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Antiembolism stockings

Rachel E Brimelow, Judy A Wollin
AIMS AND OBJECTIVES: To determine whether differences in care practices and demographics between two long-term aged care facilities affected the incidence of residents' skin wounds. METHODS: A retrospective analysis of care plans and clinical outcomes was conducted for a 6-month period in 2016 at two aged care facilities, N = 39 Home 1 and N = 45 Home 2. Skin tears, pressure injuries and usual care practices and associated health demographics were recorded. RESULTS: Over the 6-month period, 84 residents were found to have a total of 206 aged care acquired skin wounds (skin tears, pressure injuries, haematomas, rashes, infections)...
April 2018: Journal of Clinical Nursing
Knut Kroeger, Peter Kujath
In this age of evidence-based medicine, the use of medical thrombosis prophylaxis stockings (AES) as a physical strategy for the prevention of lower limb venous thrombosis has been questioned. The current German S3 guidelines even state that their non-application is, in the vast majority of cases, explicitly covered by the recommendations of this guideline. Low molecular weight heparins (NMH) and direct oral anticoagulants (DOAK) have received approval for thrombosis prophylaxis in elective knee and hip joint replacement, but the use of AES is absent from these approval studies...
October 2017: Zentralblatt Für Chirurgie
Ros Wade, Fiona Paton, Stephen Rice, Gerard Stansby, Peter Millner, Hayley Flavell, Dave Fox, Nerys Woolacott
OBJECTIVES: To assess the clinical effectiveness of thigh length versus knee length antiembolism stockings for the prevention of deep vein thrombosis (DVT) in surgical patients. DESIGN: Systematic review and meta-analysis using direct methods and network meta-analysis. METHODS: Previous systematic reviews and electronic databases were searched to February 2014 for randomised controlled trials (RCTs) of thigh length or knee length antiembolism stockings in surgical patients...
February 16, 2016: BMJ Open
Jean Adair, Lin Hughes, Sue Davis, Mary Wolcott-Breci
The purpose of the study was to compare the self-skills assessment with the skill competence during an actual skills demonstration of newly hired bachelor of science in nursing (BSN) registered nurse graduates. This retrospective study included 32 randomly selected BSN registered nurse graduates from January 2010 to December 31, 2010. The participants were already hired into a midwest health system. Because this was a retrospective study, no demographic data were collected, and no consent from participants was needed...
March 2014: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Lindsay Robertson, Aidan Roche
BACKGROUND: Patients undergoing major amputation of the lower limb are at increased risk of venous thromboembolism (VTE). Risk factors for VTE in amputees include advanced age, sedentary lifestyle, longstanding arterial disease and an identifiable hypercoagulable condition. Evidence suggests that pharmacological prophylaxis (for example heparin, factor Xa inhibitors, vitamin K antagonists, direct thrombin inhibitors, antiplatelets) is effective in preventing deep vein thrombosis (DVT) but it is associated with an increased risk of bleeding...
December 16, 2013: Cochrane Database of Systematic Reviews
P García-Olivares, J E Guerrero, M J Tomey, A M Hernangómez, D O Stanescu
OBJECTIVE: To analyze measures referred to venous thromboembolic prophylaxis in critically ill patients. DESIGN: An epidemiological, cross-sectional (prevalence cut), multicenter study was performed using an electronic survey. Comparison of results with quality indexes of the Spanish Society of Intensive Care Medicine, the American College of Chest Physician guidelines and international studies. SETTING: Intensive Care Units (ICUs) in the Community of Madrid (Spain)...
August 2014: Medicina Intensiva
I A Rahman, A Hussain, A Davies, A J Bryan
INTRODUCTION: In 2010 the National Institute for Health and Clinical Excellence (NICE) released guidelines on venous thromboembolism. Strategy focused on risk assessment, antiembolic stockings, sequential compression devices, subcutaneous high dose enoxaparin (40 mg), early mobilisation and hydration. The 40 mg enoxaparin dose over the previous 20 mg regimen was worrisome, and its effect on pericardial effusion rates and mortality in proximal aortic surgery was investigated. METHODS: Proximal aortic reconstructions performed between December 2008 and April 2011 were identified from prospectively collected data in a tertiary centre database...
September 2013: Annals of the Royal College of Surgeons of England
Avraam Ploumis, Michael Casnellie, John N Graber, Daryll C Dykes
This article presents a case of a patient with popliteal artery occlusion following anterior and posterior instrumented fusion of the lumbar spine. No previous study has reported acute anterior tibial compartment syndrome due to popliteal artery occlusion and restricted venous return following spine surgery. A 53-year old female, with a twice failed fusion of L5-S1, underwent L3-S1 anterior interbody and posterior L3-S1 instrumented fusion. Due to postoperative continuous analgesia, the patient was sleepy and confused on postoperative day 1...
June 2010: Orthopedics
Linda Walker, Sue Lamont
AIM: To audit current practice regarding selection and use of graduated elastic compression stockings (GECS) in the authors' Trust. Following a literature review it was important for the Trust that the authors audited current practice before the development and implementation of any new guidelines. BACKGROUND: A literature review enabled the authors to establish best practice principles for the use of GECS and develop guidelines for use across their Trust. However, feedback from various sources highlighted conflicting practices regarding the methods by which patients either did or did not receive stockings, and which lengths and brands were used...
