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At least 145 records · Page 8Linked to original sources
PubMed2006

Cohesive short-stretch vs four-layer bandages for venous leg ulcers.

Nurses today are employing more and more evidence base within their practice. This must be carefully balanced with their ability to offer patients choice about treatment options for venous leg ulceration. Knowledge of only one particular compression bandage system is inadequate for nurses working within this area. This article aims to examine the evidence base for the use of compression bandaging in the treatment of leg ulceration. It explores results of current randomised controlled trials in this area pertaining to four-later bandage (4LB) and cohesive short-stretch bandage (CSSB) systems. The advantages and disadvantages of the 4LB and CSSB are explored and application method of CSSB is explained. Concordance is and important issue that affects successful leg ulcer management (Moffatt, 2004a): if this can be achieved through offering patients choice of treatment bandages, then more successful treatment will be achieved for patients.

Bandages↗
PubMedDate not supplied

Rosidal K: a short-stretch compression bandage system.

Management of venous leg ulcers account for a large proportion of the work of healthcare professionals, especially for those who are community based. Multilayer and long-stretch bandage systems have been used successfully for many years in venous leg ulcer management. Rosidal K, a short-stretch bandage, is now also becoming more widely accepted in this country as an effective and cost-effective bandage system. This product focus looks at bandage systems and examines the research supporting the use of short-stretch bandages and Rosidal K.

Bandages↗
PubMed1995

Improvements in bandaging technique following training.

Effective compression bandaging is critical for leg ulcer care. The bandaging technique of 18 nurses was assessed using a pressure monitor and the assessment repeated after training with feedback from the monitor. The use of a bandage marked with a tension indicator resulted in a small, insignificant improvement in bandaging technique. The combination of training and feedback significantly improved the nurses' bandaging technique. This improvement was sustained on retesting two weeks later.

Bandages↗
PubMed2001

The K-Four bandage system: evaluating its effectiveness on recalcitrant venous leg ulcers.

This evaluation examined the effectiveness of the K-Four (Parema) high compression bandage system on 50 patients with recalcitrant 'hard-to-heal' venous leg ulcers and relates the outcome to an earlier randomised study which compared three other four-layer bandage systems. Twelve-week healing rates were 53.2% in the current series, which included patients with poor mobility, large ulcers and long pretreatment ulcer duration, rising to 69.5% at 20 weeks. When account was taken of known risk factors for delayed ulcer healing, no significant difference could be identified between between either K-Four or the earlier evaluated bandages, which included the original Charing Cross system, where the overall healing rates were 64.5% and 80%, respectively, at 12 and 20 weeks. It would seem more likely that treatment outcome is related to patient risk factors for delayed healing and bandaging expertise than to the bandage system employed.

Activities of Daily Living↗
PubMed2004

An evaluation of Hyalofill-F plus compression bandaging in the treatment of chronic venous ulcers.

OBJECTIVE: Hyaluronan, a component of the extracellular matrix, plays a significant role in several aspects of tissue repair and the wound healing process. METHOD: In this Italian study Hyalofill-F, a partial benzyl ester derivative of hyaluronan, used in combination with compression bandaging, was compared with the well-established therapy in Italy of non-adherent gauze plus compression therapy in the treatment of chronic venous leg ulcers. RESULTS: Hyalofill-F plus compression bandaging performed significantly better than non-adherent gauze plus compression bandage in all of the clinically relevant efficacy parameters. Mean reduction in ulcer area in the hyaluronan-derivative group was 8.1 cm2 after eight weeks of treatment, compared with 0.4 cm2 in the comparator group. The resulting difference of 7.7 cm2 between the two groups was statistically significant (p = 0.0019). Furthermore, statistically significant results in favour of the hyaluronan-derivative group were obtained in the following: speed of epithelialisation; leveling of the margins; degree of maceration; pain intensity and frequency. CONCLUSION: Hyalofill-F plus compression bandaging resulted in an earlier and greater decrease in ulcer area compared with non-adherent gauze plus compression bandaging, therapy supporting its use in the treatment of chronic venous ulcers.

Adjuvants, Immunologic↗
PubMed1987

Mechanical assessment of polyurethane impregnated fibreglass bandages for splinting.

The introduction of polyurethane (PU) resin impregnated fibreglass bandages is likely to have a significant effect on modern orthopaedic practice. The manufacturers of these products claim many improved properties compared to plaster of Paris bandages, such as , high strength to weight ratio, rapid setting time and high radiolucency. This paper reports on a series of mechanical tests designed to assess the strength, flexibility, working time and wear properties of the current range of fibreglass bandages and to compare them with plaster of Paris bandages. The results have clearly demonstrated that the fibreglass bandages are mechanically superior and offer numerous advantages over plaster of Paris for use as the definitive casting material for both weight-bearing and non-weight-bearing casts.

Bandages↗
PubMedDate not supplied

Effects of bandage configuration on paw pad pressure in dogs: a preliminary study.

