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These devices have only one chamber in the sleeve. So, the pressure is only at one level, and it is not adjustable. It works well for people with moderate risk, and these are the cheapest, so they will be everywhere. In hospitals, one chamber devices also improve blood flow and reduce swelling, but they do not have the extra settings the two-chamber models offer.
In two-chamber devices, the pressure can change so that it can be high in one section of the sleeve and low in another. This mimics the body’s natural muscle movement more closely and is better for high-risk patients who need a lot of help avoiding blood clots. These systems are also better at reducing swelling. Two-chamber devices are usually seen in hospitals and clinics where they can customize treatment depending on each patient’s needs.
These systems track how well they are working, looking for blood flow changes, and adjusting their pressure to match. This means the compression becomes just right for each person and stay effective without overdoing it. These devices offer very personalized care and are good for long-term home use, but they cost quite a bit. Hospitals mainly use them when close monitoring of the patient’s condition is necessary.
Deep vein thrombosis (DVT) is a concern after several surgeries, especially those involving extended hospitalization. Sequential compression devices reduce the risk of DVT by promoting blood flow and decreasing venous stasis. It is now common to see these devices used both in inpatient settings and post-operative care where patients need help moving blood until they can resume normal activities.
Some people with chronic venous insufficiency need ongoing help to keep blood moving in their legs. Sequential compression devices make it affordable and easy to supply this compression at home or in a long-term care facility. With these devices, patients no longer need tightly wrapped bandages or dedicated diuretotherapy.
Lymphedema, a buildup of lymph fluid in the tissues, causes swelling in affected limbs. Sequential compression devices reduce this swelling by massaging fluid back through the lymphatic system. It can then be helpful for people with lymphedema, including those recovering from certain cancer treatments or surgeries where lymph nodes were removed.
Patients who are bedridden or unable to move around much have poor circulation, leading to various complications. Thus, hospitals use sequential compression devices to improve circulation in these immobilized patients. The devices promote blood flow, reducing the risk of clot formation and associated cardiovascular issues.
These devices deliver pneumatic compression through sequential inflatable chambers in the sleeves or boots worn around the legs or feet. The models vary widely regarding:
Compression Patterns
Single and two-chamber systems differ. The single chambers inflate and deflate uniformly, while the two-chamber systems use more complex sequences that imitate how muscles contract when one moves.
Pressure Settings
Different and available pressure modes allow the compression intensity to change within a pressure range. It will be low for weaker patients and high for those who can tolerate it.
Time Cycles
The time spent at each pressure level before moving on to the next one is called sequencing. Longer cycles help mobilize more fluid, while shorter cycles maintain blood flow without risking clotting.
The sequential compression devices are easy to operate since it only depends on some basic points. This is how one can benefit from the device:
But to keep these devices running efficiently, time and care are needed, so here are a few basic things to do and avoid:
This means carefully measuring each patient’s leg dimensions to select the appropriately sized sleeve. There is a high chance of complications if the fit is poor. Tight shoes that do not fit well might cause pressure sores. At the other end of the spectrum, loose ones do not deliver effective compression and, hence, do not serve the purpose.
It is essential to note that there is a need to monitor the sequential compression devices regularly. What is the reason? Because one has to watch constantly for discomfort, skin changes, and abnormal swelling are common effects. One also has to ensure the device settings are aligned with the person’s condition. The focus must also be on making adjustments to the settings of the device based on how it is working on patients.
Certain situations do not allow the use of these devices. It is always good to consult the doctor first to know the precautions one must take. Sequential compression devices may not be ideal for people with existing circulation issues. Also, those with severe leg infections or certain heart problems face this scenario.
To get the benefits intended, these devices must be worn when recommended. Using them intermittently does not provide sufficient DVT protection or improved circulation. It fades to near insignificance without constant therapeutic pressure.
A1: Deal with a medical professional to select the right kind. Follow the hospital’s requirements, budget, and how tough it is to install or use the product.
A2: Often, yes. They work well together to prevent DVT. But one has to consult with the doctor about using both together, considering each person’s case.
A3: The practitioners set the timer for when it should stop working. It depends on research and how long each patient needs help with circulation.
A4: Only use them after being advised by a healthcare professional who explains correctly how to operate and care for the devices.