Intermittent pneumatic compression prevents venous stasis in the lower extremities in the lithotomy position
To investigate the interactions of a new lithotomy positioning device (LPD) with two intermittent pneumatic compression (IPC) devices by measuring femoral venous flow velocity. Subjects were divided into three groups: 1) supine position as a control, 2) lithotomy position using a conventional LPD, a...
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| Veröffentlicht in: | Canadian journal of anesthesia 2002-02, Vol.49 (2), p.144-147 |
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| creator | KOHRO, Shinji YAMAKAGE, Michiaki TAKAHASHI, Toshiyuki KONDO, Mitsu OTA, Koichi NAMIKI, Akiyoshi |
| description | To investigate the interactions of a new lithotomy positioning device (LPD) with two intermittent pneumatic compression (IPC) devices by measuring femoral venous flow velocity.
Subjects were divided into three groups: 1) supine position as a control, 2) lithotomy position using a conventional LPD, and 3) lithotomy position using a new LPD, Levitator(TM). These three groups were further divided in two according to the type of IPC device used: AV-impulse(TM) (rapid IPC) and SeQuel(TM) (standard IPC). Peak femoral venous flow velocity was measured by using an ultrasonic echo diagnostic device. Data were analyzed by one-way ANOVA with Fisher's test or by the unpaired two-tailed t test.
Moving to the conventional lithotomy position from the supine position, venous flow velocity was decreased by 38% in both IPC device groups. Even when the new LPD was used to support the lithotomy position, the flow velocity was decreased by 24%, but the velocity was significantly higher than in the conventional lithotomy position. Both rapid and standard IPC devices increased flow velocity to 77% and 107% (first compression) and to 71% and 84% (fifth compression) of the control values during compression, respectively. In the lithotomy position group using the new LPD, similar increases in flow were seen with the use of IPC devices.
Both rapid and standard IPC devices are useful for maintaining venous flow of the lower extremities in the lithotomy position. |
| doi_str_mv | 10.1007/bf03020486 |
| format | Article |
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Subjects were divided into three groups: 1) supine position as a control, 2) lithotomy position using a conventional LPD, and 3) lithotomy position using a new LPD, Levitator(TM). These three groups were further divided in two according to the type of IPC device used: AV-impulse(TM) (rapid IPC) and SeQuel(TM) (standard IPC). Peak femoral venous flow velocity was measured by using an ultrasonic echo diagnostic device. Data were analyzed by one-way ANOVA with Fisher's test or by the unpaired two-tailed t test.
Moving to the conventional lithotomy position from the supine position, venous flow velocity was decreased by 38% in both IPC device groups. Even when the new LPD was used to support the lithotomy position, the flow velocity was decreased by 24%, but the velocity was significantly higher than in the conventional lithotomy position. Both rapid and standard IPC devices increased flow velocity to 77% and 107% (first compression) and to 71% and 84% (fifth compression) of the control values during compression, respectively. In the lithotomy position group using the new LPD, similar increases in flow were seen with the use of IPC devices.
