Key result
Pre-operative intermittent pneumatic compression lowered systolic blood pressure at PACU discharge compared to control, with no major adverse effects.
Why the study?
To investigate the impacts of immediate peri-operative intermittent pneumatic compression on hemodynamic indicators in patients undergoing laparoscopic gynecologic surgery.
Does peri-operative intermittent pneumatic compression affect hemodynamic parameters in patients undergoing laparoscopic gynecologic surgery?
RCT (n=85)
Open-label
Block randomization
No
Does peri-operative intermittent pneumatic compression affect hemodynamic parameters in patients undergoing laparoscopic gynecologic surgery?
The use of intermittent pneumatic compression in the immediate peri-operative period for laparoscopic gynecologic surgery results in only minor, clinically insignificant changes in hemodynamic parameters.
Answers are grounded in this paper and cite their sources.
Negligible SBP shifts with timed IPC warrant no clinical caution; extends RCT evidence of hemodynamic safety in laparoscopic gynecologic surgery.
The randomized controlled study investigated the impacts of immediate peri-operative Intermittent pneumatic compression (IPC) on hemodynamic indicators in patients undergoing laparoscopic gynecologic surgery. Patients scheduled for elective laparoscopic gynecologic surgery were randomized to control (IPC not used), pre-operative IPC, post-operative IPC, and peri-operative IPC (performed both before and after surgery) groups. Systolic blood pressure (SBP), mean blood pressure (MBP) cardiac output (CO), heart rate (HR) and systemic vascular resistance (SVR) were measured at different time points. The results showed that SBP changes not obviously over time in the control and peri-operative IPC group. Compared with values before surgery, the pre-operative IPC group had a lower SBP (P < 0.01) at the end of PACU stay, whereas the post-operative IPC group had a higher SBP (P < 0.01) after surgery. All groups exhibited little or no variation in HR, CO and SVR. Conclusion is peri-operative IPC has no major adverse effects on hemodynamic parameters.
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Liu et al. (2022) conducted an RCT in Elective laparoscopic gynecologic surgery (n=85). Intermittent pneumatic compression (IPC) vs. No IPC before or after surgery was evaluated on Systolic blood pressure (SBP) before discharge from the PACU (p=<0.001). Pre-operative intermittent pneumatic compression lowered systolic blood pressure at PACU discharge compared to control, with no major adverse effects.
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