Anti-embolism stockings (often called TED stockings – Thrombo-Embolic Deterrent stockings) are a special type of compression stocking designed mainly to reduce the risk of blood clots (deep vein thrombosis – DVT) in patients who are bedridden, recovering from surgery, or have limited mobility.
What Are Anti-Embolism Stockings?
- They are graduated compression stockings that exert gentle, consistent pressure on the legs.
- Unlike general medical compression stockings (which are for people who walk or stand), anti-embolism stockings are intended for non-ambulatory patients (those confined to bed or with limited movement).
- They help maintain blood flow and reduce venous stasis, lowering the chance of clot formation.
Key Features of Anti-Embolism Stockings
- Graduated Compression
- Highest at the ankle, decreasing upwards.
- Typically 8–18 mmHg (gentler than regular compression stockings).
- Knee-High or Thigh-High Lengths
- Knee-high: common for most post-surgical patients.
- Thigh-high: used if risk extends above the knee.
- Soft, Lightweight Fabric
- Usually made from elastic, breathable materials to allow all-day wear.
- Inspection Opening at the Toe
- Allows nurses/doctors to check circulation, skin colour, and oxygenation without removing the stocking.
- White or Light Colour
- Standard hospital issue, making it easy to monitor skin changes or drainage.
What One Should Know Before Using Anti-Embolism Stockings
✅ When to Use.
- After surgery (especially orthopedic, abdominal, or cardiac procedures).
- For bedridden patients (hospitalized or at home).
- For those at risk of DVT or pulmonary embolism due to immobility.
❌ When They Should NOT Be Used (Contraindications)
- Patients with peripheral arterial disease (PAD) or severe circulation problems.
- Patients with skin infections, ulcers, or dermatitis in the legs.
- Those with severe leg deformities or massive swelling that prevents proper fit.
⚠️ Important Considerations
- Proper Sizing is Critical → Stockings must fit snugly but not too tight. Incorrect sizing can cause skin damage or restrict blood flow.
- Regular Skin Checks → Inspect legs daily for redness, bruising, or ulcers.
- Wear Duration → Usually worn continuously during hospital stay (except when bathing or skin inspection is needed).
- Not a Substitute for Mobility → Whenever possible, patients should still try to move, walk, or do leg exercises.
- Different from Regular Compression Stockings → Anti-embolism stockings are for bedridden or inactive patients, while medical compression stockings (15–40 mmHg) are designed for ambulatory patients with venous disease.
✅ In summary:
Anti-embolism stockings are hospital-grade, gentle compression stockings mainly for patients confined to bed or recovering from surgery. They prevent DVT and embolism, but they must be correctly sized, monitored, and used only when indicated.
