scholarly journals 39 * THERAPEUTIC USE OF COMPRESSION STOCKINGS FOR ORTHOSTATIC HYPOTENSION: AN ASSESSMENT OF PATIENT AND PHYSICIAN PERSPECTIVES AND PRACTICES

2014 ◽  
Vol 43 (suppl 2) ◽  
pp. ii9-ii10 ◽  
Author(s):  
C. Quinn ◽  
J. Cooke ◽  
B. Deegan ◽  
A. Hannigan ◽  
C. Dunne ◽  
...  
Keyword(s):  
Orthostatic Hypotension ◽  
Therapeutic Use ◽  
Compression Stockings ◽  
Physician Perspectives

scholarly journals Therapeutic use of compression stockings for orthostatic hypotension: an assessment of patient and physician perspectives and practices

2014 ◽  
Vol 44 (2) ◽  
pp. 339-342 ◽  
Author(s):  
C. Quinn ◽  
B. Deegan ◽  
J. Cooke ◽  
S. Carew ◽  
A. Hannigan ◽  
...  
Keyword(s):  
Orthostatic Hypotension ◽  
Therapeutic Use ◽  
Compression Stockings ◽  
Physician Perspectives

scholarly journals The efficacy of nonpharmacologic intervention for orthostatic hypotension associated with aging

Neurology ◽  
2018 ◽  
Vol 91 (7) ◽  
pp. e652-e656 ◽  
Author(s):  
Julia L. Newton ◽  
James Frith
Keyword(s):  
Older People ◽  
Orthostatic Hypotension ◽  
Response Rate ◽  
Cardiovascular Responses ◽  
Class Iii ◽  
Abdominal Compression ◽  
Compression Stockings ◽  
Water Drinking ◽  
Nonpharmacologic Intervention

ObjectiveTo determine the efficacy and safety of nonpharmacologic interventions for orthostatic hypotension (OH) secondary to aging.MethodsA total of 150 orthostatic challenges were performed in 25 older people (age 60–92 years) to determine cardiovascular responses to bolus water drinking, compression stockings, abdominal compression, and physical countermaneuvers. Primary outcome was response rate as assessed by proportion of participants whose systolic blood pressure (SBP) drop improved by ≥10 mm Hg.ResultsThe response rate to bolus water drinking was 56% (95% confidence interval [CI] 36.7–74.2), with standing SBP increasing by 12 mm Hg (95% CI 4–20). Physical countermaneuvers were efficacious in 44% (95% CI 25.8–63.3) but had little effect on standing SBP (+7.5 mm Hg [95% CI −1 to 16]). Abdominal compression was efficacious in 52% (95% CI 32.9–70.7) and improved standing SBP (+10 mm Hg [95% CI 2–18]). Compression stockings were the least efficacious therapy (32% [95% CI 16.1–51.4]) and had little effect on standing SBP (+6 mm Hg [95% CI −1, 13]). No intervention improved symptoms during standing. There were no adverse events.ConclusionsBolus water drinking should become the standard first-line nonpharmacologic intervention, whereas compression stockings should be disregarded in this population.Classification of evidenceThis study provides Class III evidence that for older people with OH, bolus water drinking is superior to other nonpharmacologic interventions in decreasing SBP drop.

Graded Compression Stockings Prevent Post-spaceflight Orthostatic Hypotension

2009 ◽  
Vol 41 ◽  
pp. 59-60
Author(s):  
Steven H. Platts ◽  
Angela K. Brown ◽  
James P. Locke ◽  
Michael B. Stenger
Keyword(s):  
Orthostatic Hypotension ◽  
Compression Stockings

scholarly journals Conservative rehabilitation for a patient presenting with severe orthostatic hypotension after surgical management of brainstem tumor: illustrative case

2021 ◽  
Vol 1 (25) ◽  
Author(s):  
Misato Nagumo ◽  
Syoichi Tashiro ◽  
Nanako Hijikata ◽  
Aiko Ishikawa ◽  
Takenori Akiyama ◽  
...  
Keyword(s):  
Orthostatic Hypotension ◽  
Surgical Management ◽  
Pharmacological Therapy ◽  
Illustrative Case ◽  
Compression Stockings ◽  
Postoperative Rehabilitation ◽  
Basic Activity ◽  
Accompanying Symptoms ◽  
Prognostic Prediction ◽  
Rehabilitation Strategy

BACKGROUND Blood pressure (BP) dysregulation is frequently observed in patients after surgical management of brainstem lesions; however, there has been no standard rehabilitation. Considering the conflicting risks for hypoperfusion and disuse syndrome in these patients, a safe and effective rehabilitative strategy is warranted. OBSERVATIONS A 50-year-old man who had undergone craniotomy for resection of a recurrent dorsal medullary epidermoid cyst developed persistent orthostatic hypotension. It was resistant to physical exercise, pharmacological therapy, abdominal binders, and compression stockings; therefore, it inhibited postoperative rehabilitation. Although the responsible lesion was not clearly visible on the postoperative image, accompanying symptoms, including segmental sensory impairment, implied an improvement in BP control. Although there was a trade-off between the risk of developing disuse syndrome and a delay in functional recovery, the authors decided to continue a conservative rehabilitation strategy rather than increasing the workload. The patient’s BP control was gradually restored by the seventh postoperative week, and the authors proceeded with basic activity training. LESSONS A conservative prognostic prediction-based rehabilitation strategy was applied in this case. The precise evaluation of the accompanying neurological symptoms was helpful in deciding the treatment regimen. The conflicting risks for hypoperfusion and disuse syndrome in such cases must be considered.

Hazards in the Therapeutic Use of Morphine

1950 ◽  
Vol 34 (6) ◽  
pp. 1761-1777 ◽  
Author(s):  
Harold Jeghers ◽  
Irving B. Brick
Keyword(s):  
Therapeutic Use
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