Leg wraps raise hopes of saved lives after strokes May 2013
Leg compressions may enhance stroke recovery August 2012
http://dgnews.docguide.com/2018-stroke-guidelines-recommend-pneumatic-compression-prevent-deep-vein-thrombosis-stroke-patients?
January 30, 2018
By Alex Morrisson
LOS ANGELES -- January 30, 2018 -- Stroke patients who are bedridden during recovery should have intermittent pressure applied to their legs to prevent deep vein thromboses, according to new guidelines presented here at the 2018 International Stroke Conference (ISC).
The Guidelines for the Early Management of Patients With Acute Ischemic Stroke represent in-hospital recommendations and cover more than just treatment of acute stroke, said William Powers, MD, University of North Carolina, Chapel Hill, North Carolina, on January 24.
The guidelines were last updated in 2013.
“One of the feared complications of any hospitalised patient, including those with stroke, is that they [will] lie in bed [and] get blood clots in their legs. The blood clots can break off and go to their lungs, and they can be fatal,” said Dr. Powers.
“For the purposes of the guidelines, we very, very carefully evaluated the information as to what is the best way to prevent this and concluded that intermittent pneumatic compression (inflatable balloons that go on your calf and intermittently blow up and down to squeeze the blood out of the veins in your legs) is the most effective treatment,” he said. “We recommend it for all patients with stroke who are lying around in bed.”
The recommendation reads: “In immobile stroke patients without contraindications, intermittent pneumatic compression in addition to routine care (aspirin and hydration) is recommended over routine care to reduce the risk of deep vein thrombosis.”
“Previously, blood thinners were advocated as the most effective way to do this,” noted Dr. Powers. “A careful review of the available information indicates that this is a 2-edged sword. It reduces the risk of blood clots in the legs traveling to the lungs, but it also increases the risk of bleeding elsewhere in your body. The overall benefit of this seems to be a wash, and the overall efficacy is quite uncertain.”
The guideline in regard to blood thinners reads: “The benefit of prophylactic-dose subcutaneous heparin [unfractionated heparin or low-molecular-weight heparin] in immobile patients with acute ischemic stroke is not well established.”
[Presentation title: 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association]
LOS ANGELES -- January 30, 2018 -- Stroke patients who are bedridden during recovery should have intermittent pressure applied to their legs to prevent deep vein thromboses, according to new guidelines presented here at the 2018 International Stroke Conference (ISC).
The Guidelines for the Early Management of Patients With Acute Ischemic Stroke represent in-hospital recommendations and cover more than just treatment of acute stroke, said William Powers, MD, University of North Carolina, Chapel Hill, North Carolina, on January 24.
The guidelines were last updated in 2013.
“One of the feared complications of any hospitalised patient, including those with stroke, is that they [will] lie in bed [and] get blood clots in their legs. The blood clots can break off and go to their lungs, and they can be fatal,” said Dr. Powers.
“For the purposes of the guidelines, we very, very carefully evaluated the information as to what is the best way to prevent this and concluded that intermittent pneumatic compression (inflatable balloons that go on your calf and intermittently blow up and down to squeeze the blood out of the veins in your legs) is the most effective treatment,” he said. “We recommend it for all patients with stroke who are lying around in bed.”
The recommendation reads: “In immobile stroke patients without contraindications, intermittent pneumatic compression in addition to routine care (aspirin and hydration) is recommended over routine care to reduce the risk of deep vein thrombosis.”
“Previously, blood thinners were advocated as the most effective way to do this,” noted Dr. Powers. “A careful review of the available information indicates that this is a 2-edged sword. It reduces the risk of blood clots in the legs traveling to the lungs, but it also increases the risk of bleeding elsewhere in your body. The overall benefit of this seems to be a wash, and the overall efficacy is quite uncertain.”
The guideline in regard to blood thinners reads: “The benefit of prophylactic-dose subcutaneous heparin [unfractionated heparin or low-molecular-weight heparin] in immobile patients with acute ischemic stroke is not well established.”
[Presentation title: 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association]
No comments:
Post a Comment