Vasopneumatic Device Therapy

Introduction

An Vasopneumatic device is composed of an inflatable garment consisting of multiple pressure compartments that wraps around the arm, leg or a body section and an electrical pneumatic pump that fills the garment with compressed air. The garment is intermittently inflated and deflated with cycle times and pressures that vary between devices.
Vasopneumatic therapy session

Vasopneumatic compression is used to reduce swelling and inflammation following surgery or other injury. Elevation is commonly used in conjunction with vasopneumatic compression. Recent investigations consider intermittent pneumatic compression devices for the following indications:

  • Enhancement of fracture and soft-tissue healing
  • Management of edema following femoro-popliteal bypass surgery
  • Rehabilitation for distal radial fractures
  • Treatment of critical limb ischemia
  • Treatment of peripheral arterial occlusive disease/arterial insufficiency
  • Treatment of restless legs syndrome
  • Treatment of sensory impairment in the upper limb following stroke
  • Treatment of upper extremity vascular ulcers

The following contraindications are listed in the Lymphedema Framework’s international consensus document “Best Practice Guideline for Lymphedema”:

  • Non-pitting chronic lymphedema
  • Known or suspected deep vein thrombosis
  • Pulmonary embolism
  • Thrombophlebitis
  • Acute inflammation of the skin (erysipelas, cellulitis)
  • Uncontrolled/severe cardiac failure
  • Pulmonary edema
  • Ischemic vascular disease
  • Active metastatic diseases affecting the edematous region
  • Edema at the root of the extremity or truncal edema
  • Severe peripheral neuropathy

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