Physical thrombosis prophylaxis for partially mobile patients
mediven® thrombexin® 21 is an anatomically knitted medical thrombosis prophylaxis stocking (MTPS). During the inpatient hospital stay, immobile and partially mobile patients have particular needs: inactivity causes the blood to flow more slowly to the heart. Therefore, there is an increased risk of a thrombosis and for the formation of postoperative and post-traumatic oedema. With 21 mmHg at the ankle region, the hospital stocking (colloquially also called thrombosis stocking) mediven® thrombexin® 21 is used for
- Physical thrombosis prophylaxis in immobile patients / partially mobile patients – pre-, intra- and post-operative1, 2
- Physical thrombosis prophylaxis in immobile patients with an increased risk of thrombosis (e.g. current venous disease, history of deep
- vein thrombosis).3, 4
- Prevention and therapy of post-traumatic and post-operative oedema and haematoma and for reduction of concomitant pain5, 6, 7
The mediven® thrombexin® 21 with the defined pressure gradient offers benefits for both patients and nursing staff: the silicone topband ensures a secure hold and the soft, breathable knitted fabric provides a pleasant wearing feeling. The simple handling of the product relieves the nursing staff and saves time, which, in turn, benefits the patients.
- Anatomically knitted stocking with precise graduated pressure gradient for differentiated physical thrombosis prophylaxis
- Open toe for improved hygiene and quick inspection of the circulatory situation
- Optimum care thanks to silicone topband with size indicator
- Instep area for an optimal fit and reduced formation of wrinkles when the foot is bent
- Colour marking at the heel for easy and correct positioning
- Colour coded size system for quick and simple selection of the correct stocking size
- Suitable for thigh circumferences up to 90 cm
Benefits
- Correctly applied, the textile fabric avoids painful constrictions and window oedema 8
- Simple handling and saving of time make things easier for nursing staff and improves patient care 7, 9
- Increased compliance with its high elasticity and soft, skin friendly and active breathing knit 10
- High efficiency and multiple usage 11
Round knitted clinical compression stocking for compression of the lower extremities, mainly for prevention of diseases of the venous system.
- Physical thrombosis prophylaxis in immobile / partially mobile patients - pre-, intra- and post-operative (1, 2)
- Physical thrombosis prophylaxis in immobile patients with an increased risk of thrombosis (e.g. current venous disease, history of deep venous thrombosis) (3, 4)
- Prevention and therapy of post-operative and post-traumatic oedema and haematoma and for reduction of concomitant pain (5, 6, 7)
- Advanced peripheral arterial occlusive disease (if one of these parameters is present: ABPI < 0.5, ankle arterial pressure < 60 mmHg, toe pressure< 30 mmHg or TcPO2 < 20 mmHg on dorsum of foot)
- Decompensated heart failure (NYHA III + IV)
- Septic phlebitis
- Phlegmasia cerulea dolens
- Massive oedema of the leg
Particular attention to
- Severe weeping dermatosis
- Intolerance to compressive material
- Severe paraesthesia in the limbs
- Advanced peripheral neuropathy (e.g. as seen in diabetes mellitus)
- Primary chronic polyarthritis
| Circumference in cm | Measure | S | S-X | M | M-X | L | L-X |
|---|---|---|---|---|---|---|---|
| Thigh (AG) | cB | 20 - 22 | 20 - 22 | 23 - 25 | 23 - 25 | 26 - 28 | 26 - 28 |
| cC | 30 - 42 | 30 - 42 | 34 - 46 | 34 - 46 | 37 - 50 | 37 - 50 | |
| cD | 29 - 41 | 29 - 41 | 33 - 45 | 33 - 45 | 37 - 50 | 37 - 50 | |
| cG | 48 - 60 | 56 - 70 | 56 - 70 | 64 - 80 | 64 - 80 | 72 - 90 | |
| lG (AG) | 65 - 89 | 65 - 89 | 65 - 89 | 65 - 89 | 65 - 89 | 65 - 89 | |
| Colour code heel | green | green | violet | violet | blue | blue | |
| Colour code thigh | green | grey | violet | grey | blue | grey |
Show sources
1 Sachdeva A. et al. Graduated compression stockings for prevention of deep vein thrombosis. Cochrane Database Syst Rev 2018;11:CD001484.
2 Attaran RR et al. Compression therapy for venous disease. Phlebology 2017;32(2):81–88.
3 Emter M. Mechanische Thrombose-Prophylaxe bei Patienten mit chronischer Venen-Insuffizienz, bei Varikose oder postthrombotischem Syndrom. Sonderdruck Verlag medical concept GmbH 5/1993. [article in German]
4 Munoz-Figueroa G. et al. Venous thromboembolism: use of graduated compression stockings. BJN 2015;24(13):680-685.
5 Winge R. etal. Compression therapy after ankle fracture surgery: a systematic review. European journal of trauma and emergency surgery: official publication of the European Trauma Society 2017;43(4):451–459.
6 Rabe E et al. Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement. Phlebology 2018;33(3):163–184.
7 Khoshgoftar Z et al. Comparison of compression stocking with elastic bandage in reducing postoperative edema in coronary artery bypass graft patient. J Vasc Nurs 2009;27(4):103–106.
8 Partsch H et al. Compression for leg wounds. The British Journal of Dermatology 2015;173(2):359–369.
9 Macintyre, L. et al. How can the pressure in anti-embolism stockings be maintained during use? Laboratory evaluation of simulated 'wear' and different reconditioning protocols: International journal of nursing studies 2016;64:19–24.
10 Glod, A. (2019): Kompression in der Wundbehandlung bei Ödemerkrankungen. In: vasomed 31. (2), S. 82–92.
11 Amin E E et al. Clinical and economic impact of compression in the acute phase of deep vein thrombosis. Journal of Thrombosis and Haemostasis 2018; 16: 1555-1563.
