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The Use of Intermittent Pneumatic Compression in Orthopedic and Neurosurgical Postoperative Patients

2015; Lippincott Williams & Wilkins; Volume: 263; Issue: 5 Linguagem: Inglês

10.1097/sla.0000000000001530

1528-1140

Sandra O’Connell, Khalid Bashar, Barry J. Broderick, James M. Sheehan, Fabio Quondamatteo, Stewart R. Walsh, Gearóid ÓLaighin, Leo R. Quinlan,

Venous Thromboembolism Diagnosis and Management

The objective of this systematic review and meta-analysis was to carry out an up-to-date evaluation on the use of compression devices as deep vein thrombosis (DVT) prophylaxis methods in orthopedic and neurological patients.There is an increased risk of DVT with surgery, particularly in patients who are not expected to mobilize soon after their procedures, such as orthopedic and neurosurgical patients. Compression devices are often employed for DVT prophylaxis in these patients. However, the true efficacy of these devices and the standardization of use with these devices are yet to be established.Medline, CINAHL, Embase, Google Scholar, and the Cochrane library electronic databases were searched to identify randomized controlled trials and observational studies reporting on the use of compression devices for DVT prevention.Nine studies were included for review and meta-analysis. Use of an intermittent pneumatic compression device alone is neither superior nor inferior to chemoprophylaxis.In the absence of large randomized multicenter trials comparing the use of intermittent pneumatic compression or chemoprophylaxis alone to a combination of both treatments, the current evidence supports the use of a combined approach in high-risk surgical patients.