wear compression garments during surgery?

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mnmbeck
mnmbeck Member Posts: 313
edited June 2014 in Lymphedema

I saw my PS today for my pre-op appt.  I am scheduled for exchange surgery on 3/27/14.  He said I could wear my sleeve/gauntlet for surgery if I wanted to....and that many people do.  I told him that my understanding was that I was NEVER to wear my compression garments when I am sleeping.  He said, "it's only 1-1.5 hours.  It is fine it you want to wear them, and it may help to remind people not to do any needlesticks or BP's on that arm." 

Is it true that I could wear garments?  Seems strange to me! 


Comments

  • LindaLou53
    LindaLou53 Member Posts: 929
    edited March 2014

    Hi mnmbeck!   Yes you can wear a compression sleeve and glove/gauntlet for many procedures both surgical and diagnostic where you will be asleep due to either general anesthesia or IV sedation.  I have worn my sleeve and glove while under sedation for colonoscopy and biopsies.  I will be wearing them this week while under general anesthesia for a brief surgery.  The OR staff is well able to maintain the sterile field as needed and also monitor you continuously, so I would not worry about wearing your garments for the exchange procedure.

    We are cautioned not to wear daytime compression sleeves regularly at night because many sleeves have a tendency to slip or roll down from the top of the arm.  During the daytime we are often tugging or pulling the sleeves back up without hardly thinking about it.  But when we are in a deep sleep if our sleeve rolls down, it can cause increased compression on our arms that will worsen the swelling and could possibly do damage over several hours.

    If someone routinely has problems with the sleeve slipping down, they should seriously consider being measured for a new sleeve which is a better fit.  But there are other reasons we should not wear our daytime garments for prolonged or night time sleeping.

    Daytime garment materials and construction work differently than night time garments.  A daytime garment is designed to help control our swelling while our bodies and muscles are in action.  Daytime garments use the constant movement of our muscles to help maintain proper compression and keep our swelling to a minimum during our daily activities.  They do not typically reduce our swelling, they keep it from getting worse.

    Night time garments are constructed to work best while our bodies and muscles are at rest.  A night time garment, properly fitted, is designed to work better at reducing our swelling overnight.  Only short stretch bandage wrapping at night does a better job of reducing swelling.

    From a practical viewpoint, however, how many of us take an afternoon nap or fall asleep watching TV while wearing our garments? I certainly do often and suffer no problems, but my sleeves usually tend to stay up. I suppose if someone was scheduled for a lengthy, multi-hour procedure under anesthesia it might make more sense to wear a night time garment?

    P.S.  And your PS is correct that wearing your garments will be a deterrent from having your LE arm used for IVs, blood draws or blood pressures!  :)

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2014

    Smart PS! I agree with LL that for such a short procedure you should be fine. It's not like you're going to be flopping around in your sleep. I'm a "floppy" sleeper, apparently moving around a lot in my sleep, and for me even an hour nap can mess up the sleeve--and mess with my arm--so I never do that. For even short procedures (colonoscopy, for instance), I wrap my arms. Still no guarantee some "know-it-all" nurse won't remove the wrap in recovery and clamp a bp cuff on it, so I also write on my arm with a permanent marker (I wouldn't recommend that under a day sleeve, though, since the ink might leak onto the sleeve and not be removable).

    Bet you're really looking forward to the exchange--yes! One more thing to view only in your rearview mirrror! Be well,
    Binney

  • Kicks
    Kicks Member Posts: 4,131
    edited March 2014

    In the time since developing LE I have had 4 surgeries and 1 procedure and have worn my day garments for 4 of the 5.  I had 2 cataract surgeries under 'conscious sedation'; a colonoscopy and a retina reattachment surgery (both under general) with my day garments on with all 4.   The surgery I had that I did not wear my garments, it was not possible at all to wear - surgery on LE wrist after I really messed it up.

    I was a bit suprized that garments would be allowed in OR as they are not 'sterile'.  But then after more thought - in most situtations - no OR is really totally 100% sterile or getting there or away.  I did take a 'clean' set (a freshly washed set) with me to change into when I put my 'gown' on when getting ready.

    There is a world of difference between taking a nap (or just sitting at a meeting or on the couch for some prolonged time with little movement) and sleeping the entire night.  Day garments are designed to be 'active' as in no really prolonged times of little to no movement over and over (as in all night every night).  Night garments are 'passive, designed for extended periods with very little, to no, movents over long time.

    Forgot to add - when  had my retina surgery last Sept, the private Surgical Hospital had 'Pink Sleeves' to go on arm even if you weren't wearing your garments.t

  • kira66715
    kira66715 Member Posts: 4,681
    edited March 2014

    One caveat: and I was wrapped for my lengthy hysterectomy last year (robotic): I had the staff tell me I wouldn't be allowed to wear  g-sleeve--just stockinette with a warning to leave the arm alone, as it wasn't sterile--and this was for the D&C that preceded the hyst.

    So, I had my surgeon get clearance from anesthesia, so no nurse in pre-op could give me a hard time, and I went in wrapped, got zero push back, and was wrapped through out the robotic procedure, in post op and during my overnight stay. It was the only part of me that didn't swell.

     So, make sure it's very clear heading in, so you don't get the "it's not sterile" nonsense from anyone in preop. When I got it during my D&C, I proceeded to gauze wrap my fingers, put on the g-sleeve and got no hassle from anesthesia, just angry looks from the nurse....

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2014

    I too have worn mine through procedures requiring anesthesia / sedation... not that its full proof of a surgeon "coming at you" and physically trying to pull your sleeve down to place the needle. IF it happens while you're awake, what are you up against when you're out to it?  After the rigmarole I went through, I now make doubly and triple sure those involved know there's NO BPs or sticks in my arms.

  • Kicks
    Kicks Member Posts: 4,131
    edited March 2014

    The surgeon is not the one responsible for anesthesia! The anesthesologist (sp?) is.  They are both specialist in their own field.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited March 2014

    Neither here nor there, but you can ask the surgeon prior to the procedure to actually use the surgical marker to write on your arm No IV/BP/Needles in big letters, just know that it won't wash off for a while.  If you decide not to wear your garments here is the G-sleeve site:

    http://www.g-sleeve.com./

    Just had surgery on the 7th and was grateful that the pre-op nurse put the BP cuff on my ankle without being asked.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2014

    Kicks I said "anesthesia / sedation"  and in this case my surgeon wanted to place a needle for a sedative.

    I know an anesthetist is required for a anesthesia. I also know an anesthetist
    is one of the most highly trained people in the med field requiring years of study. 

    you can ask the surgeon prior to the procedure to actually use the
    surgical marker to write on your arm No IV/BP/Needles in big letters,

    SpecialK lol, in this case the surgeon would've ignored their own writing!  ... thanks for the link.  If Ive seen it mentioned before about the G sleeve Ive forgotten. DOnt know if we get those in NZ. I just use a bright  pink wrist band.

  • LindaLou53
    LindaLou53 Member Posts: 929
    edited March 2014

    I wore my regular daytime compression sleeve and glove during my recent surgical excision of a neck node.  They used that arm for all my hospital ID and alert arm bands.  (The pink limb alert band was theirs not mine).  The surgery was under general  anesthesia but before they put me under I remember them snugly wrapping my left arm and torso in surgical drape to keep it clear of the sterile field.

    image

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