Intermittent compression boots vs. TED Hose

[JC74]

At my facility, our Orthopedic Docs use the intermittent compression boots, TED hose and sometimes one or the other, or both together. I would like some input on which is the most effective on post-op Hip fractures and joint replacements. Thanks!

[dmbfan]

Assuming the docs are prophylaxing for dvt, compression stockings (foot, calf, thigh) are the way to go. Most can be used as combination with TED stockings, but are not needed. Given the high risk of DVT in totals, a mechanical prophylaxis is optimal. Hope this helps!

At my facility, our Orthopedic Docs use the intermittent compression boots, TED hose and sometimes one or the other, or both together. I would like some input on which is the most effective on post-op Hip fractures and joint replacements. Thanks!

[Ortho_RN]

We use TED hose prior to the surgery, and when they come back they have on TEDs and the compression stockings both.

[dmbfan]

That's better than most docs, but keep in mind that 50% of DVTs occur on the operating table. Intermintent Compression is much more efficacious than TEDs hands down. (not to mention the sizing difficulties and potential for heel ulcers with TEDs!)

We use TED hose prior to the surgery, and when they come back they have on TEDs and the compression stockings both.

[hadrian142]

the latest recommendation is to use both at once.

[Renee' Y-Y]

I did a paper in school on DVT. Basically, the research says for some patients, no matter what you do they are still going to develop DVT. Therefore, anything & everything you can do to prophylax is the way to go. Use both.

[laurakc]

I think the TED hose make things worse for some patients because they do not fit right. However, some patients find the SCD's very annoying, and they must be put back on whenever the patient is out of bed..