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PubMed2003

Cohesive short stretch bandages in the treatment of venous leg ulceration.

These two case studies report how a cohesive short-stretch bandage was employed to promote venous leg ulcer healing. The two patients were obese and in addition had champagne bottle shaped legs. The cohesive short-stretch bandage was applied following the shape of the leg. By using a cohesive short-stretch bandage this provided bandage stability. This sustained compression resulted in oedema and pain reduction and promoted wound healing.

Bandages↗
PubMedDate not supplied

Actico: a short-stretch bandage in venous leg ulcer management.

Actico compression bandage system (Activa Healthcare) completes the prevention and treatment regime of venous leg ulcer management. Actico gives the patient comfort by being a simple two-layer compression bandage system that is also effective and which stays in place because of its cohesive nature. This product focus looks at the impact of venous leg ulcers, the use of compression and focuses on short-stretch bandages and the Actico bandage system.

Bandages↗
PubMed1999

The impact of a bandage training programme.

This study measured the impact of a training programme on nurses' bandaging skills and aimed to establish whether any improvements are maintained over time. Two commonly used high-compression bandages were investigated using the Oxford pressure monitor. A quantitative approach was taken using a quasi-experimental, pre- and post-test design. Using a sample of 23 community nurses, data were collected by means of a self-rating questionnaire, structured observation and objective measurement. Nurses' knowledge and competence significantly improved following training. However, the maintenance of skills requires further investigation. Nurses tended to overrate their competency in bandaging compared with actual proficiency. More nurses achieved better proficiency scores when using one bandage type compared with the other, but this was not statistically significant.

Bandages↗
PubMedDate not supplied

[Bandage to fix a peripheral intravenous catheter: an integrative literature review].

This integrative literature review aimed at identifying, in the national and international literature, from 1992 to 2002, the publications about bandages to fix a peripheral intravenous catheter and the implications of its usage. Seven scientific articles were identified in the Medline database by using the following keywords: peripheral catheterisation and bandage. The results showed that nurses made 85% of the publications; 42.8% used descriptive comparative research as their methodology and; 71.4% investigated the occurrence of complications. Two studies showed a decrease in the occurrence of complications during the usage of transparent bandage coupled with a safety device. It was concluded that there is not enough basis to subsidise the selection of a bandage to fix a peripheral intravenous catheter.

Bandages↗
PubMedDate not supplied

Accelerometric evaluation of ataxic gait: therapeutic uses of weighting and elastic bandage.

Two-dimensional (fore-aft and vertical) acceleration of locomotion was measured in 10 normal subjects and 13 patients with idiopathic olivopontocerebellar atrophy who were ataxic but able to walk without any assistance. Accelerometers were tightly placed on the third lumbar vertebra. Asymmetry and unsmoothness indices of locomotion defined from the line spectra of the accelerometric data were computed. Reproducibility of the indices was checked in the normal subjects and patients. The index values were significantly correlated with visual rating of gait unsteadiness in the patients. The indices for vertical components were significantly increased when subjects walked slowly. Effects of weights and bandages on gait were analysed by the fore-aft components of the indices. They were attached to both lower extremities. Weighting or bandaging did not change, or even increased the index values in most of the normal subjects. The indices were also unchanged in the patients. However, some of the patients showed significant improvement with weights or bandages. Mechanisms of therapeutic effects of weighting and elastic bandages on ataxia are discussed.

Acceleration↗
PubMed1999

Use of a noncontact radiant heat bandage for the treatment of chronic venous stasis ulcers.

A noncontact radiant heat bandage was used for the treatment of chronic venous stasis ulcers (mean duration 4.44 years) in inpatients who had failed aggressive inpatient and outpatient conventional therapy. The noncontact radiant heat bandage was placed over the ulcer for 5 hours daily: three 1-hour heating periods separated by two 1-hour nonheating periods during this 2-week trial. Wound size, status, and pain severity were recorded for each patient. A total of 17 patients with 31 total wounds were enrolled. No adverse effects were noted in any patient. There was improvement in 14/17 total patients during the 2-week inpatient trial and 8/17 patients healed completely after discharge. There was 1 recurrence during an 18-month follow-up. Pain scores were improved in most patients after the bandage was applied. The use of a noncontact radiant heat bandage is a safe and efficacious inpatient therapy for the management of chronic venous stasis ulcers in patients who have failed conventional therapy.

Aged↗
PubMed2000

A randomized, controlled, parallel-group clinical trial comparing multilayer bandaging followed by hosiery versus hosiery alone in the treatment of patients with lymphedema of the limb.

