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At least 235 records · Page 13Linked to original sources
PubMed2000

Comparison of the healing rates and complications of three four-layer bandage regimens.

This randomised controlled study compares the healing rates, complications and patient and staff acceptability of three four-layer bandage regimens for leg ulcers. A total of 149 patients were recruited into the study, of whom 50 received the original Charing Cross system (CX4L), 50 a modified Charing Cross system (Parema) and 49 a commercially available kit, Robinson Ultra Four (Robinson). No significant difference was found in the healing rates of the three systems. Overall 12 weeks' healing was 65%, while the 20-week healing rates for the individual systems were 87% (CX4L), 84% (Parema) and 83% (Robinson). Analysis of known risk factors for delayed healing showed that no bandaging system had an advantage over the others. Staff familiarity resulted in an initial preference for the CX4L but there was no bandage preference by the end of the study. The data suggest that none of the systems has an advantage over the others and that cost savings can be made by pursuing a competitive pricing policy.

Adult↗
PubMed1991

Modern splinting bandages.

We have assessed the current range of synthetic splinting bandages, using physical and mechanical tests and the subjective opinions of patients, volunteers and orthopaedic staff. Modern bandages have some better properties than standard plaster bandage but do not conform as well, are more expensive, and potentially more hazardous.

Bandages↗
PubMed1981

First-aid for snake-bite: efficacy of a constrictive bandage with limb immobilization in the management of human envenomation.

A herpetologist was bitten on the thumb by a common brown snake (Pseudonaja textilis). A constrictive bandage to impede lymphatic and capillary flow was applied, and the upper limb was immobilized. Two hours after the bite, there were no signs of symptoms of envenomation and venom (to a sensitivity of 0.5 ng/mL) was undetectable in serum and urine. Within five minutes of removal of the constrictive bandage, significant signs of envenomation developed, and serum and urine levels of venom rose significantly. The patient received two ampoules of brown-snake antivenom, and had recovered within six hours. No anaphylaxis of other allergic phenomena occurred, despite the fact that three other doses of antivenom had been administered in the preceding 36 months for prior elapid envenomation. By means of an experimental whole-mouse technique, and an enzyme-linked immunospecific assay (ELISA) system, the snake involved was shown to deliver 4.91 mg of venom in an average bite. A constrictive bandage properly applied to impede lymphatic and capillary flow, together with limb immobilization, is effective in the field management of human elapid envenomation.

Animals↗
PubMed1991

[Compression stockings contra ace-bandages in the treatment of acute ankle distorsions. A prospective randomized study].

Sprained ankles are most often treated with ace-bandages. The aim of this study was to investigate the effect of compressing antiembolism stocking (T.E.D.) versus the ace-bandage in a prospective randomised trial. Evaluation was based on the duration of pain, swelling, limp and absence from daily routines (job, daily activity and sport). The study included 149 patients. We found no difference between the two treatments, on the basis of 95% confidence interval at the difference between the treatments. On the basis of this trial we cannot recommend one treatment rather than the other, but it must be borne in mind that the ace-bandage is cheaper.

Acute Disease↗
PubMedDate not supplied

[Compressive bandages].

Different compressive bandages for chronic venous deficiency and lymphedema, are categorized. These categories are not based on the bandage technique itself, but on its effect. The aims of the compression vary in accordance to whether the case involves a diffuse edema brought on by chronic venous deficiency or by lateral trophic problems following malfunctioning of the perforating veins, or difficulties in transporting tissue from the lymphedemas. These various etiological factors must be taken into consideration in the design and use of compressive bandages.

Bandages↗
PubMed1980

Clostridium perfringens wound infection associated with elastic bandages.

Clostridium perfringens wound infections were associated with the use of nonsterile elastic outer bandages in diabetic patients who had undergone lower extremity amputation for vascular insufficiency. In each case a second surgical procedure was required. Elastic bandages similar to those used in these procedures were found to contain C perfringens and other clostridial species. This report illustrates the need for maintenance of a sterile, nonpermeable inner barrier to prevent transudation of bacteria into the wound and the potential benefit of using sterile elastic outer bandages after amputation for vascular insufficiency.

