Intermittent Sequential Pneumatic Compression as a Prophylaxis for Postoperative Pulmonary Embolism.

• Mimura Toshiki

  The Third Department of Surgery, University of Tokyo

• Yamaguchi Hirokazu

  The Third Department of Surgery, University of Tokyo

• Shimizu Nobuyuki

  The Third Department of Surgery, University of Tokyo

• Kaneda Atsushi

  The Third Department of Surgery, University of Tokyo

• Yasuda Hidemitsu

  The Third Department of Surgery, University of Tokyo

• Sakai Shigeru

  The Third Department of Surgery, University of Tokyo

• Kuramoto Shu

  The Third Department of Surgery, University of Tokyo

• Kaminishi Michio

  The Third Department of Surgery, University of Tokyo

• Yamakawa Mitsuru

  The Third Department of Surgery, University of Tokyo

• Oohara Takeshi

  The Third Department of Surgery, University of Tokyo

Bibliographic Information

Other Title

• 術後肺塞栓症の予防法としてのｉｎｔｅｒｍｉｔｔｅｎｔ　ｓｅｑｕｅｎｔｉａｌ　ｐｎｅｕｍａｔｉｃ　ｃｏｍｐｒｅｓｓｉｏｎの使用経験

Abstract

Pulmonary embolism (PE) is a rare but extremely important postoperative complication because it is often lethal when it does occur. Therefore, prophylaxis for PE such as low doseheparin (LDH), low molecular weight heparin (LMWH) and intermittent sequential pneumatic compression (ISPC) has been generally carried out in the West. Fully realizing the importance and ncesssity ofprophylaxis for PE in Japan, we have adopted ISPC for 56 surgical patients with gastroenteological diseases (ISPC group), who are supposed to belong to a high risk group for deep vein thrombosis (DVT) and PE.We compared them with 126 patients withoutISPC (non-ISPC group) in frequency of DVT or PE. ISPC isa device to massage the lower limbs mechanically with pneumatic boots and prevent the formation of a deep vein thrombus. Each one patient suffered from DVT in the ISPC group (1.8%) as well as the non-ISPC group (0.8%). No PE occurred in the ISPC group, while two patients were attacked with PE in the non-ISPC group (1.6%). Although this showed no statistically significant difference in frequency of DVT and PE, ISPC can be an effective prophylactic device for both DVT and PE as well as a safe and convenientone.

Journal

• The Japanese Journal of Gastroenterological Surgery

  The Japanese Journal of Gastroenterological Surgery 30 (5), 1023-1027, 1997

  The Japanese Society of Gastroenterological Surgery

Keywords

• postoperative pulmonary embolism
• prophylaxis
• intermittent sequential pneumatic compression

Details

• CRID: 1390001204912825472
• NII Article ID: 130004343078
• NII Article ID: 110001296640
• NII Book ID: AN00192066
• DOI: 10.5833/jjgs.30.1023
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/30/5/30_5_1023/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1997227825
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed