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•Hang Sell Box •Easy fit range of sizes •Clinically Recommended •Reduces the risk of Venous Thrombosis (blood clots) and PE (Pulmonary Embolism) in the veins of the leg Introduction to Venous Thrombo embolism (VTE) Reducing the risk of venous thrombo embolism (deep vein thrombosis and pulmonary embolism) in inpatients undergoing surgery. Note: SFA= Superior Femoral Artery Introduction to VTE •Deep vein thrombosis (DVT) occurs when a blood clot forms in a deep vein. •It most commonly occurs in the deep veins of the lower leg and can spread to the deep veins in the thigh. •Rarely, it can occur in other deep veins, such as those in the arms Many blood clots that occur in DVT cases are small and cause no hassles. Larger blood clots may cause the following symptoms: •swelling of the affected leg •pain in the affected leg •reddening of the affected leg The aim of is to provide prophylaxis to prevent the formation of a thrombus (DVT) and Pulmonary Embolism (PE). How Blood Clots (Thrombi) Form Cardiovascular system Heart Arteries Veins Lungs Pulmonary Embolism •Majority of Emboli occur during or shortly after surgery •Many Emboli are never recognised •Preventative measures are vital •Prophylaxis saves lives Prophylaxis with Anti-Embolism Stockings • Compensation for inactive calf muscle • Circular pressure compresses the vessels • Reduction of vessel diameter (lumen) • Graduated Decreasing Compression With Compression Without Compression Prophylaxis with Anti-Embolism Stockings •Graduated compression stockings (GCS) are the foundation of thrombosis prophylaxis. •The muscle pump of a patient lying down is inactive, and results in a slower venous return. •Thrombosis prophylaxis stockings exert pressure on the leg from the outside. This reduces the diameter of the veins and causes the blood flow to speed up. With Compression Criteria for Effective Compression •Graduated compression •Bedridden/ immobile patients – 18mmHg •Walking patients at least 22mmHg •Simple measuring for safety Indications for Use •immobile patients •pre-, intrapostoperative •pregnancy •Bed bound elderly patients •Bed bound tumour patients Contraindications for Use •Arterial circulation disorders •Right-side heart failure •Massive oedema of the leg •Pulmonary oedema •Gangrenous damages Caution should be taken and further advice sought from a medical professional if the enduser has any of the following: •Calf circumference exceeding 56cm •Extreme leg deformity •Tissue paper / fragile skin •Pressure ulcer to the lower limb •Dermatitis •Immediately post vein ligation •Recent skin graft to the lower limb German Engineered for the highest quality! is manufactured in Germany, is required to meet the standards set by RAL GZ-387. •The product is regularly tested by the independent Höhenstein Institute, as well as being tested continuously by the manufacturer using the same computerised equipment. •It is the only anti-embolism stocking in the world to be subjected to such rigorous testing. Features and Benefits Composition Features: Latex free material – 82% polyamide & 18% elastane Benefits Can be used on patients or by staff with allergies Immediate transportation of Ensures natural air exchange, perspiration to the outside of the ensuring optimal patient comfort stocking ‘Active Breathing’ thread knit The action of the material transports moisture away from the skin, preventing maceration (softening of the skin). This is a constant safeguard against the development of pressure sores, which can develop as a result of long periods in bed. Two-way Stretch •Anti-embolism stockings with lengthwise and widthways elasticity are known as two-way-stretch compression stockings •The elastic weft yarn (woven circumferentially) is responsible for the compression and shape of the stocking1. •A knitted-in, elastic yarn renders the knit elastic in the lengthwise direction, improving the fit and comfort of the stocking Two-way Stretch Features: Benefits: Two-way stretch that fits varying leg lengths and widths Easier fitting for patients of all sizes. Reduces amount of sizes to stock. •Longitudinal and lateral stretch – fits varying leg shapes. •Greater conformity to figure. •Reduces chances of incorrect sizing. Fleecy Lined Soft Heel Features: Benefits: Allows for easy size and width Colour coded heel and identification. top band thread. Helps to prevent pressure sores Fleece Lined soft heel from developing. Anti-bacterial and Antimycotic toe area Features: Benefits: •Unique anti-microbial Properties by Livefresh-N from Kanebo are derived from a physical and chemical manufacturing process •The thread itself is anti-microbial coated and not the finishing •Guaranteeing that the growth-inhibiting effect on the microorganisms is maintained even after several washes. •Reduces hospital acquired microorganisms and fungi between and at the base of the toes. Inspection opening Features: Benefits: •Allows constant monitoring of the toes, without having to remove the stocking. Any discoloration that develops, which normally indicated an arterial problem, is discovered at an early stage. •Situated on the ball of the foot •Allows for improved air-flow around which is ideal for circulation checks the toes. Hospital Market is valued at over $31million per Annum in Australia Non- Hospital Market continues to grow by 7.5% per quarter Figures from Price Water House Coopers 2010