Aged↗
PubMed1984

Compression bandage in the treatment of ankle sprains. A comparative prospective study.

The value of a compression bandage applied for 4 days following ankle sprains was assessed in a comparative study. The effect of the treatment was evaluated by changes in an inflammatory score based on a combination of subjective (pain, function) and objective (swelling, limitation of movement, pain on passive movement) factors. The study included two consecutive series each of 50 patients treated with a compression bandage, and untreated. There was no significant difference in the reduction of the inflammatory score from start to the fourth day (0.5 less than p less than 0.6) or from start to the eighth day (0.1 less than p less than 0.2) between the group treated with compression bandage and the untreated group. Analysis of the individual factors included in the inflammatory score demonstrated no difference in the course of pain, function, swelling, or limitation of movement between the two groups.

Adolescent↗
PubMed1981

A randomized trial for evaluation of bandaging sole abscesses in cattle.

A randomized clinical trial of treatment of sole abscess in cattle was conducted to determine whether bandaging a foot after debridement of an abscess improved outcome. Sixty-six feet from 63 cows were randomly allocated to bandaged or unbandaged groups, and clinical recovery was graded by comparison of lameness at initial examination and at 2 follow-up examinations. There was no statistically significant difference between the groups at entry into the trial or at 1 month after treatment. Unbandaged feet were significantly less lame 1 week after treatment, and this difference was attributed to rapid healing of small lesions in feet of cows in stanchion and tie-stall barns. There was no group in which bandaging improved outcome.

Abscess↗
PubMed1995

Venous leg ulceration: treatment by high compression bandaging.

Venous leg ulceration is a major tissue viability problem that is becoming better recognized as clinical wound care practice changes from being anecdotal-based to research-based. The current prevalence of leg ulceration in the UK, Sweden and Australia is approximately 1 percent of the adult population, and approximately half a million in the United States. Between 70 and 90 percent of leg ulcers in the UK are venous in origin. Research has shown that graduated compression bandaging is an appropriate method of managing venous leg ulceration for many patients. Since Stemmer's work showing the usefulness of higher levels of external pressure (40 mmHg), the reliability and predictability of the four layer high compression bandaging system has been demonstrated. The purpose of this article is to introduce the extent of the venous leg ulceration problem, discuss risk factors and other aspects of venous leg ulceration, support the use of graduated compression, and describe the four layer high compression bandage system. The success of the four layer system is linked to the wider issues of using a research-based approach to the assessment and management of venous leg ulcers, and such an approach is integral to cost-effective, high quality patient care.

Bandages↗
PubMed1995

[Clinical study of morphological changes after infragenicular auto-vein bypass operation with Esmarch's bandage method--an investigation by follow-up angiography].

Angiography after infragenicular auto-vein bypass operation with Esmarch's bandage method, in which preparation of the host artery was limited to its anterior wall and Esmarch's rubber bandage was used as a substitute for vascular clamps, was performed in 21 cases (23 extremities) in order to study morphological changes in the grafts, the distal anastomoses and the host arteries. The angiograms showed 1) dilation of the host artery and reduction of the difference between the diameters of the graft and the host artery, 2) smoothing of the angle between the graft and the artery, 3) disappearance of slight irregularities in the graft as well as disappearance of a slight stenosis, 4) no progression of sclerotic change in the distal artery, and 5) preservation of small branches near the distal anastomosis. These findings indicate that the distal anastomoses constructed with this technique were not surrounded by marked scar formation and that their shapes changed favorably to provide smooth blood flow over a long period. This is the reason why infragenicular auto-vein bypass operation was performed with an excellent long-term success using Esmarch's bandage method.

Adult↗
PubMed1993

[Treatment of epicondylitis radialis and ulnaris humeri in tennis players with fraction bandage. Results of a field study].

