I would think you would want to do the standing exam if you DO find reflux in the supine RevTrend patient. As I understand it, there must be a minimum velocity and/or pressure gradient for competent valves to work well, sometimes achievable only with the patient really vertical. So to confirm truly incompetent valves you would need to stand them up. 

Don Ridgway
Grossmont Hospital
Grossmont College

-----Original Message-----
From: UVM Flownet on behalf of LORI LEVY
Sent: Thu 1/31/2008 8:23 AM
To: [log in to unmask]
Subject: Re: Venous insufficiency
 We do the exam in reverse trendelenburg and then repeat it with the
patient standing only if we don't find reflux.  We have good luck with
this and the docs are happy.  
I looked at the standards.  Does ICAVL require the entire exam be done
with the patient standing?


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