BACKGROUND: Multilayered, low stretch bandages (MLB) combined with exercises, skin care, and manual lymphatic drainage therapy are recommended as an intensive phase of treatment for lymphedema patients. The relative efficacy of each of the components of this comprehensive treatment program have not been determined. This study aimed to compare the effect of multilayer bandaging as an initial phase of lymphedema treatment followed by elastic hosiery versus hosiery alone. METHODS: A randomized, controlled, parallel-group trial was undertaken in the setting of the Lymphedema Clinic, The Royal Marsden Hospital, London. Ninety women with unilateral lymphedema (of the upper or lower limbs) were enrolled in the study. The interventions consisted of 18 days of multilayer bandaging followed by elastic hosiery or hosiery alone, each for a total period of 24 weeks. The main outcome measure was the percentage reduction in excess limb volume. RESULTS: The reduction in limb volume by MLB followed by hosiery was approximately double that from hosiery alone and was sustained over the 24-week period. The mean overall percentage reduction at 24 weeks was 31% (n = 32) for MLB versus 15.8% (n = 46) for hosiery alone, for a mean difference of 15. 2% (95% confidence interval, 6.2-24.2) (P = 0.001). CONCLUSIONS: Multilayer bandaging as an initial phase of treatment for lymphedema patients, followed by hosiery, achieves greater and more sustained limb volume reduction than hosiery alone.

Adult↗
PubMed2002

Use of a non-contact radiant heat bandage on ischemic dermal infections in an ovine model.

BACKGROUND: Chronic non-healing foot wounds are common complication in the diabetic population. Local radiant heat bandage has recently been proposed as an effective adjuvant. The purpose of this study was to evaluate the efficacy of such bandage in controlling infection in an ovine ischemic wound model. MATERIAL/METHODS: Bilateral flank ischemic wounds were created in a total of 42 sheep. 14 sheep were challenged with Pseudomonas aeruginosa (PA), 13 with Escherichia Coli (EC), and 15 with Methicillin resistant staphylococcus aureus (MRSA). The left flank was designated the treatment side and the right the control side. The radiant heat bandage was applied for a total of 10 days. The animal were then euthanized and the wounds harvested for bacterial quantification. RESULTS: 39 sheep completed the study. Mean bacterial counts were has follows: for MRSA, control 7.6 x 10(5) CFU/gm vs. heated 2.0 x 10(5) CFU/gm (p=0.16); for EC, control 1.1 x 10(6) CFU/gm vs. heated 2.7 x 10(5) CFU/gm (p=0.006); PA, control 1.7 x 10(6) CFU/gm vs. heated 3.9 x 10(9) CFU/gm (p=0.001). CONCLUSIONS: Non-contact radiant bandages controls bacterial growth in ischemic wounds infected with MRSA or EC and may potentially improve wound healing. Wounds infected with PA should no be submitted to such treatment.

Animals↗
PubMed1992

A double-blind comparison of adhesive bandages with the use of uniform suction blister wounds.

BACKGROUND AND DESIGN: The assessment of cutaneous wound healing in humans has been hampered by the inability to evaluate multiple wounds with identical origins, treatment histories, and sizes. There have been no double-blind wound healing studies in humans that compared one wound dressing with another. The purpose of this study was to determine if identical suction blister wounds could serve as a model to evaluate and compare wound healing and overall cosmetic appearance of wounds treated with commercially available adhesive bandages. In a double-blind study, we compared superficial skin wounds of identical depth and diameter, created on the forearms of five human subjects by means of a suction blister device. The wounds were covered by two common, commercially available adhesive bandages or a copolymer of polyurethane membrane type of wound dressing. We compared the degree of reepithelialization, erythema, skin depression, and overall cosmetic appearance of wounds with respect to the specific adhesive bandages used. RESULTS: The wounds covered with the copolymer of polyurethane membrane were judged to have better overall appearance and advanced reepithelialization compared with identical wounds covered by the other wound dressings. With the use of x5 magnification for viewing the wounds on the final day of evaluation (between days 18 and 22), the wounds treated with the copolymer of polyurethane membrane were judged to be the least depressed wounds in fields of identical wounds in the three subjects studied. Concordance between the evaluators' "blinded" assessments was uniform, and no discrepancy between the evaluators' assessments occurred at any of the time points. CONCLUSION: Identical wounds created with a suction blistering device can be used reliably to detect differences between the performances of wound dressings in healing superficial wounds. Superficial cutaneous wounds covered with a copolymer of polyurethane dressing demonstrated a superior rate of reepithelialization, less depression, and a better overall cosmetic appearance than wounds covered with two commercially available adhesive bandages.

Adhesives↗
PubMedDate not supplied

Laboratory-based evaluation of a compression-bandaging system.

Graduate external compression is a key factor in the successful treatment of venous leg ulcers, but can be damaging if used inappropriately. A new type of bandage has been designed to minimise the risk of tissue damage by controlling the amount of tension within the bandage during application. This laboratory study suggests that the bandage meets its design criteria, and highlights the importance of correct application to avoid excessive sub-bandage pressure.

