Noninvasive detection and prevention of deep-vein thrombosis in the geriatric patient

Noninvasive methods for the early detection of, and prevention of deep-vein thrombosis can significantly reduce postoperative morbidity and mortality in the elderly due to venous thromboembolism. The technique of venous impedance plethysmography provides a rapid means of assessing the patency of the venous system by detecting changes in venous volume and maximum venous outflow, thus providing for early detection of deep-vein thrombosis. Prevention of deep-vein thrombosis can be accomplished through use of external intermittent pneumatic compression. This technique prevents venous stasis and stimulates the natural fibrinolytic activity of the vein-wall endothelium.