Both rapid and standard IPC devices are useful for maintaining venous flow of the lower extremities in the lithotomy position.</description><identifier>ISSN: 0832-610X</identifier><identifier>EISSN: 1496-8975</identifier><identifier>DOI: 10.1007/bf03020486</identifier><identifier>PMID: 11823391</identifier><identifier>CODEN: CJOAEP</identifier><language>eng</language><publisher>Toronto, ON: Canadian Anesthesiologists' Society</publisher><subject>Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthesia: equipment, devices ; Biological and medical sciences ; Blood Flow Velocity ; Compression therapy ; Equipment and Supplies ; Femoral Vein - physiology ; Flow velocity ; Humans ; Leg - blood supply ; Medical sciences ; Posture - physiology ; Pressure ; Venous Thrombosis - prevention & control</subject><ispartof>Canadian journal of anesthesia, 2002-02, Vol.49 (2), p.144-147</ispartof><rights>2002 INIST-CNRS</rights><rights>Canadian Anesthesiologists 2002.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-f74fdc9444cbaf042a6894b20b6f5165663da825980a722bd4deb387e1a602943</citedby><cites>FETCH-LOGICAL-c442t-f74fdc9444cbaf042a6894b20b6f5165663da825980a722bd4deb387e1a602943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13509855$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11823391$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KOHRO, Shinji</creatorcontrib><creatorcontrib>YAMAKAGE, Michiaki</creatorcontrib><creatorcontrib>TAKAHASHI, Toshiyuki</creatorcontrib><creatorcontrib>KONDO, Mitsu</creatorcontrib><creatorcontrib>OTA, Koichi</creatorcontrib><creatorcontrib>NAMIKI, Akiyoshi</creatorcontrib><title>Intermittent pneumatic compression prevents venous stasis in the lower extremities in the lithotomy position</title><title>Canadian journal of anesthesia</title><addtitle>Can J Anaesth</addtitle><description>To investigate the interactions of a new lithotomy positioning device (LPD) with two intermittent pneumatic compression (IPC) devices by measuring femoral venous flow velocity.
Subjects were divided into three groups: 1) supine position as a control, 2) lithotomy position using a conventional LPD, and 3) lithotomy position using a new LPD, Levitator(TM). These three groups were further divided in two according to the type of IPC device used: AV-impulse(TM) (rapid IPC) and SeQuel(TM) (standard IPC). Peak femoral venous flow velocity was measured by using an ultrasonic echo diagnostic device. Data were analyzed by one-way ANOVA with Fisher's test or by the unpaired two-tailed t test.
Moving to the conventional lithotomy position from the supine position, venous flow velocity was decreased by 38% in both IPC device groups. Even when the new LPD was used to support the lithotomy position, the flow velocity was decreased by 24%, but the velocity was significantly higher than in the conventional lithotomy position. Both rapid and standard IPC devices increased flow velocity to 77% and 107% (first compression) and to 71% and 84% (fifth compression) of the control values during compression, respectively. In the lithotomy position group using the new LPD, similar increases in flow were seen with the use of IPC devices.
Both rapid and standard IPC devices are useful for maintaining venous flow of the lower extremities in the lithotomy position.</description><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthesia: equipment, devices</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Compression therapy</subject><subject>Equipment and Supplies</subject><subject>Femoral Vein - physiology</subject><subject>Flow velocity</subject><subject>Humans</subject><subject>Leg - blood supply</subject><subject>Medical sciences</subject><subject>Posture - physiology</subject><subject>Pressure</subject><subject>Venous Thrombosis - prevention & control</subject><issn>0832-610X</issn><issn>1496-8975</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkV9LHTEQxYNY9Kp98QNIEOpDYevk7yaPVmorCH1R6NuSzWYxspusSbat374Rr1zoy8zA-XGYmYPQKYEvBKC97EdgQIEruYc2hGvZKN2KfbQBxWgjCfw6REc5PwGAkkIdoENCFGVMkw2abkNxafaluFDwEtw6m-IttnFeksvZx4Dr8LuqGdca14xzMdln7AMujw5P8Y9L2P0tyVUb73aCL4-xxPkFLzFXJYYT9GE0U3Yft_0YPdx8u7_-0dz9_H57fXXXWM5pacaWj4PVnHPbmxE4NVJp3lPo5SiIFFKywSgqtALTUtoPfHA9U60jRgLVnB2jizffJcXn1eXSzT5bN00muHpA1xJONbSiguf_gU9xTaHu1iklgAkmX90-v0E2xZyTG7sl-dmkl45A9xpA9_XmPYAKn20d1352ww7dfrwCn7aAydZMYzLB-rzjmACthGD_AKLVjtQ</recordid><startdate>20020201</startdate><enddate>20020201</enddate><creator>KOHRO, Shinji</creator><creator>YAMAKAGE, Michiaki</creator><creator>TAKAHASHI, Toshiyuki</creator><creator>KONDO, Mitsu</creator><creator>OTA, Koichi</creator><creator>NAMIKI, Akiyoshi</creator><general>Canadian