Ankle↗
PubMed1989

Platelet activation following application of an Esmarch bandage and tourniquet in rabbits.

The present study evaluates platelet activation following application of an Esmarch bandage and a tourniquet, procedures commonly employed to provide a bloodless operative field during limb surgery. Platelet aggregation was increased in blood samples taken from rabbits 60 min after an Esmarch bandage was applied to one thigh and immediately released. When this treatment was combined with the application of a tourniquet for 60 min, a procedure which alone did not affect platelet aggregation, results were similar to those obtained following the Esmarch bandage alone. These data suggest that tissue compression produced by application of an Esmarch bandage, but not the ischemia derived from the tourniquet, produced platelet aggregation.

Animals↗
PubMedDate not supplied

[Assessment of the efficacy of venous support by elastic bandages using transcutaneous measurement of oxygen pressure (TcPO2)].

Venous contention with elastic bandages is widely used in the treatment of Venous Insufficiency. We have attempted to number the clinical improvement by measuring TcPO2. Our study includes 16 cases; divided as follows: 6 healthy subjects (reference), 5 patients with severe varicose veins of the lower extremities, without ulcer, and 5 patients with varicose veins with ulcer of the leg. Measurements were carried out before and after 10 hours of venous contention. For each patient we have used a light bandage (x) with stretching to 30 and 50% of its length, and a heavy bandage (x) with stretching of 20 and 40%. Our results show, after contention, a decreased TcPO2 in the reference group, but an improvement of this TcPO2 in patients with varicose veins, with or without ulcer. This improvement is more marked with the use of light bandages.

Bandages↗
PubMed1980

Conjunctival bandage.

In those instances of corneal disease where a traditional hydrophilic bandage lens cannot be fitted, using the combination of a hydrophilic bandage lens and an overlying conjunctival flap is a relatively simple surgical procedure. It has the advantage of easy removability of the bandage lens while eliminating the possibility of accidental dislodgment of the bandage lens.

Adult↗
PubMed1993

The effect of the sight of blood and use of decorative adhesive bandages on pain intensity ratings by preschool children.

A total of 70 children between the ages of 3 and 6 years participated in two studies that tested the effect of (a) the sight of blood and (b) the application of a decorated adhesive bandage on pain intensity ratings following a fingerstick. In both studies, children were randomly assigned to one of four groups. These groups allowed for the combinations of testing blood or no blood and the application of a decorated adhesive bandage or plain adhesive bandage. The Oucher (Beyer, 1984) and the Poker Chip Tool (Hester, 1979) were used as self-report measures of pain intensity at the time of the fingerstick and immediately after the application of the adhesive bandage. The pilot study recruited 20 children from two day care centers and subjected them to sham fingersticks. Results indicated that there were no differences across the groups in pain intensity ratings. However, there was a trend for the sight of blood to increase the child's pain intensity rating. Age was a significant covariate across all groups, with younger children reporting higher levels of pain intensity. The second study took place in a pediatric test center of a metropolitan children's hospital. Fifty outpatient children who were receiving fingersticks for preoperative or diagnostic testing were enrolled. Results indicated that there were no differences across groups, and age was only significant on the Poker Chip Tool. These results suggest that simple interventions and distractions are not sufficient to decrease perceived pain intensity ratings in young children.

Analysis of Variance↗
PubMed1993

Bioburden and theoretical sterility dose calculation for radiation sterilization of surgical cotton and bandages.

The initial bioburden, count of colony forming unit (CFU) was determined on the locally manufactured non-sterilized surgical cotton and bandages. In all 489 tests were conducted on 163 cotton samples and 246 tests on 82 bandage samples. The surgical cotton showed an average of 198 microbes with a maxima of 287 and minima 94 whereas bandages showed an average of 179 microbes with a maxima of 268 and minima of 89. In the 20% samples subjected to identification no anaerobic microorganism was isolated while the aerobic microorganisms isolated were all bacilli. The sterilization dose (SD) for sterility assurance level (SAL) of 10(-6) was 2.23 Mrads and 2.21 Mrads, whereas the device verification dose (DVD) was 0.6 and 0.59 Mrads for cotton and bandages respectively as calculated by the method proposed by the Sterilization Standard Committee, Association of Advancement of Medical Instrumentation (AAMI).

Bacteria↗
PubMed1977

[Bandage in the treatment of chronic venous insufficiency].

Bandage treatment in the phlebologic sector may be very successful, yet is seems to be practiced still in too few cases. Mostly bed-rest and treatment in hospital are preferred, methods which include the danger of a beginning deep phlebothrombosis. Propagation of more frequent application of bandages and systematic use of bandage treatment seems necessary, followed by systematic use of elastic stockings, to reduce the number of recidives. Indications of the different bandages and their method of application are discussed.

Bandages↗