ABSTRACT
BACKGROUND: We hypothesized that intermittent pneumatic compression device (IPCD) compression system might induce more decreases on the core temperature by increasing the lower extremity blood flow. This study investigated the effects of IPCD compression system on the body temperature in patients undergoing minor surgery under propofol-remifentanil anesthesia. METHODS: Forty female patients were randomly assigned to treat with either elastic stockings (ES group, n = 20) or IPCD (IPCD group, n = 20). Anesthesia was induced and maintained with propofol and remifentanil. The core temperature and arteriovenous shunt in the lower leg were measured using esophageal temperature and the calf to toe skin-surface temperature gradient, respectively. The measurements were taken at 15-minute intervals immediately after anesthesia induction (baseline values, T0) until the end of the surgery. RESULTS: During the study period, the core temperature and skin temperature gradient were comparable between the two groups. The core temperature decreased from 60 min in both groups. And, skin-surface temperature gradient decreased from 15 min in the IPCD group and 30 min in the ES group after anesthesia induction, without intergroup differences across time. CONCLUSIONS: This study demonstrated that the IPCD system did not affect the change in the core temperature when compared to the ES, in patients undergoing minor surgery during propofolremifentanil anesthesia. Thus, the IPCD system could be safely used during propofol-remifentanil anesthesia, without increasing the risk of the intraoperative hypothermia.
Subject(s)
Female , Humans , Anesthesia , Body Temperature , Hypothermia , Leg , Lower Extremity , Piperidines , Propofol , Skin Temperature , Stockings, Compression , Minor Surgical Procedures , ToesABSTRACT
OBJETIVO: Avaliar os níveis plasmáticos dos biomarcadores de lesão muscular, a saber, creatina quinase, lactato desidrogenase e mioglobina, em atletas profissionais de voleibol após exercícios musculares anaeróbicos, com e sem uso de meia elástica. MÉTODOS: Foram avaliadas dez jogadoras profissionais de voleibol, com idades entre 18 e 25 anos, utilizando ou não meia elástica (Sport Active®, Venosan, Abreu e Lima, Brasil), com compressão de 20 a 30 mmHg abaixo do joelho. As dosagens foram feitas em três momentos: M0, início da manhã, com as atletas em repouso sem uso de meia elástica; M1, início da manhã, após a realização de atividade física com uso de meia elástica; M2, sete dias depois, após a realização dos mesmos exercícios, porém sem uso de meia elástica. Aplicou-se a escala de Borg após cada série de atividade física para avaliação do esforço. RESULTADOS: Os valores médios obtidos para creatina quinase e lactato desidrogenase foram, respectivamente, de 117,7±40,2 e 134,2±11,3 U/L, em M0; 138,2±47,2 e 157,9±10,1 U/L, em M1; e 161,3±59,9 e 177,2±18,8 U/L, em M2. Os valores médios obtidos para mioglobina foram de 31,5±6,5; 34,9±5,6 e 38,6±12,6 µg/L nos momentos M0, M1 e M2, respectivamente. Houve diferenças estatisticamente significativas (Tukey) entre M1 e M2 para os valores de creatina quinase (p=0,0007) e lactato desidrogenase (p=0,000), mas não para os valores de mioglobina (p=0,1135). Os escores da escala de Borg em M1 e M2 foram, respectivamente, de 17,8 e 18,2, sem diferença estatisticamente significante entre eles (Wilcoxon). CONCLUSÃO: O uso da meia elástica foi associado a menores níveis plasmáticos dos biomarcadores de lesão muscular após exercício físico.
OBJECTIVE:To assess plasma levels of muscle soreness biomarkers, namely creatine kinase, lactate dehydrogenase, and myoglobin, in professional volleyball players following anaerobic exercise with and without the use of elastic stockings. METHODS: Ten female volleyball players aged 18 to 25 years-old were assessed with and without below-knee 20 to 30 mmHg compression stockings (Sport Active®, Venosan, Abreu e Lima, Brazil). Biomarker levels were assessed at three different moments: M0, early in the morning, with the athletes at rest, not using elastic stockings; M1, early in the morning, following a bout of exercise using elastic stockings; M2, seven days later, following the same bout of exercise, however not using elastic stockings. The Borg scale was used after each series of exercise to evaluate the physical effort. RESULTS: The means values obtained for creatine kinase and lactate dehydrogenase were, respectively, 117.7±40.2 and 134.2±11.3 U/L at M0; 138.2±47.2 and 157.9±10.1 U/L at M1; and 161.3±59.9 and 177.2±18.8 U/L at M2. The mean values obtained for myoglobin were 31.5±6.5; 34.9±5.6 and 38.6±12.6 µg/L at the moments M0, M1 and M2, respectively. Statistically significant differences were observed between M1 and M2 (Tukey) for creatine kinase (p=0.0007) and lactate dehydrogenase (p=0.000), but not for myoglobin (p=0.1135). Borg scale scores obtained at M1 and M2 were, respectively, 17.8 and 18.2, without statistically significant differences between them (Wilcoxon). CONCLUSION: The use of elastic stockings was associated with lower plasma levels of biomarkers of muscle injury after exercise.
Subject(s)
Humans , Adolescent , Adult , Athletic Performance , Athletes/classification , Creatine/blood , Motor Activity , Stockings, Compression , Exercise/physiologyABSTRACT
ObjectiveTo discuss the application of medical elastic stockings in nursing of patients with deep venous thrombosis formation. Methods62 patients diagnosed as acute lower limbs deep ve-nous thrombosis from January, 2005 to January, 2008 were randomly divided into the experimental group and the control groups with 31 patients in each group, the control group took general nursing measures, the experimental group used the medical elastic stockings based on the general care measures, The inci-dence of post- thrombosis syndrome was observed in two groups and underwent χ2 test. ResultsAfter two years follow- up, 2 patients relapsed and 3 patients appeared post- thrombosis syndrome in the experimental group, 8 patients relapsed and 10 patients had post-thrombosis syndrome in the control group. The relapse rate and incidence rate of peat-thrombosis syndrome in the control group were higher than those of the experimental group. ConclusionsThe use of medical elastic stockings can prevent acute lower limbs deep venous throm-bosis, and can reduce the symptoms of post-thrombosis syndrome, which deserves to be spread widely.