SCD's and TED hose - page 3

by arkierns | 51,443 Views | 30 Comments

I work at a VA hospital and it is common practice for our MD's to order sequential compression devices and TED hose to be used simultaneously. From the research I have done, there is no additive effect. What does your hospital... Read More


  1. 0
    What you are referring to are called Kendall Foot Pumps. They are blue and wrap around the foot held in place with velcro. They are not made to walk around in, and should be removed before getting the patient up. I have used them in the OR quite a few times on leg cases. Nice thing about them is that you can turn on just one side, also they work well when the patient is quite large and the SCDs won't go around the leg properly.

    Hope that this helps.........
  2. 0
    There's now a leg-sleeve device that comes with a battery pack that you can walk around in.

    The same company said the same thing about their footie version, but that's just as dangerous as their leg-sleeved one.
    Last edit by Marie_LPN, RN on Feb 5, '05
  3. 0
    Quote from Marie_LPN
    Oooooh, we have one surgeon that orders the thigh-high TEDS, the thigh-high SCD leggings AND the booties.

    I feel REEEEEEEALLY sorry for his pts. when they had to pee. I used to put a bedpan in their bathrooms, just in case they felt they weren't going to make it before i got them unhooked.
    My SCDs were from my ankles to my hips. It was the SCDs on the thighs that I found particularly nice. I have to admit that it did immobilize me...but I wasn't going anywhere: pca, pulse ox, 0-2, foley (thank god!) and abdominal surgery (so, sleeping bowels!). When they wanted me to get up and walk they just unhooked the hoses.

    NurseFirst
  4. 0
    There's some controversy about SCD's on the Spinal Cord Injury Unit at the VA where I work. Some staff think that the part that inflates belongs on the posterior foreleg, others think it belongs anteriorly. I will not divulge my opinion in order to not effect responses. Thanks.
  5. 0
    This is from the little experience I have with SCDs, having the part that inflates on the posterior side seems to make sense b/c the muscles are on the back on the leg. SCDs are suppose to promote circulation in pt. who are unable to ambulate enough to stimulate the circulation on their own.
  6. 0
    The reason SCDs work is that they compress striated muscle which causes the muscles to produce nitrous oxide into the circulatory system. The nitrous oxide is a great vasal dilator which helps prevent blood clots. This is why SCDs are also effective when used on the arms, even one arm or one leg. Therefore the inflatable part should be used over the posterior part of the leg over the muscle.
  7. 0
    Posteror, see my reply posted today.
  8. 0
    In the hospital I work at the mds typically order both teds and scds. In fact, while a patient in this hospital, I was given both, and told to put them on with a bp of 210/110
  9. 0
    We use the Kendal I believe we call them plexi pulses. They work well, no a patient is not to walk on them. Not safe.
  10. 0
    I see that it has been years since this was posted, and I have to admit that I did not read every posting so if this information is duplicated forgive me. The reason for having both TED hose and sequential compression devices is because while SCDs do return venous blood from the lower extremities, in surgical patients SCDs are useful because they release endothelium derived nitric oxide and plasminogen into the circulation that increases fibrinolysis and reduces stasis. This is why you can use only one compression device and the effects are the same (i.e. using one compression device on unaffected limb of a lower limb amputee).

    Hope this helps.


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