<p>Kikuhime Device in the Management of Venous Leg Ulcers</p>

Abstract

The effectiveness of compression therapy in the treatment of venous leg ulcers has been confirmed in many scientific studies. The healing process depends on many of its parameters, such as the type of compression bandages, their elastic properties and subbandage pressure. However, there is no standard protocol that would ensure success for all patients. A pressure of about 83 mmHg provides complete compression for both superficial and deep veins; however, applying compression bandages under such high pressure is a difficult task, even for experienced therapists. Here, we present the case of a 61-year-old woman with approximately 2.5-year-old venous ulcer in her left leg due to chronic venous insufficiency (CVI). Our study aimed to show that routine pressure control at each bandage renewal using the Kikuhime device, as well as their twice daily application in the first week of therapy reduced the healing time of a venous leg ulcer with an area of about 20 cm 2 to four weeks.

Physiotherapy in Chronic Venous Disease

“…Even for skilled and trained medical staff, applying a thorough multi-layer compression bandage remains a challenge. To overcome the difficulties with applying the pressure warranted and needed to support venous backflow, various pressure sensor devices such as the Kikuhime are recommended for bandage practice [40]. Bandages with optic marks that indicate optimal elongation can support healthcare staff and even lay persons in reaching an effective pressure [41].…”

Consistent application of compression: An under‐considered variable in the prevention of venous leg ulcers

“…Some compression devices, such as CircAid® wraps with their corresponding guide card, have pressure monitoring tools that are not generalizable. Other devices, such as the Kikuhime device (TT MediTrade, Soro, Denmark) or the Juzo pressure monitor (JPM), can be used transiently and for more than one patient, making them ideal for rapidly measuring application pressure in a point‐of‐care setting 18–20 . Ning et al (2020) compared three pressure monitors, determining that while the PicoPress transducer was the most accurate and precise, the JPM recordings closely correlated with the PicoPress transducer, providing further evidence for its point‐of‐care utility 19 …”