J Korean Acad Nurs.  2009 Apr;39(2):288-297. 10.4040/jkan.2009.39.2.288.

Effects on Changes in Femoral Vein Blood Flow Velocity with the Use of Lower Extremity Compression for Critical Patients with Brain injury

• Kim JS
• Kim HJ
• Woo YH
• Lym JY
• Lee CH

• KMID: 1405631
• DOI: http://doi.org/10.4040/jkan.2009.39.2.288

Abstract

PURPOSE
This study was done to evaluate the mean venous velocity (MVV) response with knee and thigh length compression stockings (CS) versus intermittent pneumatic compression (IPC) devices in immobile patients with brain injuries. METHODS: We carried out a randomized controlled study. We analyzed both legs of a randomly chosen sample of 43 patients assigned to one of 4 groups (86 legs). The patients were sequentially hospitalized in the intensive care unit (ICU) in "S hospital" from November 2005 to December 2006. The base line and augmented venous velocity was measured at the level of the common femoral vein. We applied leg compression 42 times over 7 days (for 2 hours at a time at 2 hour intervals). RESULTS: There was a statistical difference among the 4 groups. The difference for the "IPC" group was more significant than the "CS" group. CONCLUSION: These results indicate that the application of IPC can be considered as an effective method to prevent deep vein thrombosis for immobile patients with brain injury.

Keyword

Venous thrombosis; Blood flow velocity; Compression devices

MeSH Terms

Adult
Blood Flow Velocity
Brain Injuries/*physiopathology
Female
Femoral Vein/*physiopathology
Humans
Intensive Care Units
Intermittent Pneumatic Compression Devices
Lower Extremity
Male
Middle Aged
Stockings, Compression
Venous Thrombosis/*prevention & control

Figure

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  Figure 1 Research design.

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