [ 10 , 35 ]. Medical staff can choose appropriate preventive measures according to the type of trauma, risk factors for VTE, and bleeding risk.…”

Changes in Heart Rate Variability and Peripheral Hemodynamics During Intermittent Pneumatic Compression in Persons With Different Types of Regulation of the Autonomic Nervous System

“…Так, при поєднанні періодів локального підвищення та зниження зовнішнього тиску приладу, забезпечується збільшення венозної швидкості та вивільнення крові з вен нижніх кінцівок [18,19]. Доведено, що ОП високої інтенсивності у здорових осіб підвищує серцевий викид через збільшення ударного об'єму та впливає на серцеву скоротливість міокарда [20,21]. Хоча цей параметр не є оптимальним і може бути застосований протягом короткого періоду часу [22].…”