The intermittent pneumatic compression (IPC) is an established, purely mechanical procedure of thromboprophylaxis. Like any medical procedure, it has limits. The following overview serves as professional guidance — the specific assessment of indication and contraindication is always made by the treating professionals based on the individual situation and the device’s instructions for use.
Contraindications per the instructions for use
According to the instructions for use, the Phlebo Press® DVT 650 Easy must not be used in the presence of one or more of the following conditions:
- Severe arteriosclerosis or other ischaemic vascular diseases — such as advanced peripheral arterial occlusive disease (PAOD).
- Severe, decompensated heart failure or conditions in which an increased fluid flow to the heart may be harmful.
- Known or suspected acute deep vein thrombosis, thrombophlebitis or pulmonary embolism.
- Local findings where the garments would interfere — including gangrene, recent skin graft, dermatitis or untreated, infected leg wounds.
What to watch for during use
Before use, an assessment of the vascular status and an inspection of the skin are standard. Particular caution applies in patients with pain-insensitive extremities. If pain, tingling, numbness, pressure marks or skin changes occur during use, the application is stopped, the garments are removed and the responsible medical professional is informed. A proper device instruction under §83 MPBetreibV ensures that nursing staff have a confident command of these points.
In case of doubt: seek advice
For questions on the use of the Phlebo Press® DVT 650 Easy or on its suitability in specific situations, the UniCare team provides the necessary usage and device information — in the interest of safe, guideline-based care.
Frequently asked questions
When must IPC not be used?
Recognised contraindications include, among others, an acute deep vein thrombosis and advanced peripheral arterial occlusive disease (PAOD). The full assessment of indication and contraindication is always made by the treating professionals.
Is IPC suitable in heart failure?
In decompensated heart failure, caution is required, as promoting venous return can increase preload. The decision is made individually by the treating professionals.
Where are the contraindications bindingly regulated?
Guidance is provided by the S1 guideline on intermittent pneumatic compression (AWMF 037-007). Binding, in addition, are the details in the instructions for use of the respective device.