Intermittent pneumatic compression after intracerebral hemorrhage

• European Stroke Organisation (ESO) and European Association of Neurosurgical Societies (EANS) guideline on stroke due to spontaneous intracerebral haemorrhage
• Prevention of venous thromboembolism in acute spontaneous intracerebral haemorrhage: A survey of opinion
• Venous Thromboembolism Prophylaxis After Spontaneous Intracerebral Hemorrhage: A Review
• Patients with venous thromboembolism after spontaneous intracerebral hemorrhage: a review
• Early vs. late enoxaparin for the prevention of venous thromboembolism in patients with ICH: A double blind placebo controlled multicenter study
• Sequential Pneumatic Compression in the Arm in Neurocritical Patients with a Peripherally Inserted Central Venous Catheter: A Randomized Trial
• Venous thromboembolism prevention during the acute phase of intracerebral hemorrhage
• European Stroke Organisation (ESO) guidelines for the management of spontaneous intracerebral hemorrhage

Clinicians should pay attention to the prevention and management of Venous Thromboembolism after Spontaneous Intracerebral Hemorrhage. Intermittent pneumatic compression should be applied to patients with sICH on the day of hospital admission. After documentation of bleeding cessation, early initiation of pharmacological Venous Thromboembolism prophylaxis (24 h to 48 h from sICH onset) seems to be safe and effective in pulmonary embolism prophylaxis ¹⁾

Intermittent pneumatic compression device beginning the day of admission to prevent DVT (Level I ²⁾ ).

✖ not recommended: graduated compression device to prevent DVT or improve outcome (Level III ³⁾ ).