TEDs or Jobst anti-embolic stockings?

  1. Which does your institution use, and why? Do you use them under SCDs (sequential compression devices) until patients are ambulatory, or alone?

    I am trying to find literature to support one brand over another, but even Jobst says that they haven't done any recent efficacy studies comparing their product with TEDs.

    I recall, however, that in the '90s there was concern that TEDs were not true graduated compression stockings; that is, they did not deliver the pressure gradients that Jobst claimed to deliver. Since then, though, I've seen an Australian and an English study that found fault with Jobst, as well, for the same reason.

    I do realize that antioagulation is another factor to be considered in bedbound patients, and that proper measurement and application of whatever antiembolic stocking is chosen (and patient compliance with keeping them on, as well as keeping the SCDs turned on,) is necessary for optimal DVT prophylaxis.

    Just curious as to whether anyone has seen any nursing research (or medical research) that influenced their decision to choose one product over the other.
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