Anesthesiologists' Society</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20020201</creationdate><title>Intermittent pneumatic compression prevents venous stasis in the lower extremities in the lithotomy position</title><author>KOHRO, Shinji ; YAMAKAGE, Michiaki ; TAKAHASHI, Toshiyuki ; KONDO, Mitsu ; OTA, Koichi ; NAMIKI, Akiyoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-f74fdc9444cbaf042a6894b20b6f5165663da825980a722bd4deb387e1a602943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthesia: equipment, devices</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity</topic><topic>Compression therapy</topic><topic>Equipment and Supplies</topic><topic>Femoral Vein - physiology</topic><topic>Flow velocity</topic><topic>Humans</topic><topic>Leg - blood supply</topic><topic>Medical sciences</topic><topic>Posture - physiology</topic><topic>Pressure</topic><topic>Venous Thrombosis - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KOHRO, Shinji</creatorcontrib><creatorcontrib>YAMAKAGE, Michiaki</creatorcontrib><creatorcontrib>TAKAHASHI, Toshiyuki</creatorcontrib><creatorcontrib>KONDO, Mitsu</creatorcontrib><creatorcontrib>OTA, Koichi</creatorcontrib><creatorcontrib>NAMIKI, Akiyoshi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Source</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>CBCA Complete</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KOHRO, Shinji</au><au>YAMAKAGE, Michiaki</au><au>TAKAHASHI, Toshiyuki</au><au>KONDO, Mitsu</au><au>OTA, Koichi</au><au>NAMIKI, Akiyoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intermittent pneumatic compression prevents venous stasis in the lower extremities in the lithotomy position</atitle><jtitle>Canadian journal of anesthesia</jtitle><addtitle>Can J Anaesth</addtitle><date>2002-02-01</date><risdate>2002</risdate><volume>49</volume><issue>2</issue><spage>144</spage><epage>147</epage><pages>144-147</pages><issn>0832-610X</issn><eissn>1496-8975</eissn><coden>CJOAEP</coden><abstract>To investigate the interactions of a new lithotomy positioning device (LPD) with two intermittent pneumatic compression (IPC) devices by measuring femoral venous flow velocity.
Subjects were divided into three groups: 1) supine position as a control, 2) lithotomy position using a conventional LPD, and 3) lithotomy position using a new LPD, Levitator(TM). These three groups were further divided in two according to the type of IPC device used: AV-impulse(TM) (rapid IPC) and SeQuel(TM) (standard IPC). Peak femoral venous flow velocity was measured by using an ultrasonic echo diagnostic device. Data were analyzed by one-way ANOVA with Fisher's test or by the unpaired two-tailed t test.
Moving to the conventional lithotomy position from the supine position, venous flow velocity was decreased by 38% in both IPC device groups. Even when the new LPD was used to support the lithotomy position, the flow velocity was decreased by 24%, but the velocity was significantly higher than in the conventional lithotomy position. Both rapid and standard IPC devices increased flow velocity to 77% and 107% (first compression) and to 71% and 84% (fifth compression) of the control values during compression, respectively. In the lithotomy position group using the new LPD, similar increases in flow were seen with the use of IPC devices.
Both rapid and standard IPC devices are useful for maintaining venous flow of the lower extremities in the lithotomy position.</abstract><cop>Toronto, ON</cop><pub>Canadian Anesthesiologists' Society</pub><pmid>11823391</pmid><doi>10.1007/bf03020486</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Canadian journal of anesthesia, 2002-02, Vol.49 (2), p.144-147 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthesia: equipment, devices Biological and medical sciences Blood Flow Velocity Compression therapy Equipment and Supplies Femoral Vein - physiology Flow velocity Humans Leg - blood supply Medical sciences Posture - physiology Pressure Venous Thrombosis - prevention & control |
| title | Intermittent pneumatic compression prevents venous stasis in the lower extremities in the lithotomy position |
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