Elbow bandages were tested at the Orthopaedic University Clinics Münster (Germany) and Zurich (Switzerland), as well as at the surgery of an established orthopaedic surgeon. Both the effect of the bandage, i.e. the soothing and de-swelling effect, the function improvement, therapy progress and success were monitored and evaluated. The rest was designed as a short-term study with standardised scoring. After the falsification principle, the therapeutic effect was confirmed if a positive effect was shown during this time interval. Twenty-six patients between the age 26 and 65 were tested, 16 males and 10 females. In 18 cases the right arm was treated and in 8 cases the left arm. 17 cases of epicondylitis radialis humeri and 5 cases of epicondylitis ulnaris humeri were found. The time of observation was 2 weeks. The bandage effect was examined after 7 and 14 days.

Adult↗
PubMed1994

[A modified Desault bandage for fixation of the proximal humerus].

The authors present a variant of Desault's bandage for fixation of conservatively treated injuries of the proximal end of the humerus and for fixation of the upper extremity after surgery in this area. The bandage is made with elastic net bandage (called pruban), it is sufficiently strong and its application is easier and less time consuming.

Bandages↗
PubMed1996

The treatment of pain following excimer laser photorefractive keratectomy: additive effect of local anesthetic drops, topical diclofenac, and bandage soft contact.

BACKGROUND AND OBJECTIVE: Post-operative pain is a transient but undesirable side effect of photorefractive keratectomy (PRK). Pain control after excimer laser PRK was assessed in 112 eyes that were divided into 6 pain management groups. PATIENTS AND METHODS: "Pain at its worst" was measured using a visual analog scale. The groups are arranged in order, Group 6 having experienced the most effective relief of pain and Group 1 the least relief of pain: 1) Topical amethocaine/tetracaine, 2) Topical amethocaine/tetracaine plus bandage contact lens, 3) Topical diclofenac, 4) Topical diclofenac plus bandage contact lens, 5) Topical amethocaine/tetracaine plus diclofenac, and 6) Topical amethocaine/tetracaine, diclofenac plus bandage contact lens. All patients were given 10 tablets of co-dydramol (10 mg dihydrocodeine and 500 mg paracetamol per tablet). They were to be used every 4 hours, but patients were specifically instructed not to take the tablets unless the topical pain management was inadequate for their needs. RESULTS AND CONCLUSION: Group 6 was dramatically better than any other group. In fact, 31% of Group 6 patients had no pain whatsoever. Removing any one of the 3 pain management tools resulted in much less pain control. Day 1 pain was also much more effectively controlled by the Group 6 management compared with those of the other groups. Group 6 patients took fewer co-dydramol tablets than any of the other groups. In addition, Group 6 scored best n several other areas that were studied: a) Day 1 light sensitivity; b) Day 1 tearing; c) Day 1 drowsiness; and d) number of hours slept on the first night. The epithelium healed in all patients but one Group 5 and one Group 6 patient had an epithelial defect for longer than 7 days. There was no instance of infectious keratitis, nor was there an instance of the sterile keratitis that has been associated with the use of topical non-steroidal anti-inflammatory drops.

Acetaminophen↗
PubMedDate not supplied

Know how. Four-layer bandaging.

The concept of four-layer bandaging originated in the 1980s at Charing Cross Hospital, London. Since then, a second four-layer system in kit form has been developed. The results of a recent trial involving 232 patients showed that the two systems have equivalent healing. Today, four-layer bandaging is a popular compression regime, and is used in a wide range of health-care settings. Ease of application of the bandages, and reproducibility, mean that it is not only a therapeutic technique but a very safe one.

Bandages↗
PubMedDate not supplied

Braces for postoperative bandage after otoplasty.

Postoperative bandaging following otoplasty is commonly used. It is also frequently perceived as cumbersome and often lost by patients. Simple splinting potentially offers a less obtrusive postoperative ear fixation. Braces consisting of silicone-coated steel wire have been designed for simpler and lighter postoperative fixation. The braces replaced conventional bandaging. The initial favorable experience with the ear braces is described following the otoplasty of 17 ears. It is suggested that the use of splints may improve the immediate postoperative appearance, and subsequently compliance for patients. However, the long-term effect of postoperative bandaging remains unknown.

