Deep venous thrombosis (DVT) is a common problem in the ICU.
Preventative measures include pharmaceutical and physical measures,
the latter of which will be covered in this chapter.
- ▪ DVT: Thrombosis in the deep veins of the legs
- ▪ Sequential compression devices are applied to the
calf or calves in bed-bound critically ill patients (Figure 51-1).
Sequential compression devices applied to both ankles.
Pearls and Pitfalls
- ▪ There is
some evidence suggesting that sequential compression devices have
antithrombotic effects by acting to inhibit the clotting cascade,
so that a single sticking may be worn if there is a contraindication
to placement on one leg (ie, vascular surgery).
Ramos J, Perrotta C, Badariotti G, Berenstein G. Interventions
for preventing venous thromboembolism in adults undergoing knee
arthroscopy. Cochrane Database of Syst Rev.
Brady D, Raingruber B, Peterson J, et al. The use of knee-length
versus thigh-length compression stockings and sequential compression
devices. Crit Care Nurs Q