Doctor Caprini's Guide to Compression Stockings and Devices

Venous Anatomy and the Pathophysiology of CVI

Doctor Caprini explained that failed perforator and deep venous valves let ambulatory pressure leak into surface veins, causing white cell sludging, fibrin cuffs, and impaired oxygen delivery that, over time, produces chronic venous insufficiency, skin changes, ulceration, and varicose veins.

Indications and Classes of Compression Stockings

He outlined indications including swelling, aching legs, and ulcers, and described pressure classes from antiembolism hose at 8 to 18 millimeters through class one at 20 to 30, class two at 30 to 40, and class three at 40 to 50, plus circaid Velcro devices for adjustable high pressure.

Measuring, Fitting and Choosing Materials

Caprini recommended measuring ankle and calf circumference in the morning when swelling is minimal, wrapping a swollen leg before fitting, confirming arterial circulation with an ankle brachial index, and choosing heavier rubber materials for patients needing all day pressure retention.

Application and Removal Techniques and Devices

He demonstrated techniques for patients with limited hand strength or mobility, including gloves, rigid appliers with snaps, slippery gliding devices, and chairs or benches, showing hands free and assisted methods for closed and open toe hose.