Disclaimer: All content found on our website, including images, videos, infographics and text were created solely for informational purposes. The identification of which type of compression dressing to use is important in order to facilitate quick healing and prevent pain, infection, or even autonomic dysreflexia. For example, the, When treating ulcerated wounds on the legs, a patient may opt to use. 2001;47(2):34-46, 8-50. One last point. The Inner or contact layer is for patient comfort and absorbency and is typically made of gauze or foam. Clinicians should have patients wear some type of daily compression garment or device. Check bandage specification, First layer of elastic compression sub-bandage (pressure at ankle 17mmHg), Light compression able to apply and maintain pressures up to approx. A recent Cochrane Review by Nelson and colleagues concluded that intermittent pneumatic compression (IPC) may increase healing in comparison to no compression, but the studies have been small and more research is needed.32 Treatment with intermittent pneumatic compression may also shorten the duration of therapy, reduce cost and return the patient to activity sooner.33 In patients who have recalcitrant ulcers, lipodermatosclerosis and calf pump dysfunction, the addition of a sequential pneumatic compression device to compression bandages or stocking therapy may improve healing. … 32. 46. Nicolaides AN, Hussein MK, Szendro G, Christopoulos D, Vasdekis S, Clarke H. The relation of venous ulceration with ambulatory venous pressure measurements. Preserves elastic energy (no compression), Light support bandage. These stockings are made for patients who are non-ambulatory, non-mobile or bedridden to prevent venous thrombus. This type of bandage is usually made from elastic (latex or latex free) and utilizes either a metal clip or a Velcro method to secure it after wrapping it around the injured area. 33. 44. The third layer is the compression layer may be made of a cohesive or self-adhering material. 38. Replace these bandages every few months. Compression Bandages from the advanced wound care range of products from Smith & Nephew This website uses cookie s to help you get the most out of your experience during your visit, and we can improve the content served to you by collecting statistical information. This bandage works as a barrier to keep patients from scratching ulcerated wounds and prevents infection. Premium Elastic Bandage Wrap - 4 Pack + 4 Extra Clips - Durable Compression Bandage (2X - 3 inc… Buchmann WF. 2002;1(2). An understanding of the pathophysiology of the disease helps with therapy adherence.46 However, ulcer recurrence is often associated with failure to wear the compression socks or use the venous pump as directed. 28. Anecdotally, we have had success with intermittent pneumatic compression to lessen the recurrence of venous ulceration in morbidly obese patients who are ambulatory, live alone and are unable to don compression garments due to mobility challenges. Harding K, Comerota AJ, Partsch H. Chronic Venous Insufficiency and Venous Ulceration: Etiology and Treatment. Surgery. 1. Cornwall JV. Peripheral arterial disease in people with diabetes. The pressure exerted on a limb is directly related to the number of layers one applies, the tension of application and is inversely related to the circumference of the limb and the width of the bandage.17 In other words, the more layers and the higher the tension, the higher the pressure. Measurement is simple but essential. Short stretch bandages, traditionally, are manufactured of 100% cotton and depend a good degree on the weave of the product to produce the tension and hence compression.