Document Detail

The effect of a mechanical venous pump on the circulation of the feet in the presence of arterial obstruction.
MedLine Citation:
PMID:  635749     Owner:  NLM     Status:  MEDLINE    
A boot of single layer, flexible vinyl sheeting and a pneumatic cuff encircling its top at the ankle, each independently inflatable, constitute a mechanical venous pump. Inflation of the cuff to the desired boot pressure is followed immediately by inflation of the boot from a reservoir with higher available pressure than that in the cuff. When the boot pressure reaches cuff pressure, the excess air escapes from the boot under the cuff. A low venous pressure at the foot could be maintained by compressing the foot for 2 seconds every 15 seconds with a pressure which is 10 millimeters of mercury above initial venous pressure. In seated patients with arterial obstruction whose supine ankle blood pressure was 60 milimeters of mercury or less, the rate of blood flow in the skin of the forefoot was increased by 104.1 +/- 43.7 per cent S.E.M., p less than 0.05, during venous pumping. In these patients, a change in posture alone from supine to sitting increased the rate of blood flow by 81.7 +/- 19.47 per cent, p less than 0.002. The combined effect of the erect posture and venous pumping was an increase of 185.7 +/- 49.63 per cent, p less than 0.01. Rest pain was relieved by the combined effect.
P Gaskell; J C Parrott
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery, gynecology & obstetrics     Volume:  146     ISSN:  0039-6087     ISO Abbreviation:  Surg Gynecol Obstet     Publication Date:  1978 Apr 
Date Detail:
Created Date:  1978-05-24     Completed Date:  1978-05-24     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0101370     Medline TA:  Surg Gynecol Obstet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  583-92     Citation Subset:  AIM; IM    
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MeSH Terms
Arterial Occlusive Diseases / physiopathology*,  therapy
Foot / blood supply*
Middle Aged
Regional Blood Flow
Skin / blood supply
Venous Pressure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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