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Cold Gloves and Socks


Medical editor Bjørn Naume MD
Oncologist
Oslo University Hospital
Norway

Anne Kathrine Aares Tronstad
Oncology Nurse
Oslo University Hospital
Norway

General

Clinical studies (Journal of Clinical Oncology – July 1, 2005 from Southwest Technologies) have shown that use of cold gloves and socks reduces nail loss and skin damage in patients receiving docetaxel and pegylated liposomal doxorubicin.

Indications

  • Docetaxel treatment for prostate and breast cancer
  • Pegylated liposomal doxorubicin treatment for ovarian cancer

Contraindications

  • Should not be used in patients with curative treatment (adjuvant/neoadjuvant treatment of breast cancer)
  • Raynaud's disease
  • Distal metastases
  • Distal arterial insufficiency
  • Cold intolerance

Goal

  • To avoid loosening/loss of nails or skin damage
  • Preventing neuropathy

Equipment

The gloves and socks are made of a glycerine gel which maintains its elasticity also when frozen. The outer fabric is water-proof and elastic. The Velcro holds the products securely in place.

  • Elasto-Gel cold gloves and/or socks
  • Disposable gloves/socks for use inside

Preparation

  • The products should be stored in the plastic bag in a freezer which maintains a temperature of -25 to -35°C for at least 12 hours before use. The elasticity is maintained in temperatures down to -30 °C.
  • Gloves/socks should be used at each treatment to maintain the effect.

Implementation

  • Wear disposable gloves/socks inside for hygienic reasons.
  • Put on gloves/socks 15 minutes before treatment and remove at the earliest 15 minutes after the end of treatment.
  • If the treatment lasts 1-1 ½ hours, the gloves/socks should be changed. This should take place after 45 minutes (or more often) if the patient feels they become too warm.
  • Change the gloves/socks as quickly as possible to avoid reflexes caused by dilatation of blood vessels.

Follow-up

  • Allow the gloves/socks to dry after use before they are put in the freezer again.
  • As needed, clean the surfaces in contact with skin with soapy water and dry thereafter. Never immerse the gloves/socks in water.

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