Bandage pressure measurement and training: simple interventions to improve efficacy in compression bandaging

Keller, Anita; Müller, Marcel Lucas; Calow, Trevis; Kern, Ingrid K; Schumann, Hauke

doi:10.1111/j.1742-481x.2009.00621.x

Cited by 80 publications

(94 citation statements)

References 18 publications

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“…This state of knowledge cannot become the clinical reality, so long as it cannot be ensured in routine practice that users are able to achieve a pre-determined pressure value when applying compression bandages. International studies also confirm a lack of skills in users (20,21).…”

Section: Scientific Principles and Reality Of Treatmentmentioning

confidence: 82%

Practical aspects of compression therapy – Update 2016

Protz¹,

Heyer²

2016

Phlebologie

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SummaryCompression therapy is a complex form of therapy. It requires equally practical abilities and theoretical knowledge, as well as an understanding of available materials and the methods in question. All these mentioned aspects of today’s practical compression therapy show deficits.This article shows the current status of treatment of patients with venous leg ulcers in Germany. Based on this, strategies are described, which aim to improve the status of information of the patients, the expertise of the users and the further spread of modern and specialized materials.It is possible and appropriate to better the individual status of treatment of patients through further qualification of carers. This should include the proper usage of materials and methods.

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Section: Scientific Principles and Reality Of Treatmentmentioning

confidence: 82%

Practical aspects of compression therapy – Update 2016

Protz¹,

Heyer²

2016

Phlebologie

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“…The variability in the amount of the pressure due to differences in bandager competence is another main factor causing variability in baselines and the HT findings [39-41]. In the studies that review the competency of the applicators, the consistency of the applied pressure was confirmed as one of the main factors that underline the variability in the baselines and HTs of bandage studies of strength in most of the reviewed studies [27-36].…”

Section: Discussionmentioning

confidence: 99%

Challenging the Use of Bandage Compression as the Baseline for Evaluating the Healing Outcomes of Venous Leg Ulcer-Related Compression Therapies in the Community and Outpatient Setting: An Integrative Review

Asaf¹,

Salim²,

Tuffaha³

2018

Dubai Med J

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Background: Venous ulcers have considerable human and financial costs. Bandage compression is the most common type of compression used to enhance healing. Ulcer size, pretreatment ulcer duration, and the consistency of pressure (depending on the competency of the bandager) significantly affect the healing process. Summary: The aim of this review is to explore whether the variability in bandage-related baselines contributes to the differences in healing outcomes among the empirical studies designed to evaluate bandage compression for treating venous ulcers in community and outpatient settings. Two health-related databases were searched: Medline and the Cumulative Index for Nursing and Allied Health. A manual search of relevant reviews and publication reference lists was also undertaken. Fourteen studies were included. The most common study design was a randomized controlled trial. Only one study used a cohort design. This review focused on two variables: healing rate and healing time. The ulcer features, the consistency of the pressure level, and the competency of the bandager were the main factors within the reviewed studies that affect the baselines and healing outcomes. Key Messages: This integrative review confirms that the large variability in the baselines results from differences in the ulcer size, duration, competency level, and amount of pressure that led to differing healing outcomes. Future research designs need to pay attention to make the baselines consistent by ensuring that the ulcer size, duration, competency of the nurses, and level of compression are comparable and consistent within the studies’ design.

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“…An appropriate and professional compression bandaging is essentially dependent on the qualification of the personnel [10,27,28]. Hence, this application was performed by three well-trained nurses.…”

Section: Methodsmentioning

confidence: 99%

Loss of Interface Pressure in Various Compression Bandage Systems over Seven Days

et al. 2014

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Background: Manufacturers' instructions of multi-component compression bandage systems inform that these products can remain up to 7 days during the therapy of venous leg ulcer. This implies that the pressure needed will be sustained during this time. Objective: The present research investigated the persistence of pressure of compression systems over 7 days. Methods: All 6 compression systems available in Germany at the time of the trial were tested on 35 volunteering persons without signs of venous leg disease. Bandaging with short-stretch bandages was included for comparison. Pressure was measured by using PicoPress®. Results: Initially, all products showed sufficient resting pressure of 40 mm Hg checked with a pressure monitor, except for one system in which the pressure fell by at least 23.8%, the maximum being 47.5% over a period of 7 days. Conclusion: The currently available compression systems are not fit to keep the required pressure. Optimized products need to be developed.

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Bandage pressure measurement and training: simple interventions to improve efficacy in compression bandaging

Cited by 80 publications

References 18 publications

Practical aspects of compression therapy – Update 2016

Practical aspects of compression therapy – Update 2016

Challenging the Use of Bandage Compression as the Baseline for Evaluating the Healing Outcomes of Venous Leg Ulcer-Related Compression Therapies in the Community and Outpatient Setting: An Integrative Review

Loss of Interface Pressure in Various Compression Bandage Systems over Seven Days

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