GI surgery patients are at increased risk for venous thromboembolism (VTE) events

such as DVT and pulmonary embolism (PE). Mechanical VTE prevention includes the
use of graduated compression stockings and intermittent pneumatic compression
devices (IPCDs) on the lower extremities. An IPCD has an electrically operated pump
that intermittently inflates sleeves wrapped around the lower legs or the lower legs
and thighs, compressing the veins and increasing venous blood flow toward the
heart. IPCDs are applied and turned on before induction of anesthesia. Wrap the
sleeves around the legs smoothly to prevent folds when the legs are positioned in
stirrups. Ensure that there are no pressure points from the hose connections. Hang
the unit or place it on the floor under the OR bed in an area away from team
members' feet and areas that may be wet. Place a blanket or mat under the unit to
lessen vibration noise.