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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 54179
Experience:  GP in the United States
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Should my mother have had a compression device on her bad

Customer Question

Should my mother have had a compression device on her bad leg after surgery. She had a pin from hip to knee.she is classed as being in heart failure.when device removed she bled, requiring 3 units of blood.
Kt
Submitted: 7 months ago.
Category: Medical
Expert:  Dr. Phil, MD replied 7 months ago.

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Expert:  Dr. Phil, MD replied 7 months ago.

did they put a compression device on it?

Customer: replied 7 months ago.
Prefer to type
Customer: replied 7 months ago.
Do you have an answer to my question?
Expert:  Dr. Phil, MD replied 7 months ago.

I am asking if they put a compression device on her or you are just asking if they should?

Customer: replied 7 months ago.
They put device on both legs. Only one side had surgery. the pin was from hip to knee.
Expert:  Dr. Phil, MD replied 7 months ago.

It is probably to prevent clots

Is it from the knee down?

Customer: replied 7 months ago.
I know why they are used. Mum had it removed by a nurse and heard her say she should not have had it on to a colleague. Not long after she bled. She has had 3 units of blood with no explanation.
Expert:  Dr. Phil, MD replied 7 months ago.

I see.

Yes, if she is bleeding it should be removed.

but there is no way to know that before hand

It is good to have it on if there is no bleeding.

let me know if you have other questions.

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Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 54179
Experience: GP in the United States
Dr. Phil, MD and other Medical Specialists are ready to help you
Customer: replied 7 months ago.
I looked on the internet under compression device contra indications. This said it should not be used if there was a surgical implant. Wouldn't pinning come under this.?
Expert:  Dr. Phil, MD replied 7 months ago.

if there is an implant under the compression yes

but as long as the compression isn't on the implant it is fine

Customer: replied 7 months ago.
I believe there are two lengths of compression device. One to knee and one the whole leg. Am I right?
Expert:  Dr. Phil, MD replied 7 months ago.

I have never seen a whole leg compression device.

Customer: replied 7 months ago.
Pretty sure I read there was.if she had one that came within an inch of the pin, would that have interfered with the healing?
Expert:  Dr. Phil, MD replied 7 months ago.

It could have. Yes

There might be a whole leg version but it is never used in the hospital

Customer: replied 7 months ago.
If there was compression over the pin would this have caused significant blood loss?
Expert:  Dr. Phil, MD replied 7 months ago.

it could have. yes

Customer: replied 7 months ago.
What action should the nursing staff taken to minimise risk to my mother, bearing in mind her heart failure condition, on such blood loss.(obviously the transfusion)
Expert:  Dr. Phil, MD replied 7 months ago.

It is hard to say that without being there and seeing the situation and her chart

they might not have been anything they could have done

Customer: replied 7 months ago.
Wouldn't my mother's cardiac out put have been affected, and her heart have to work much harder?
Expert:  Dr. Phil, MD replied 7 months ago.

absolutely. Yes

Customer: replied 7 months ago.
Should her consultant and surgeon have been informed?
Expert:  Dr. Phil, MD replied 7 months ago.

yes

Customer: replied 7 months ago.
If an error has been made should a consultant discuss it with my mother.?
Expert:  Dr. Phil, MD replied 7 months ago.

of course

Customer: replied 7 months ago.
Is there any control on a compression device to regulate how much compression is applied. And would this be documented in nursing notes?
Customer: replied 7 months ago.
Don't worry, about to run out of questions.
Expert:  Dr. Phil, MD replied 7 months ago.

1)Yes, there are different pressure settings that the nurse can adjust

2)No problem. :)

Customer: replied 7 months ago.
I know that when you have a large foreign body in your skin it should not be removed without a Dr, as there will be alot of blood loss. Similarly,If mum had a device over her pin and it was suddenly removed, would it be expected to lead to significant blood loss. If this was indeed a risk, should a Dr have been involved with the removal?
Expert:  Dr. Phil, MD replied 7 months ago.

That is too hypothetical of a situation

I would need to be there.

Customer: replied 7 months ago.
I think I know enough to write to the surgeon.is there any question you would ask that I have not covered?
Customer: replied 7 months ago.
Dr.Phil. pretty sure that was my last question! Are you there?
Expert:  Dr. Phil, MD replied 7 months ago.

I'm here

I think you covered it!

I'm sorry this happened

Customer: replied 7 months ago.
Thanks Dr. Phil.do I ask good questions for someone with no school science qualification?
Expert:  Dr. Phil, MD replied 7 months ago.

Yes absolutely!

I thought you were in the medical field

Customer: replied 7 months ago.
Goodnight x
Expert:  Dr. Phil, MD replied 7 months ago.

welcome :)

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