Seven bandage configurations were placed on the right forepaw of six English pointer dogs to evaluate the effects that configurations have on reducing pad pressure. The "clam shell" configuration resulted in less pressure being applied to all palmar pad surfaces. For the major weight-bearing pad, a basic paw bandage with an intermediate compressible foam sponge that had a hole under the major weight-bearing pad, combined with a metal splint paw cup under the sponge, resulted in a significantly lower pressure recording than for other bandage configurations. Digital pads 3 and 5 had the greatest pressure in a basic bandage configuration. Based on pressures on these pads, a basic paw bandage with an intermediate compressible foam sponge under the major weight-bearing pad, with or without a metal splint paw cup under the sponge, helped elevate the digits to relieve pressure on them. Placing a foam sponge pad, with or without a splint paw cup under the palmar paw surface, also provided less pressure on these pads.

Animals↗
PubMed1999

[Healing of venous leg ulcers. A randomized prospective study of a long-stretch versus short-stretch compression bandage].

The aim of the study was to compare the efficacy of two types of compression bandage with different degrees of elasticity on healing of venous leg ulcers. Forty-three patients with venous leg ulcers were included and blindly randomized to treatment with one of the two types of bandage aiming at a sub-bandage pressure in the ankle area of 40 mmHg. Forty legs were evaluated. Healed ulcers after 12 months were observed in 71% of the long-stretch group and in 30% of the short-stretch group (p = 0.06). Using life-table analysis the predicted healing rate in the long-stretch group after 12 months was 81% and for the short-stretch group 31% (p = 0.03). The mean of relative ulcer areas at 12 months was 0.25 for the long-stretch group and 0.95 for the short-stretch group (p = 0.01). The present study appears to indicate a positive influence of the elasticity of a compression bandage applied with a sub-bandage pressure around 40 mmHg in the ankle area on venous ulcer healing.

Adult↗
PubMed2003

[Venous ulcers. Multilayer compression system or crepe bandage? Comparative study on effectiveness, cost, and impact on quality of life].

Treatment for varicose ulcers is based on treating an ulcer as a chronic injury and its primary cause, hypertension in the veins, by means of a system of decreasing and sustained high compression. In Spain patients suffering from varicose ulcers are treated mainly with systems based on the use of crepe bandages which have a low compression effectiveness. In order to bring to light information on this important facet of health care and to generate evidence on this topic, the authors present a comparative study of a standard therapy method utilizing compression on patients suffering from varicose ulcers in Spain, a crepe bandage, against the use of a Profore multi-layer system. The authors studied 30 varicose ulcers on 24 patients who met the criteria to be included in this study; 17 of these, 70.8%, in women and 7, 29.2%, in men. The average treatment period of these lesions with crepe bandages on these lesions was 1045 +/- 2370 (DS) days (mean of 120). At the start of treatment with the multi-layer system, the average lesion surface area reached 10.64 +/- 9.45 (DS) cm2 (mean 7.28). After treatment with this multi-layer system, all these lesions cicatrized entirely. In order for this to happen, an average of 43.73 +/- 27.38 (DS), (mean 34) was required. Based on our results, we can state that the use of the multi-layer system in this study compared to a crepe bandage allowed for the reduction in cicatrisation time, in the number of bandage changes, in the number of visits, in the professional time needed, and reduced by a factor of 20 the cost of the material involved.

Aged↗
PubMed2003

[Formation of compressive bandage after sclerotherapy for lower limb varices].

Invention concerns compressive sclerotherapy as a treatment modality for lower limb varices. Technical result of investigation is the development of compressive bandage that creates and maintains adequate level of limb compression both in supine position (during bed rest) and standing or walking. Technical result is achieved by formation of two compressive layers of elastic bandage. Highly expansible elastic bandage is used for the first layer aimed for fixation and compression of latex or foam pads at injection sites to create local compression of variceal nodes. Open toe elastic stocking (I compression class) is placed over the bandage to maintain adequate compression during bed rest. The second external layer consists of elastic bandage with moderate expansion (II compression class). It is placed over the first one from toes to thigh upper third and creates optimal compression in patient's vertical position. The patient is permitted to take it off or loose exclusively in supine position, to wash or refresh foot with wet towel, to change it with a new one.

Bandages↗
PubMed1990

[Prevention of early postoperative hematoma with the use of elastic bandages. Its ultrasonic diagnosis and control].

The authors stress out the importance of an application of elastic bandage for a prevention of the early postoperative hemathomas in traumatized patients, whose effect can be controlled by ultrasound. 58 patients were elaborated, of whom in 30 cases an elastic bandage was placed at the end of surgery, and 28 patients (control group) without dressing. In 8 patients of the control group, an existence of postoperative hemathomas was proved by ultrasound, while only in two cases with postoperative bandage a presence of such hemathoma could be discovered. Lesser number of postoperative hemathomas in patients with elastic bandage is statistically important (p less than 0.001). Obtained results indisputably point out the value of elastic bandage application in the course of first three postoperative days in traumatized patients.

Bandages↗
PubMed1990

Elastic bandages and intermittent pneumatic compression for treatment of acute ankle sprains.

