Skip to Main Content

++

Introduction

++

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.

++

Definitions and Terms

+

  • ▪  DVT: Thrombosis in the deep veins of the legs

++

Techniques

+

  • ▪  Sequential compression devices are applied to the calf or calves in bed-bound critically ill patients (Figure 51-1).

++
Figure 51-1.
Graphic Jump Location

Sequential compression devices applied to both ankles.

++

Clinical 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).

++

Suggested Reading

Ramos J, Perrotta C, Badariotti G, Berenstein G. Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy. Cochrane Database of Syst Rev. 2007;(2):CD005259.
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. 2007;30:255–262.  [PubMed: 17579309]

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.