January 10, 2008: British Journal of Nursing: BJN
Linda Walker, Sue Lamont
AIM: To determine, through literature review, the current best practice for selecting and using graduated elastic compression stockings (GECS). In particular, literature was sought to clarify which patients should be given GECS, and whether there were any underlying research recommendations as to which length of stocking should be worn. BACKGROUND: A procurement exercise identified that the clinical areas within the Surgical Services Directorate at each of the three hospital sites were spending significantly different amounts of money on the purchase of GECS and purchasing significantly different numbers per ward...
December 13, 2007: British Journal of Nursing: BJN
Walter J Brummelhuis, Leonard J van Schelven, Walther H Boer
Methods to continuously measure absolute refill during dialysis are not available. It would be useful to have such a method because it would allow investigating the mechanism of refill the effect of interventions. We designed a feedback algorithm that adjusts ultrafiltration rate (QUF) according to hemoglobin (Hb) concentration changes in such a way that relative blood volume (BV) remains constant within a narrow target range. In this situation, the generated QUF quantitatively reflects refill. Refill patterns were studied in five hypotension prone patients...
January 2008: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
Eelco B Wassenaar, Johan G H van den Brand, Christian van der Werken
PURPOSE: Acute compartment syndrome is known to develop after trauma or after postischemic revascularization. It also can occur when a patient has been lying in the lithotomy position during prolonged surgery. Methods were searched for the prevention of this iatrogenic complication after a series of seven patients who developed compartment syndrome after surgery at our hospital. METHODS: A series of seven consecutive patients who developed compartment syndrome of the lower leg(s) after abdominoperineal surgical procedures from 1997 to 2002 is presented and so are the lessons learned to prevent this problem...
September 2006: Diseases of the Colon and Rectum
S I R Noble, A Nelson, C Turner, I G Finlay
OBJECTIVE: To find out what inpatients with advanced cancer who are receiving palliative care think about the effect of thromoprophylaxis on overall quality of life. DESIGN: Qualitative study using audiotaping of semistructured interviews. SETTING: Regional cancer centre in Wales. PARTICIPANTS: 28 inpatients with advanced metastatic cancer receiving palliative care and low molecular weight heparin. MAIN OUTCOME MEASURES: Recurring themes on the effect of thromboprophylaxis on overall quality of life...
March 11, 2006: BMJ: British Medical Journal
Ann Dilks, Judy Green, Sue Brown
An exploratory study was undertaken to trial various stocking aids designed for use with compression and antiembolic hosiery. Their features were identified and assessed by professionals for ease of use. Factors affecting the choice of stocking aids were the style and grade of stockings and the physical ability of users.
May 24, 2005: Nursing Times
(no author information available yet)
No abstract text is available yet for this article.
August 2004: Nursing
A Howard, D Zaccagnini, M Ellis, A Williams, A H Davies, R M Greenhalgh
BACKGROUND: This was a randomized clinical trial to determine the efficacy and safety of a 'blanket' protocol of low molecular weight heparin (LMWH) and the best length of antiembolism stocking, for every patient requiring surgery under general anaesthesia. METHODS: Of 426 patients interviewed, 376 agreed to be randomized to receive one of three types of stocking: thigh-length Medi thrombexin climax (Medi UK, Hereford, UK), knee-length thrombexin climax and thigh-length Kendall T...
July 2004: British Journal of Surgery
Jean Claude Lacherade, Deborah Cook, Daren Heyland, Carla Chrusch, Laurent Brochard, Christian Brun-Buisson
BACKGROUND: Medical intensive care unit (ICU) patients are at moderate risk of venous thromboembolism (VTE) and prophylaxis against VTE is recommended. OBJECTIVES: To observe the range and frequency of VTE prophylaxis administered to medical ICU patients and to determine factors associated with different strategies in French and Canadian ICUs. DESIGN: Prospective cross-sectional observational study. RESULTS: 113/251 (45...
December 2003: Journal of Critical Care
Kurtis I Auguste, Alfredo Quinones-Hinojosa, Chirag Gadkary, Gabriel Zada, Kathleen R Lamborn, Mitchel S Berger
OBJECT: Evidence-based reviews support the use of venous thromboembolism (VTE) prophylaxis in the form of compression devices and/or stockings for patients undergoing craniotomy. In patients undergoing craniotomy with motor mapping for glioma, the contralateral lower extremity should remain visible so that motor responses can be accurately identified. As a consequence, these patients could be placed at a higher risk to develop VTE. The authors have quantified the incidence of VTE in patients undergoing craniotomy with motor mapping and have shown that there is no increased risk of developing a VTE in the contralateral lower extremity when compression devices are not used...
October 2003: Journal of Neurosurgery
Janet E Ingram
Knee-length and thigh-length antiembolism (AE) stockings are used to prevent deep vein thrombosis in medical and surgical patients who are at risk because of periods of immobilization while in hospital. The aim of this review was to compare the effectiveness of both lengths of stocking and consider the implications for nursing practice. An electronic search was performed using Medline and Cinahl and a hand search was also conducted. Four studies and a literature review were selected. These studies indicated that knee-length AE stockings were equally effective as were associated with better patient compliance and were more cost-effective than thigh-length stockings...
July 24, 2003: British Journal of Nursing: BJN
Kennedy R Lees
Acute stroke is a medical emergency. The outcome is influenced by the rapidity and quality of initial care, which is best delivered by specialists with appropriate facilities, including 24 h access to computed tomography. Stroke management requires attention to simple details and has been summarised in clinical guidelines. General measures include control of blood glucose concentration, temperature, fluid balance, and oxygenation. Blood-pressure management is a matter for continuing research. Aspirin should be started early in ischaemic stroke, but heparin has doubtful value; antiembolism stockings may be preferable...
May 2002: Lancet Neurology
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