Adolescent↗
PubMed1998

Preadministration of incadronate disodium can prevent bone loss in rat proximal tibial metaphysis when induced by hindlimb immobilization by bandage.

The purpose of this study is to determine whether short-term preadministration of bisphosphonates prevents bone loss in rat proximal tibial metaphysis when induced by hindlimb immobilization by bandage. Six-month-old female Sprague Dawley rats were injected with incadronate disodium (YM-175, 10 micrograms/kg) or vehicle, three times per week for 2 weeks (YM or V groups). Then, the left hindlimb was fixed to the abdomen with a bandage (V-B, YM-B groups), or only the abdomen was bandaged as control (V-SHM, YM-SHM groups), for 4 weeks. The animals were subsequently killed and left proximal tibiae were processed undecalcified for quantitative histomorphometric evaluation. Immobilization-induced cancellous bone loss resulted not only from increased percent eroded surface area but also from decreased percent labeling surface and bone formation rate in V-B compared with V-SHM animals. In contrast, preadministration of YM-175 decreased percent eroded surface significantly and prevented the loss of cancellous bone mass in YM-B compared with V-B animals. Cancellous bone mass was neither increased nor decreased by preadministration of YM-175 in YM-SHM animals. Our results suggest that preadministration of bisphosphonates is effective in prevention of bone loss at the tibial metaphysis when induced by hindlimb immobilization in rats.

Animals↗
PubMed2004

Therapeutic use of a lotrafilcon A silicone hydrogel soft contact lens as a bandage after LASEK surgery.

PURPOSE: Soft contact lenses may be used as a bandage after corneal refractive surgery. Silicone hydrogel contact lenses offer the advantage of increased oxygen permeability over conventional hydrogel lenses for this application. To evaluate a silicone hydrogel contact lens as a continuous wear bandage applied after laser-assisted sub-epithelial keratomileusis (LASEK). METHODS: We conducted a prospective, open-label, non-randomized clinical trial involving thirty patients treated with unilateral LASEK. Patients were fitted with a lotrafilcon A (Focus NIGHT & DAY; CIBA Vision, Duluth, GA) silicone hydrogel soft contact lens that was worn continuously for 3 to 4 days post-operatively. Lens movement and slitlamp evaluations of conjunctival hyperemia 1, 2, and 3 days after surgery (DAS) were recorded, as was the condition of the corneal epithelium after lens removal. Subjective comfort was rated by the patients along with the presence of symptoms or pain. RESULTS: Post-blink lens movement was evaluated by investigators as "very good" or "good" in 87% of eyes at 1 DAS, in 73% at 2 DAS, and in 60% at 3 DAS. Conjunctival hyperemia was assessed as normal or trace in 96% of eyes at 1 DAS, in 76% at 2 DAS, and in 67% at 3 DAS. An average of 80% of eyes showed normal or trace conjunctival hyperemia during the trial. The condition of the corneal epithelium after contact lens removal was rated as "very good" in 13% or "good" in 73% of eyes. An average of 77% of subjects reported "very good" or "good" comfort during the trial. Symptoms or pain were rated as "absent" or "mild" by all subjects at 1 DAS and 2 DAS and by 96% at 3 DAS. An average of 99% rated symptoms or pain as either "absent" or "mild" during the trial. CONCLUSIONS: The lotrafilcon A lens was found to be an effective and well-tolerated bandage lens after LASEK.

Adult↗
PubMed1986

Comparison of two occlusive bandages in the treatment of venous leg ulcers.

A randomized controlled study was performed in 34 patients with venous leg ulcers. No difference was found in the healing rate between a new hydrocolloid dressing plus compression, and a double layer bandage, consisting of an inner paste bandage (i.e. a stocking impregnated with zinc oxide paste) and an outer elastic bandage. The parameters chosen for objective evaluation were stereophotogrammetric measurement of ulcer area and volume, and bacterial counts.

Aged↗