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Morris and Woodcock (2004) summarized the currently published scientific evidence for the venous flow effects of mechanical devices, particularly IPCDs, and the relation to prevention of DVT.
Surgical staff assured that those patients received an anticoagulant or IPCDs. The researchers concluded that computer reminders and altered care procedures may prove highly effective in surgical settings where DVT prophylaxis rates remain low following high-risk assessment procedures.
When IPCDs are recommended, they should be applied as soon as possible for optimal benefit.
Intraoperatively, the circulating nurse should confirm periodically that IPCDs are in place and functioning, and that the pneumatic unit is connected to a power source for the duration of the procedure to preserve battery life.
Any patient feedback regarding the IPCDs with regard to their comfort, functionality, or convenience should be communicated to the manufacturer to allow future improvements to the device.
One used a standard calf-length IPCD device (SCD group), while the second group used a miniaturized sequential device (continuous enhanced-circulation therapy [CECT]).
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