![]() Similar results were provided in the clinical guideline for VTE by the National Institute for Health and Clinical Excellence (NICE). Also, it was suggested to use IPC for patients at moderate to high risk for VTE who are at high risk for major bleeding complications. According to the American College of Chest Physicians Evidence-Based Clinical Practice Guidelines, it was suggested to use mechanical prophylaxis, preferably with (IPC) for patients at low and moderate risk for VTE. It was recommended to use the device in combination with aspirin for patients undergoing major orthopedic surgeries like total hip replacement, total knee replacement and proximal hip fracture surgery. and ), where IPC is revealed to be moderately effective.įirst, The Asian venous thromboembolism guidelines recommended to utilize IPC system as an option for patients undergoing general or gynecological surgery with moderate risk of (DVT) and (PE). There were two studies addressing the effectiveness of IPC for radiocephalic fistulas (Ref. Both studies indicate that IPC is an effective treatment option to the treatment of embolism.ġ.5 Current-evidence in the efficacy of IPC for radiocephalic fistulas. ![]() The review includes two big meta-analyses that were designed to investigate the efficacy of IPC to treat embolism (Ref. and ) show that IPC is moderately effective.ġ.4 Current-evidence in the efficacy of IPC for embolism. Overall, IPC was shown to be an effective treatment option for Deep Vein Thrombosis (DVT), as reflected by multiple studies (Ref. However, one study showed that IPC is a moderately effective and one study have shown that IPC is not effective.ġ.3 Current-evidence in the efficacy of IPC for Deep Vein Thrombosis (DVT). IPC seems to be an effective treatment option for lymphedema, as revealed by multiple studies (Ref.,, ,, , and ). Lastly, 31 recent and specific articles were obtained and read in full, as shown in figure 3.įIGURE 3: A SCHEMATIC REPRESENTATION OF THE PAPER SCREENING PROCESS.ġ.2 Current-evidence in the efficacy of IPC for lymphedema. As a result, 63 articles were acquired, and screened first for duplication, and then through scanning the abstract as guided by the clarified inclusion criteria. The data for the last five years were retrieved for all clinical studies that discuss the research question. The effectiveness of Intermittent pneumatic compression (IPC) devices for the treatment of deep vein thrombosis (DVT), pulmonary embolism (PE), and edema were evaluated considering three directions: a review of the recently published papers in the topic, opinions of specialized societies and the feedbacks of Saudi related experts. It may also be used after a stroke or to help treat lymphedema. IPC is used most often for people who have just had surgery. The system offers sequential inflation and propels the vein blood from limb to heart, therefore enhance the blood circulation and helps prevent blood clots. ![]() The cuffs are attached to a pneumatic pump that supplies compressed air to inflate and deflate the cuff. Intermittent pneumatic compression (IPC) devices uses cuffs around the legs that fill with air and squeeze the legs. Figure 1 below shows the formation of DVT and PE:įIGURE 1: ILLUSTRATIONS OF: A: DEEP VEIN THROMBOSIS, AND B: PULMONARY EMBOLISM. Edema, on the other hand, refers to the leakage of blood from vessels into the surrounding tissues. Pulmonary embolism can cause severe shortness of breath and even sudden death. In some cases, a deep clot in a leg vein can run through the blood circulation and penetrate in the lung vessel, which can cause a blockage in the vessel called a pulmonary embolism. This can also happen if patients are immobile for a long period of time. Indications for using IPC (DVT, PE, and Edema):ĭeep vein thrombosis (DVT) is a blood clot (thrombus) that forms in one or more of the deep veins in the body (usually in legs).
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