Compression Flashcards
Clinical indications for compression
Edema Prevent deep vein thrombosis (DVT) Venous Stasis ulcer Residual limb shaping (amputation) Control hypertrophic scarring
Contraindications for compression
Heart failure or pulmonary edema Recent/acute DVT, thrombophlebitis, PE Obstructed lymphatic or venous return Severe PAD Acute trauma/fracture Severe hypoproteinemia
Adverse effects of compression
May become tourniquet, which may lead to ischemia and impaired healing or tissue death
When using compression, make sure to monitor…
Edema, BP, and other symptoms closely for adverse reactions
Types of application techniques for compression
Compression garments/stockings
Velcro closure devices
Intermittent pneumatic compression pump
Recommended parameter for compression of the upper extremities
To tolerance but not to exceed 50 mm. Do not exceed the diastolic blood pressure
Recommended parameter for compression of the lower extremities
To tolerance but not to exceed 50 mm. Do not exceed the diastolic blood pressure
Recommended parameter for compression for lymphedema
To tolerance but not to exceed 45 mm. Do not exceed the diastolic blood pressure
Universal recommended parameters for compression
If cycling is available, 45-90 seconds on, 15-30 seconds off
Recommended dosage for compression
Minimum 2 hours daily for 3-4 weeks
Recommended dosage for compression for edema reduction
2 hours twice daily and one session 3x weekly have both been proven to be effective
Which systems are better, multi-component or single?
Multi-component
Compression increases…
Ulcer healing rates compared to no compression
The evidence for compression includes…
small RCTs with unclear or high risk of bias