DOI QR코드

DOI QR Code

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

하지압박요법이 중증 뇌손상 환자의 대퇴 정맥 혈류 속도변화에 미치는 영향

  • Kim, Jung-Sook (Intensive Care Unit, Samsung Medical Center, Sungkyunkwan University Graduate School of Clinical Nursing Science) ;
  • Kim, Hye-Jung (Neurosurgical Intensive Care Unit, Samsung Medical Center) ;
  • Woo, Yun-Hee (Neurosurgical Intensive Care Unit, Samsung Medical Center) ;
  • Lym, Ji-Young (Neurosurgical Intensive Care Unit, Samsung Medical Center) ;
  • Lee, Chul-Hyung (Registered Vascular Technologist, Vascular Lab, Samsung Medical Center)
  • 김정숙 (삼성서울병원 간호과, 성균관대학교 임상간호대학원) ;
  • 김혜정 (삼성서울병원) ;
  • 우연희 (삼성서울병원) ;
  • 임지영 (삼성서울병원) ;
  • 이철형 (삼성서울병원 혈관검사실)
  • Published : 2009.04.28

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.

Keywords

References

  1. Ascher, E., Depippo, P. S., Hingorani, A., Yorkovich, W., & Salles-Cunha, S. (2004). Does repeat duplex ultrasound for lower extremity deep vein thrombosis influence patient management? Vascular and Endovascular Surgery, 38, 525-531 https://doi.org/10.1177/153857440403800606
  2. Byrne, B. (2001). Deep vein thrombosis prophylaxis: The effectiveness and implications of using below-knee or thigh-length graduated compression stockings. Heart &Lung, 30, 277-284 https://doi.org/10.1067/mhl.2001.116009
  3. Choi, J. Y., & Park, S. J. (2006). A comparison of interventions recorded in nursing notes between acute and subacute stage after a cerebrovascular accident. Journal of Korean Academy of Nursing, 36, 227-235
  4. Choi, K. S. (1992). A study of patients with head injuries. Journal of Korean Academy of Nursing, 22, 517-528
  5. Demolis, P., Tran Dinh, Y. R., & Giudicelli, J. F. (1996). Relationships between cerebral regional blood flow velocities and volumetric blood flows and their respective reactivities to acetasolamide. Stroke, 27, 1835-1839 https://doi.org/10.1161/01.STR.27.10.1835
  6. Hameed, M. F., Browse, D. J., Immelman, E. J., & Goldberg, P. A. (2002). Should knee-length replace thigh-length graduated compression stockings in the prevention of deep-vein thrombosis? South African Journal of Surgery, 40, 15-16
  7. Handoll, H. H., Farrar, M. J., McBirnie, J., Tytherleigh-Strong, G., Milne, A. A., & Gillespie, W. J. (2003). Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures. Cochrane Database of Systematic Reviews, 2002, CD000305
  8. John, A., & Heit, M. (2003). Risk factor for venous thromboembolism. Clinics in Chest Medicine, 24, 1-12 https://doi.org/10.1016/S0272-5231(02)00077-1
  9. Jung, D. Y., Kim, Y., & Kwon, O. Y. (2002). Effect of deep breath ing exercise and ankle exercise on blood flow velocity in the femoral vein. Journal of the Korean Academy of University Trained Physical Therapist, 9, 107-113
  10. Keith, S. L., McLaughlin, D. J., Anderson, F. A. Jr., Cardullo, P. A., Jones, C. E., Rohrer, M. J., et al. (1992). Do graduated compression stockings and pneumatic boots have and additive effect on the peak velocity of venous blood flow? Archives of Surgery, 127, 727-730 https://doi.org/10.1001/archsurg.1992.01420060107016
  11. Kim, Y. S. (2005). Effects of the application of elastic compression stockings on edema and pain of lower extremities in hospital nurses. Unpublished master's thesis, KeiMyung University, Daegu
  12. Kurtoglu, M., Yanar, H., Bilsel, Y., Guloglu, R., Kizilirmak, S., Buyukkurt, D., et al. (2004). Venous thromboembolism prophylaxis after head and spinal trauma: Intermittent pneumatic compression devices versus low molecular weight heparin. World Journal of Surgery, 28, 807-811 https://doi.org/10.1007/s00268-004-7295-6
  13. Kyrle, P. A., & Eichinger, S. (2005). Deep vein thrombosis. Lancet, 365, 1163-1174 https://doi.org/10.1016/S0140-6736(05)71880-8
  14. Lacut, K., Bressollette, L., Le Gal, G., Etienne, E., De Tinteniac, A., Renault, A., et al. (2005). Prevention of venous thrombosis in patients with acute intracerebral hemorrhage. Neurology, 65, 865-869 https://doi.org/10.1212/01.wnl.0000176073.80532.a2
  15. Lee, S. H., & Kim, K. T. (2004). Clinical application of compression treatment. Journal of the Korean Society of Phlebology, 3, 25-28
  16. Oh, J., & Yoon, C. M. (2008). Lower extremity edema and pain of nurses and the effect of self leg massage. Journal of Korean Academy of Nursing, 38, 278-286 https://doi.org/10.4040/jkan.2008.38.2.278
  17. Phillips, L., Macmillan, A., & Tweed, C. (2004). Review of intermittent pneumatic compression: An evidence-based therapeutic modality for the prevention of avoidable deep vein thrombosis. Journal of Integrated Care Pathways, 8, 55-58
  18. The Standards Task Force of the American Society of Colon and Rectal Surgeons. (2002). Practice parameters for the prevention of venous thromboembolism. Diseases of the Colon & Rectum, 43, 1037-1047 https://doi.org/10.1007/BF02236547
  19. Van Blerk, D. (2004). Evaluating an intermittent compression system for thromboembolism prophylaxis. Professional Nurse, 20(4), 48-49
  20. Yablon, S. A., Rock, W. A. Jr., Nick, T. G., Sherer, M., McGrath, C. M., & Goodson, K. H. (2004). Deep vein thrombosis: Prevalence and risk factors in rehabilitation admissions with brain injury. Neurology, 63, 485-491 https://doi.org/10.1212/01.WNL.0000133009.24727.9F

