When a bandage is applied as part of a multi-layered system it exerts approximately 70% of the pressure exerted when applied alone, thus challenging the commonly-held assumption that the final pressure achieved by a multi-layer bandaging system is the sum of the pressures exerted by each individual A class 3a elastic cohesive bandage. The bandage must be applied from the toe to the knee, molding around the ankle, up to the level just below the knee. Padding should be applied in strips over bony prominences to prevent excessive pressure. K-Four is a four layer compression bandage system. From 7.48 + VAT. Contraindications Prior to use, determine the ankle-brachial index (ABI) using Doppler ultrasound. Four layer systems. This is a highly elastic, conformable compression bandage. May be used on its own over sub-bandage wadding or as the third layer in the K-Four multi-layer compression bandage system. Results found that the four-layer compression bandage system achieved significantly faster healing times, although there were no significant differences between the two groups in . Features : Each 18-25cm system pack contains the following: One PROFORE wound contact layer (14cm x 20cm) . Raj T.B., et al., How long do compression . Corresponding interface pressures for the 4LB were 52.5 8.4, 57.5 10.3, and 53.5 12.9 mmHg. 29581 - Application of multi-layer compression system; leg (below knee), including ankle and foot 29584 - upper arm, forearm, hand, and fingers Notes: 97140 - Should not be reported for any type of manual therapy provided during the same patient encounter in the same anatomic region where a multi-layer compression system is applied. (10 cm x 4.5 m) stretched. Proven effective in both hospital and community treatment studies, Profore is designed to . Layer Four is a cohesive bandage that sticks to itself and secures the bandages without tape for week-long compression. How do I care for the compression boot? After 24 weeks, 86% of the four-layer bandage You have no recently viewed item. It is a multi-layer high compression bandage system specifically designed for the management of venous leg ulcers and associated conditions. In Stock. Four-layer compression bandage system may be used for patients with an ABI greater than 0.8. 2. Catalogue Number: 320-MSC4400: Unit Measurement: KIT: Manufacturer: MEDLINE CANADA CORPORATION: Features and Benefits. May be left in place for up to one week. the Pressure Ulcer Scale for Healing (PUSH) tool for ulcer healing 17 was used to provide a broader measure of healing than examining area alone, covering area, . TwoPress 2 Lite sticks to itself, preventing the bandages from slipping down, while sustaining therapeutically relevant pressure for up to 7 days. Crepe Bandage - 4 inch x 4.9 yds. FOURFLEX 4-LAYER BANDAGE COMPRESSION SYSTEM. $1.06. In all cases, the pressures measured beneath the adhesive bandage were significantly lower than those recorded beneath the multi-component system. effectiveness of a four-layer compression bandage system and Class 3 compression hosiery on healing and quality of life (QL) in patients with venous leg ulcers. Easy to apply and secures without tape. The bandage must not be applied directly to the ulcer or to skin which is damaged or inflamed. A range of products is available to suit patient needs and expert support is provided through study days and education. Multimedia. Several systems for measurement of the compression pressure applied by bandages and stockings on the patient leg have been available for years and have found limited use in some centres. 4 Layer Compression Bandage System Profore LF Multiple Sizes Standard Compression Self-adherent / Tape Closure Tan / White NonSterile BANDAGE, PROFORE STD LF (1/BX) Features Includes a sterile wound contact layer PROFORE LF is best used on ankle circumferences greater than 18 cm or 7 inches (padded) Data were collected from 103 participants on demographics, health, ulcer status, treatments, pain, depression and QL for 24 weeks. Item Type: Compression Bandage. Provides a higher pressure at the ankle, decreasing pressure at the calf to help improve upward blood flow. The four layer bandage and the short stretch bandage are examples of high compression (defined as ankle sub-bandage pressure 35-40 mm Hg). 2-Layer Compression Bandage System Features: Non-Sterile Single Patient Use Only Compression bandage system simultaneously . McKesson Compression Bandaging System, Four-Layer is for managing venous leg ulcers and related conditions. Bandages work together to provide sustained compression for up to seven days. Multi-Layer Compression Bandage Systems, Four-Layer by McKesson are superior, high-grade bandaging systems for optimal compression and absorbency in aiding with the management of venous ulcer therapy. This is considered to be the second layer of the system. Layer 3: Apply the light compression bandage in a spiral fashion at 50% extension and 50% overlap, from toe to knee. The mean age and size of the ulcers were 1.4 years and 31cm2, respectively, and did not differ significantly between groups. K-LITE - Light support bandage type 2 to aid absorbency and act as a base for compression. Compression Bandage (4" x 9.5yd): - Layer three - Conforms to body contour while providing about one-half the compression of the system - Provides bandage . Two layer systems were designed to provide continuous gradient compression but with a thinner, lower profile than 3 or 4 layer systems which allows the patient greater choice of footwear options. reward $. But debate is growing over what levels of pressure to apply and . Tubular gauze can be applied if A high quality design and manufacturing process delivers clinical consistency. SMITH & NEPHEW Profore Multi-layer Compression Bandage System has been specifically designed for the management of venous leg ulcers and associated conditions. $31.66. . (10 cm x 8.7 m) stretched. FourPress. This will flatten the padding layer and aid absorbency of the orthopaedic bandage. The system pack can be used on patients with ankle circumferences of greater than 18cm or 7 inches (padded). Bandages may be left on or reapplied for several weeks until the swelling has gone down. Class 3a bandages provide light compression of 14-17 mmHg, moderate compression (18-24 mmHg) is imparted by class . Although the total applied pressure of the bandaging system may be indicated in millimeters of mercury of force (mm Hg), individual layers may not be labeled as short-stretch or long-stretch. 