The efficacy of elastic bandage alone and with intermittent pneumatic compression (IPC) treatments in the rehabilitation of 44 acute ankle sprains was studied. Lower-leg dysfunction was assessed by measurements of edema, degree of ankle motion, pain, and limb dysfunction when the patient was first included in the study, after treatment for one week, and after a four-week follow-up. For all the parameters studied, elastic bandage with IPC treatment resulted in highly significantly (p less than 0.001) faster rehabilitation during the four-week follow-up than did elastic bandage treatment alone. The limb dysfunction improved significantly (p less than 0.01) during the follow-up on the study group receiving IPC with elastic bandage compared to elastic bandage alone. The results suggest that IPC treatment is effective in acute posttraumatic therapy.

Adult↗
PubMed1990

[Biomechanical substantiation of U-shaped plaster cast with elastic bandage in diaphyseal fractures of crural bones].

The authors make a critical analysis of the traditional types of plaster bandages used for the functional treatment of diaphyseal fractures of the bones of the crus. The results of the investigation into the relaxation properties and the dependence of the force of the pressure of the elastic bandage on its relative lengthening are presented. The values of the pressure under the plaster cast using an elastic bandage depending on the crus parameters and the number of the turns of the bandage are defined. On the basis of mathematical modelling the biomechanical substantiation and the recommendations concerning an optimal use of the elastic bandage for the fixation of the plaster cast longuets are given.

Bandages↗
PubMed1988

Regulating the pressure under compression bandages for venous leg ulcers.

A simple method for regulating the highest comfortable sub-bandage pressure is described. One way of regulating the pressure under the bandage is to vary the stretch of the bandage and the other way is to alter the number of bandage layers. With constant stretch, the pressure is proportional to the number of layers. The method with constant degree of stretch and gradually increasing number of layers was tested on 30 patients. Initially the patients received two layers of bandage. One layer was added each time the patient came for treatment, up to five layers. If the patient felt pain or any other discomfort the number of layers was decreased to the former number. About 27% of the patients preferred five layers, 60% four layers and 13% three layers.

Aged↗
PubMed1987

[Technic of compression bandage].

Pressure bandaging is the basis of any phlebographic therapy. Since a good bandage should fit and hold well, there is need of special bandaging techniques. Any bandage encircling the leg evenly, slackening in pressure from distal to proximal regions and constricting nowhere is considered correct and good. We present our own technique of pressure bandaging, which meets with all these demands.

Bandages↗
PubMedDate not supplied

Efficacy of compression bandaging.

Out-patient sclerotherapy: 40 volunteers wore compression bandages on the leg for periods of up to eight hours of normal activity. The pressure under the bandage was measured every two hours and after eight hours the pressure had fallen to zero. Therefore 112 patients undergoing out-patient compression sclerotherapy were randomly allocated into one of two groups: the bandages were worn for eight hours or three weeks. There was no difference in the short term results between the two groups. Following surgery: 34 patients undergoing stripping of unilateral varicose veins were studied. The pressure under the bandage applied at the end of the operation was measured. The haematoma in the leg was also measured. The results showed that variations in the bandaging pressure did not affect the size of the haematomas which averaged about 50 ml.

Bandages↗
PubMed1993

The immobility response elicited by clamping, bandaging and grasping in the Mongolian gerbil (Meriones unguiculatus).

When grasped by the skin of the nape and lifted into the air, the young of many altricial mammals exhibit an immobility response in which they tuck their limbs against their bodies and remain inert. Such a response can be induced in the adults of some species, especially if a stronger tactile stimulus such as bandaging the head and neck or clamping the skin of the nape, is applied. In this study, the immobility response of the Mongolian gerbil (Meriones unguiculatus) is investigated, which appears to differ in potentially useful ways from other commonly studied species such as rats (Rattus norvegicus). It has been previously reported that for rats clamping or bandaging had a more profound effect on the immobility response than grasping. Mongolian gerbils were tested with all three methods (grasping, bandaging and clamping), which were repeated at intertrial intervals ranging from 3 h to 40 days. Grasping induced a significantly longer duration of immobility than either bandaging or clamping. However, repeated trials significantly increased the duration of immobility induced by clamping, whereas repeated grasping or bandaging did not do so. The marked difference in the induction of the immobility response in gerbils as compared to rats, may provide a useful model for the study of this behavior.

Animals↗
PubMed1996

The differential haloperidol effect on the immobility response elicited by clamping, grasping, bandaging and inversion in guinea pig, hamster and rat.

The induction and modification by haloperidol of inhibitory responses, by 4 inducing stimuli (inversion, clamping, bandaging and grasping) were studied and compared in guinea pig, hamster and rat. When undrugged, all 4 stimuli induced immobility responses in guinea pig; only clamping, bandaging and grasping, but not inversion, induced immobility responses (IR) in hamsters; only clamping and grasping, but not inversion and bandaging induced IR in rats. Haloperidol significantly potentiated the occurrence and duration of the IR by clamping, grasping and bandaging in rats. In hamsters haloperidol only potentiated the IR induced by bandaging, and in guinea pigs, haloperidol had no effect on IR produced by any of the stimuli. These findings suggest an inverse relationship between susceptibility to IR and the potentiation of IR by haloperidol.

Animals↗