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Complications associated with intermittent pneumatic compression.

E A Lachmann1, J L Rook, R Tunkel

  • 1Department of Rehabilitation Medicine, New York Hospital-Cornell Medical Center, NY 10021.

Archives of Physical Medicine and Rehabilitation
|May 1, 1992
PubMed
Summary
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Intermittent pneumatic compression devices (IPCDs) prevent deep-venous thrombosis (DVT) but can cause nerve injury and compartment syndrome in surgical patients. Alternative prophylaxis may be needed for cancer patients or those in the lithotomy position.

Area of Science:

  • Vascular Surgery
  • Neurology
  • Oncology

Background:

  • Intermittent pneumatic compression devices (IPCDs) are standard prophylaxis for deep-venous thrombosis (DVT) in high-risk surgical patients.
  • IPCDs are generally considered safe and complication-free in this population.

Observation:

  • Two unusual cases of IPCD-associated complications during surgery are presented.
  • Case 1: Bilateral peroneal nerve palsies in a weight-loss patient with pancreatic cancer.
  • Case 2: Lower leg compartment syndrome in a bladder cancer patient during prolonged surgery in the lithotomy position.

Findings:

  • IPCD use during surgery poses a risk of neurovascular compression.
  • Significant weight loss may increase susceptibility to peroneal nerve injury from compression garments.

Related Experiment Videos

  • The lithotomy position during surgery increases the risk of compartment syndrome.

    • Implications:

    • Physicians should consider alternative DVT prophylaxis methods for surgical patients with cancer or significant weight loss.
    • Alternative prophylaxis may also be warranted for patients undergoing procedures in the lithotomy position.
    • These findings highlight potential risks associated with IPCDs in specific surgical contexts.