Sunday March 28, 2010


Q: Should compression stockings be applied in already diagnosed DVT?

Answer: yes

Compression stockings that provide a 30-40 mm Hg compression gradient should be used, because they are a safe and effective adjunctive treatment that can limit or prevent extension of thrombus. Compression stockings of this type have been proven effective in the prophylaxis of thromboembolism and are also effective in preventing progression of thrombus in patients who already have DVT and PE.

The ubiquitous white stockings known as "Ted hose" produce a maximum compression of 18 mm Hg. Because they provide such limited compression, they have no efficacy in the treatment of DVT and PE, nor have they been proven effective as prophylaxis against a recurrence.


Related previous pearl: inflation and deflation cycle of intermittent pneumatic compression boots