equipment set-up and instructions
DESCRIPTION
Equipment Set-Up and Instructions. Off time is left at 0 until the sleeve is inflated and treatment pressure is reached then adjusted between 0 and 120 seconds When unit cycles off patient instructed to move extremity 30-seconds-on / 30-seconds-off setting is effective and comfortable - PowerPoint PPT PresentationTRANSCRIPT
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Equipment Set-Up and InstructionsEquipment Set-Up and Instructions
• Off time is left at 0 until the sleeve is inflated and treatment pressure is reached then adjusted between 0 and 120 seconds
• When unit cycles off patient instructed to move extremity
• 30-seconds-on/ 30-seconds-off setting is effective and comfortable
• Treatment should last between 20 and 30 min
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Cold and Compression CombinationCold and Compression Combination
• Combination of cold and compression has been shown to be clinically effective in
treating some edema conditions– Jobst Cryotemp - controlled cold/compression
unit • Temperature adjustment ranges between 10 - 25oC• Cooling accomplished by circulating cold water
through sleeve
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Cold and Compression CombinationCold and Compression Combination
• Cryo-Cuff is anotherdevice which makes use of a combination of cold and compression which provides an inexpensive means of treating edema
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Compression and Electrical Compression and Electrical Stimulating CurrentsStimulating Currents
• Intermittent compression Intermittent compression may also may also be used in be used in conjunction with a low-conjunction with a low-frequency pulsed or frequency pulsed or surging electrical surging electrical stimulating current to stimulating current to produce muscle produce muscle
pumping contractions pumping contractions • Facilitates resorption of injury byproducts Facilitates resorption of injury byproducts
by lymphatic system by lymphatic system
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Linear Compression PumpsLinear Compression Pumps• Incorporate sequentially Incorporate sequentially inflated multiple inflated multiple
compartment designs compartment designs • Designs have included a Designs have included a programmable programmable
gradient gradient designdesign• Linear pumps incorporate Linear pumps incorporate massage effects massage effects
of a distal of a distal to proximal pressure with a to proximal pressure with a gradual decreasegradual decrease
in pressure gradient in pressure gradient
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Linear Compression PumpsLinear Compression Pumps
• Highest pressure in distal sleeve and is determined by mean value of systolic to diastolic pressure
• Middle cell is set at 20 mm lower than the distal cell, proximal cell pressure is reduced an additional 20 mm
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Linear Compression PumpsLinear Compression Pumps• Length of each pressure cycle is 120 seconds • Distal cell is pressurized initially and
continues pressurization for 90 sec. • 20 seconds later middle cell inflates and after another 20 seconds
the proximal cell inflates• A final 30-second period allows pressure in all
three cells to return to 0 after which the cycle
repeats
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Clinical ApplicationsClinical Applications
• Intermittent compression has been Intermittent compression has been recommended for recommended for – LymphedemaLymphedema– Traumatic edema Traumatic edema – Chronic edema Chronic edema – Swelling Swelling – Intermittent claudications Intermittent claudications – Postoperatively to reduce the possibility of Postoperatively to reduce the possibility of
developing adeveloping a deep vein thrombosis deep vein thrombosis – Facilitate wound healing following surgery by Facilitate wound healing following surgery by
reducingreducing swelling swelling