Pneumatic thigh compression reduces calf volume and augments the venous return

被引:5
|
作者
Lattimer, Christopher R.
Kalodiki, Evi
Azzam, Mustapha
Geroulakos, George
机构
[1] Ealing & Northwick Pk Hosp, Josef Pflug Vasc Lab, London, England
[2] Univ London Imperial Coll Sci Technol & Med, London, England
关键词
Venous return; venous outflow; thigh compression; calf volume; air-plethysmography; venous flow; compression; REACTIVE HYPEREMIA; VARICOSE-VEINS; THERAPEUTIC IMPLICATIONS; POTASSIUM CHANNELS; HUMANS; INSUFFICIENCY; ACTIVATION;
D O I
10.1177/0268355514526183
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives Reactive hyperaemia following thigh compression increases arterial inflow and venous outflow. The net effect can be measured by changes in calf volume quantified using air-plethysmography. The objective was to investigate the effect of thigh compression on venous return. Method The right legs of 19 consecutive volunteers (14 male), median age 31 (25-56) years, were studied in the supine position using air-plethysmography. The clinical, etiological, anatomical, pathophysiological (CEAP) class was C-0. A thigh-cuff, 12cm wide, was inflated in increments of 10mmHg, from 0 to 80mmHg. After each inflation step, the calf volume increased to a plateau and was recorded. At 80mmHg, the thigh-cuff was deflated suddenly with the calf volume decreasing until baseline. Calf volume changes were recorded and stored for analysis. Results There was a stepwise increase in the venous volume of the calf with each incremental rise in thigh-cuff pressure up to 80mmHg (p<.0005, Friedman). The median (interquartile range) increase in venous volume from 0 to 80mmHg was 87 (65-113) mL (p<.0005, Wilcoxon). The volume change below the original baseline following thigh-cuff release was -16 (-12 to -25) mL (p<.0005, Wilcoxon). Conclusions Once optimised, intermittent pneumatic compression of the thigh may have a therapeutic role in augmenting the venous return and reducing leg swelling in patients.
引用
收藏
页码:316 / 322
页数:7
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