| The Effect of SCD Response Compression System on Coagulation and Fibrinolysis using Thromboelastography in Patients Undergoing Gastrectomy; a Comparison with Elastic Stocking. |
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Ji Young Kim, Young Lan Kwak, Wol Sun Jung, Dong Chul Lee, Jung Ju Choi, Hyun Jeong Kwak |
1Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University of Medicine and Science, Incheon, Korea. hyun615@gilhospital.com
2Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute,Yonsei University College of Medicine, Seoul, Korea. |
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| Abstract |
BACKGROUND
Among various measures to prevent deep venous thrombosis (DVT) in surgical patients, intermittent pneumatic compression of the legs is known to be effective without increasing the risk of bleeding. In this study, the coagulation/ fibrinolysis profile in patients undergoing gastrectomy with SCD Response Compression System, which detects individual venous refill time, was compared to that with elastic stocking using thromboelastography (TEG).
METHODS
Fifty-eight ASA class I-II patients undergoing gastrectomy were randomized into two groups. Patients in ES group (n = 29) were treated with elastic stocking and patients in SCD group (n = 29) were treated with SCD Response Compression System. TEG analysis and traditional coagulation tests were performed on arrival in the operating room, after surgery in the postanesthetic care unit and on the morning of postoperative day 1.
RESULTS
There was no significant difference in laboratory data between the two groups. Laboratory data at all time points were within normal limit in all patients. There was no significant difference in TEG data between the two groups. No evidence of a postoperative clinical coagulopathy (DVT or pulmonary embolism) was observed on routine history and physical examinations in any patient during hospitalization.
CONCLUSIONS
The effectiveness of SCD Response Compression System in patients undergoing major abdominal surgery on coagulation/fibrinolysis system was similar to that of elastic stocking during perioperative period. |
| Key Words:
compression stockings; intermittent pneumatic compression device; venous thrombosis |
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