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Topics:
Pediatric Hematology/Oncology • Internal Medicine • Thrombosis • Hematology • Pediatric Hematology • Benign Hematology • Hemostasis/Thrombosis
Are SCDs contraindicated in patients with acute DVTs?
Is it different than early mobility that we always encourage?
Answer from: at Academic Institution
SCDs can help prevent DVT but I'm not aware of any evidence of benefit when treating an established event. There are rare reports of pulmonary embolism following the application of SCDs in patients with asymptomatic DVTs. I don't think this constitutes an absolute contraindication, but in the absenc...
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Answer from: Medical Oncologist at Community Practice
Mostly based on case reports and consensus documents and some solely on theoretical concerns, a wide range of side effects have been reported in the literature on this topic. If used properly, medical compression therapy associated adverse events are very rare based on the report from a consensus st...
Answer from: Medical Oncologist at Community Practice
A definitive clinical trial proved that SCDs are not necessary in high risk medical, surgical, or trauma patients if they are on chemical prophylaxis. Arabi et al., PMID 30779530These devices keep patients immobilized, increase the risk of wound breakdown and falling, interfere with sleep, waste nur...