TED Stockings: Thromboembolic Deterrent Hose for DVT Prevention

TED = ThromboEmbolic Deterrent (anti-embolism stockings).

Indications

• Postoperative (especially orthopedic, abdominal, pelvic).
• Immobility (stroke, trauma, critical illness).
• Pregnancy/postpartum (high-risk).
• History of VTE.

Mechanism

Graduated compression (18 mmHg at ankle, decreasing proximally) → increases venous velocity, reduces stasis, enhances fibrinolysis.

TED vs. Graduated Compression Stockings (GCS)

• TED: Low pressure (8–18 mmHg), for bedbound/supine patients; white, open-toe.
• GCS (medical): Higher pressure (20–30, 30–40 mmHg), for ambulatory patients; various colors/styles.

Contraindications

• Severe PAD (ABI <0.8).
• Severe heart failure (preload reduction).
• Skin infection, dermatitis, massive edema.

Fit by calf circumference; replace q3–6 months.