Cited by

  1. 하지 심부정맥혈전증을 가진 중환자의 특성 및 발생 영향 요인 vol.42, pp.3, 2009, https://doi.org/10.4040/jkan.2012.42.3.396
  2. 정형외과 수술환자의 대퇴길이 압박스타킹 착용 불편감 vol.19, pp.2, 2012, https://doi.org/10.5953/jmjh.2012.19.2.184
  3. Risk Factors Associated with Venous Thromboembolism in Cancer Patients vol.15, pp.3, 2009, https://doi.org/10.5388/aon.2015.15.3.171
  4. 뇌수술 환자의 심부정맥혈전증 예방과 피부반응에 미치는 실험연구 : 부츠형과 무릎형의 간헐적 공기 압박기 적용에 따라 vol.17, pp.5, 2009, https://doi.org/10.5762/kais.2016.17.5.203
  5. 간호분야 실무지침의 수용개작 방법론에 따른 정맥혈전색전증예방 간호실무지침의 개발 vol.22, pp.2, 2016, https://doi.org/10.22650/jkcnr.2016.22.2.118
  6. 외과적 수술 후 정맥혈전색전증 예방을 위한 근거기반 IPC(Intermittent Pneumatic Compression) 간호프로토콜의 수용개작 및 효과 vol.23, pp.1, 2009, https://doi.org/10.11111/jkana.2017.23.1.63
  7. 동일인에서 한쪽 다리에만 압박스타킹을 착용했을 때 유발되는 다리 근육의 근전도 변화에 대한 정량적 분석 vol.51, pp.2, 2019, https://doi.org/10.15324/kjcls.2019.51.2.185