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Lymphedema Compression Devices Guide

Lymphedema is caused by lymphatic obstruction, often due to lymph node removal or enlargement, and can result from infections, injury, or tumors. Compression devices are used to reduce edema, improve healing, and prevent deep vein thrombosis, with various types including circumferential, intermittent, and sequential compression units. Contraindications for use include unhealed fractures, vascular diseases, and certain skin conditions, with precautions regarding pressure limits to avoid ischemia.

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10 views20 pages

Lymphedema Compression Devices Guide

Lymphedema is caused by lymphatic obstruction, often due to lymph node removal or enlargement, and can result from infections, injury, or tumors. Compression devices are used to reduce edema, improve healing, and prevent deep vein thrombosis, with various types including circumferential, intermittent, and sequential compression units. Contraindications for use include unhealed fractures, vascular diseases, and certain skin conditions, with precautions regarding pressure limits to avoid ischemia.

Uploaded by

kingofkingsmrphysioimtiyaz342
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

COMPRESSION

DEVICES
LYMPHEDEMA

• Lymphatic obstruction or lymphedema is a


blockage of the lymph vessels that drain fluid
from tissues throughout the body and allow
immune cells to travel where they are needed.
LYMPHEDEMA

• The most common reason for lymphatic


obstruction is the removal or enlargement of
the lymph nodes
CAUSES OF LYMPHATIC
OBSTRUCTION
• Infections
• Injury
• Radiation therapy
• Skin infections such as cellulitis
• Surgery
• Tumors
Purposes of Compression
device
Edema
reduction
• Improves healing
environment
• Improves range of
motion
• Decreases pain
Prevention of
deep vein
thrombosis

.
Types of Units
Circumferent • Inflates as a unit
ial

• Inflates and remains


Constant inflated

Intermittent • Cycles off and on


Sequential Compression
• Milks from distal to
proximal
Sequential • Chambers inflate
individually
• Air (pneumatic)
Media • Chilled water
(hydraulic)

.
Physiological Effects

Mechanical pressure Forces venous fluids


reduces edema proximally

Decreases capillary
filtration pressure,
limiting formation of
edema
Physiological Effects

Increased Lymphatic Buds


lymphatic uptake

Lymphatic
system consists
of “buds”

Improved
absorption and
removal of solid
wastes

.
Physiological Effects

Range of Motion Pain


Reduced fluid from the joint Decreased fluid decreases
Decreased fluid improves joint mechanical pain
motion • Decrease pressure on nerve
endings
Improved vascular function
decreases chemical pain
• Improved blood/oxygen supply

© 2005 – FA Davis, Inc.


Indications
Lymphedema

Traumatic edema

Chronic edema

Stasis ulcers

Intermittent claudications

Postoperatively to reduce the possibility of developing a deep


vein thrombosis
Facilitate wound healing following surgery
Contraindications

Possibility of an unhealed fracture


Compartment syndromes

Current peripheral vascular disease

Arteriosclerosis

Edema secondary to congestive heart failure

Ischemic vascular disease


Gangrene
CONTRAINDICATIONS
Dermatitis
Deep vein
thrombosis
Thrombophlebitis
QUESTION

• What is the difference between Deep vein


thrombosis and Thrombophlebitis?
Precautions
The pressure applied Upper extremity: 40 to 60
should not exceed the mm Hg
diastolic blood Lower extremity: 60 to 100
mm Hg
pressure

Too much pressure may result in ischemia

Wrinkling of underlying Stockings may


result in high-pressure areas.
Instrumentation
Power: Turns the unit on or off.

Temperature: Adjusts the temperature of the fluid.

Pressure: Adjusts the amount of This value should not exceed the patient’s diastolic
compression in millimeters of mercury blood pressure.
(mm Hg) applied to the extremity.

On-off time: Controls the proportion of the time that the compression is on and
off.

Pump: Turns on the pressure to the appliance.

Drain: Removes the pressure and deflates the appliance.

.
Preparation of the
Treatment

Determi
Remove Select Elevate Connect
ne
Remove any The The For best Connect the
jewelry on patient’s appropriate results, appliance to
the diastolic appliance elevate the the
extremity blood for the limb during compression
being pressure. extremity treatment. unit.
treated. being
treated.

.
Alternate Applications

 Elevate the
extremity
 Gravityassists in
venous/lymphatic
return
 Electrical
Stimulation
 Motor-level
stimulation provides
muscle pump

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