An investigation of the ability to produce a defined ‘target pressure’ using the PressCise compression bandage

Abstract

Compression therapy is the cornerstone in the prevention and treatment of leg ulcers related to chronic venous insufficiency. The application of optimal high pressure is essential for a successful outcome, but the literature has reported difficulty applying the intended pressure, even among highly skilled nurses. The PressCise bandage has a novel design, with both longitudinal and horizontal reference points for correct application. In the current experimental study, the results for the general linear model, where the data set is treated optimally, showed that all 95% confidence intervals of the expected values for pressure were, at most, 5 mmHg from the target value of 50 mmHg, independent of the position on the leg and the state of activity. Moreover, even nurses with limited experience were consistently able to reach the targeted pressure goal. Future studies are needed to determine how well the bandage works on legs of different shapes, the optimal way of using the bandage (day only or both day and night) and whether the bandage should be combined with an outer bandage layer. In addition, special attention should be paid to subjective patient experiences in relation to the treatment as pain, discomfort and bulk are factors that can compromise patients' willingness to adhere to the treatment protocol and thereby prolong the healing process.

A New Two Component Compression System Turning an Elastic Bandage into an Inelastic Compression Device: Interface Pressure, Stiffness, and Haemodynamic Effectiveness

“…This confirms previously published data. 10 The pressures measured at B1 and at C were about the same for the 20 and 30 mmHg bandage, which means that the conventional dogma of graduated pressure was disregarded as it does not have a negative influence, either on the haemodynamic efficacy 16 or on a theoretical increase of distal leg swelling. 17 It could be shown that so called progressive, anti-graduated stockings that exert higher pressures over the calf than the distal parts of the leg resulted in more pronounced improvement in the venous pumping function than conventional graduated compression stockings 16 without producing more distal swelling.…”

“…30 mmHg, or any other pressure requested, with a very low standard deviation. 10 The second component of the compression system, the PressPatch, consists of a set of Velcro like hook material patches that are attached, by firmly pressing them, to the basic bandage layer with overlap to neighboring patches. The patches are applied over the calf starting from about 5 cm above the malleoli and finishing at the upper limit of the bandage.…”

Good-bye slippage - a new fusion to tackle bandage slippage on the foot

“…The same smart textile technology used in the sock has previously been evaluated in a knee-high stocking. 10 An elastic bandage (Lundatex® medical, PressCise, Sweden) with built-in welldefined and controlled pressure [11][12][13] was wrapped along the leg, starting on the cuff of the sock. By this application approximately 5 cm of bandage covered the cuff (Figure 1B).…”

Therapeutic compression materials and wound dressings for chronic venous insufficiency: A comprehensive review

“…As a critical treatment medium, polymer‐based functional materials are widely applied to treat various stages of CVI because of their unique physical, mechanical, chemical, and biological properties (Cornish, ; Pang, Ibrahim, Bulstrode, & Ferretti, ). These materials are mainly fabric‐based compression devices (e.g., compression stockings (Hobson et al, ), compression bandages (Wiklander, Andersson, & Källman, ), and intermittent pneumatic pump) used to treat CVI with C 1 – C 6 symptoms, and functional wound dressings (e.g., scaffolds (Dickinson & Gerecht, ), pads (Brown, ), and sutures (Masood et al, )) to facilitate primary treatment of leg ulceration (i.e., classes C 5 – C 6 ) (Figure ).…”

“…These materials are mainly fabric-based compression devices (e.g., compression stockings (Hobson et al, 2017), compression bandages (Wiklander, Andersson, & Källman, 2016), and intermittent pneumatic pump) used to treat CVI with C 1 -C 6 symptoms, and functional wound dressings (e.g., scaffolds (Dickinson & Gerecht, 2016), pads (Brown, 2016), and sutures (Masood et al, 2017)) to facilitate primary treatment of leg ulceration (i.e., classes C 5 -C 6 ) ( Figure 1).…”