Pneumatic pump reduces leg wound complications in cardiac patients
| Autor: | Man Ping Sun, Clement S. W. Chiu, Timmy W K Au, Cally K L Ho |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Lower limb edema 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Patient satisfaction Randomized controlled trial law medicine Edema Humans Surgical Wound Infection In patient Saphenous Vein 030212 general & internal medicine Prospective Studies Coronary Artery Bypass Intermittent Pneumatic Compression Devices Wound Healing business.industry General Medicine Length of Stay Middle Aged medicine.disease Lymphatic disease Surgery medicine.anatomical_structure Lower Extremity Vein harvest Wounds and Injuries Female Cardiology and Cardiovascular Medicine Wound healing business Vascular Surgical Procedures Artery |
| Zdroj: | Asian cardiovascularthoracic annals. 14(6) |
| ISSN: | 1816-5370 |
| Popis: | Leg wound complications at the site of vein harvest for coronary artery bypass graft, although infrequent, cause significant morbidity. Pneumatic pressure therapy is valuable in venous and lymphatic diseases, but its usefulness after leg vein harvest has not been determined. A prospective randomized controlled trial was conducted on 200 patients, half of whom had sequential pneumatic leg pump therapy postoperatively. Wound healing, extent of lower limb edema, patient satisfaction, and the financial implications of pneumatic pressure therapy were assessed. In the study group, 71 patients had satisfactory wound healing vs. 23 in the control group. The leg wound infection rate in the study group was 3% vs. 15% in the control group ( p = 0.003). Lower limb edema was significantly reduced in the study group in the early postoperative period ( p < 0.05), and the mean postoperative length of hospital stay was reduced by 2.6 days in patients given pneumatic pressure therapy ( p = 0.003). The sequential pneumatic leg pump is an effective, inexpensive, and convenient device that reduces leg wound complications after coronary artery bypass grafting. |
| Databáze: | OpenAIRE |
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