4,7,8,[11 . Layer #3 is a compression bandage. Four-layer bandaging is a high-compression bandaging system (sub-bandage pressure 35-40mmHg at the ankle) that incorporates elastic layers to achieve a sustained level of compression over time. Hold in place until covered by PROFORE #1. Four-layer bandaging is extremely effective in healing venous ulcers and reducing oedema. Contraindications Should not be used on patients with an ankle-brachial index (ABI) less than 0.8. . Compression bandaging has become the main treatment for effective Expand 3 Save Alert Bandages work together to provide sustained compression for up to seven days. There were significant differences in the final pressures achieved by the bandagers (means: 45-54 mmHg, p<0.001) and between bandage systems (means: System 4: 46 mmHg, Profore: 47 mmHg, K Four: 52 mmHg, Ultra . 2-layer compression bandage system simultaneously absorbs, protects and provides sustained therapeutic compression for up to 7 days when applied as directed Layer 1 is a padded compressive bandage that absorbs exudate and redistributes pressure to aid in the management of venous insufficiencies Bandage Dimensions: Padding Bandage - 4 Inch x 3.8 yds. }, author={C J Moffatt and David Dickson}, journal={Journal of wound care}, year={1993}, volume={2 2}, pages={ 91-94 } } . All In One Design: Consolidates the following including pressure applicator, non adherent pad, elastic secondary dressing, stop and go release and closure bar. Quantity: Add to Cart. Watch the toes for change in color (blue, darkening, or white . Layer two is a long-stretch cohesive compression bandage that locks into the first layer and features a visual indicator. The Smith & Nephew Profore Four Layer Bandage System Pack provides higher pressure at the ankle, with decreasing pressure exhibited at the calf. Application. IPC was performed using a 4-chamber pneumatic leg sleeve and gradient, sequential pump. PROFORE #3 light compression bandage Apply from the base of the toes to the knee, using a figure of eight technique at 50% extension. Benefits: Provides graduated compression. 4 Layer Compression Bandage System Profore LF Multiple Sizes Standard Compression Self-adherent / Tape Closure Tan / White NonSterile Smith & Nephew 66020626 . . 3 - Compression Bandage Layer (4 inches x 9.5 yards) - Gives the bandage the ability . Two methods most commonly used are 3-4 layer compression bandaging and elastic graduated compression hosiery. All Products. 4-layer bandaging system is designed for optimum compression and absorbency in the management of venous leg ulcers and related conditions Provides effective sustained compression for up to 7 days when applied as directed Layer 1 is a nonwoven padding made of blend of synthetic materials and absorbs wound exudate Miscellaneous Professional Supplies. PROFORE is a multi layer compression bandage system. Layer 4: It is essential that the correct technique and pressure is used. It is applied at mid stretch in a figure of 8 with a 50% overlap. Single Layer / Specialty Compression Bandage . Even a full week after application, it maintains effective levels of compression and pads bony prominences for protection and through the use of 2 compression layers, compression is built up gradually. Manual Inflation Blood Pressure Units. K-PLUS - Light support type 3a bandage to provide up to 20mmHg at the ankle and up to 15mmHg at the calf. Wash and dry leg and apply a moisturizing cream to the unbroken skin. Graduated Compression PROFORE provides higher pressure at the ankle, with decreasing pressure exhibited at the calf. Multiple layer bandages are 3-4 layers of bandages, which are needed for the treatment of venous leg ulcers, as well as the various conditions that are associated with it. Blair et al., compared the pressure profiles produced by the four layer bandage system with those produced by an elastic adhesive bandage (Elastoplast). Compression is achieved by the combined effects of two or three extensible bandages applied over a layer of orthopaedic wadding and a wound contact dressing. Step 1. The increase in pressure produced by each additional layer was in the range of 50-60% of the pressure achieved by the same bandage when used as a single layer. It is developed for the treatment of mixed etiology leg ulcers where some degree of arterial impairment prevents the use of full compression. Participants (n=81) were randomized to one of the two compression systems for 4 weeks and then crossed over to the @article{Moffatt1993TheCC, title={The Charing Cross high compression four-layer bandage system. TwoPress 2 Lite may be used on patients with an ABPI of 0.6 - 0.8. Apply PROFORE in the following sequence: Step 2. The set of different types of bandages is applied, in layers, to deliver a desired pressure on the leg. Layer 2: K-PLUS: light support bandage type 3a (viscose, elastane) First compression layer, providing a sub-bandage pressure of up to 20 mmHg at the ankle. Instruments. Compression bandages are mainly classified as elastic and inelastic. Proven effective in both hospital and community treatment studies, the Profore system is designed to deliver effective pressure. For management of venous leg ulcers and other clinical conditions where compression is appropriate. #4- Flexible Elastic Cohesive Bandage- This layer provides the higher level of compression , In the standing position, initial interface pressures for the ACT were 40.7 4.8, 35.6 4.5, and 21.1 4.6 compared to 54.6 12.5, 64.4 10.9, and 53.7 14.3 for the 4LB. When multi-layer compression bandage systems are used for the treatment of a venous stasis ulcer, each component is billed using a specific code for the component - e.g., moderate or high compression bandages (A6451, A6452), conforming bandages (A6443, A6444), self-adherent bandages (A6454), padding bandages (A6441), zinc paste impregnated .
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