What is the clinical evidence from this study?

Study design: Case Report. Population: Pulmonary embolism (n=1). Intervention: Pneumatic sequential compression device. Primary outcome: Pulmonary embolism.

March 1, 2000Anesthesiology

Pulmonary Embolism as a Consequence of Applying Sequential Compression Device on Legs in a Patient Asymptomatic of Deep Vein Thrombosis

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Key result

Pneumatic sequential compression device use is temporally linked to life-threatening PE in a case report.

Population

1 56-year-old woman with recently diagnosed lymphoma and small bowel obstruction, immobilized for 2-3 days…

Design

Case_report

Follow-up

until hospital discharge

Authors

ASAta SiddiquiKing's College Hospital NHS Foundation Trust TBTimothy G. BuchmanEmory University RHRichard S. HotchkissUniversität Ulm

Discussion

Member takes

Implication

May warrant pre-use DVT screening in high-risk patients; leaves open whether SCDs can trigger PE and requires prospective study.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A 56-year-old woman with lymphoma and small bowel obstruction who developed a pulmonary embolism after application of a sequential compression device.

Exposure

Application of a pneumatic sequential compression device with long sleeves to both legs at 45 mmHg inflation pressure.

Outcome

Acute pulmonary embolismsafety

Application of sequential compression devices in patients with undiagnosed DVT and risk factors (malignancy, immobility) may paradoxically trigger life-threatening pulmonary embolism.

Limitations

Cannot establish causality due to the presence of multiple risk factors for embolism (age, obesity, malignancy, estrogen replacement hormones, and relative immobility).
Anecdotal report should not be the sole basis for changing clinical practice.
Cannot establish causality
Anecdotal report
Presence of multiple confounding risk factors for PE (age, obesity, malignancy, estrogen replacement, immobility)

Cite This Study

Siddiqui et al. (2000) conducted a case report in Pulmonary embolism (n=1). Pneumatic sequential compression device was evaluated on Pulmonary embolism. Application of a pneumatic sequential compression device in a 56-year-old woman with multiple risk factors was temporally associated with the development of a life-threatening pulmonary embolism.

synapsesocial.com/papers/6aa23f5eec596860ff27cc0f https://doi.org/10.1097/00000542-200003000-00038

Topics

Pulmonary embolism

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Pulmonary Embolism as a Consequence of Applying Sequential Compression Device on Legs in a Patient Asymptomatic of Deep Vein Thrombosis

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Topics

Pulmonary Embolism as a Consequence of Applying Sequential Compression Device on Legs in a Patient Asymptomatic of Deep Vein Thrombosis

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

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