The Charing Cross high compression four-layer bandage system

Moffatt, Christine; Dickson, Deborah

doi:10.12968/jowc.1993.2.2.91

Cited by 39 publications

(14 citation statements)

References 7 publications

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“…Compression of the lower extremities via compression bandaging is the mainstay of effective treatment of venous ulcers (Blair et al, 1988) and is used for a number of other vascular conditions both as therapy and for prophylaxis (Aba-Own et al, 1994). Usual sub-bandage pressures associated with compression range between 20 and 40 mmHg (Moffatt & Dickson, 1993) and vascularly related effects had previously been thought to be primarily due to changes in venous haemodynamics (Meyerowitz & Nelson, 1964). Recently, however, ankle-to-knee compression to a level of about 40 mmHg was shown also to have a signi®cant impact on leg arterial pulsatile blood ow resulting in an acute blood¯ow augmentation (Mayrovitz & Larsen, 1997).…”

Section: Introductionmentioning

confidence: 99%

Compression‐induced pulsatile blood flow changes in human legs

Mayrovitz

1998

Clinical Physiology

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Initial and sustained (7-h) impacts of foot-to-knee compression bandaging on leg arterial pulsatile blood flow were assessed by nuclear magnetic resonance flowmetry in eight healthy supine subjects. A widely used bandaging method (zinc impregnated gauze + Coban) and a slight variant (Coban only) were applied one week apart to one leg. Blood flow was measured on each day of bandage application before and after bandaging and after 7 h of normal activity. Initial mean sub-bandage pressures (lateral gaiter) were between 28.4 and 28.9 mmHg but were significantly reduced after 7 h to 16.3-19.4 mmHg. Overall below-knee pulsatile blood perfusion was initially significantly increased by both methods mainly due to increased proximal blood flow. Bandaging was also associated with a decrease in blood perfusion of the nonbandaged control leg mainly due to a decrease in distal blood flow. Neither of these effects were sustained after 7 h. The fact that neither sub-bandage pressure nor blood flow was sustained may indicate a causal linkage, a concept consistent with the finding of a linear relationship between afternoon blood flow and sub-bandage pressure reductions. The implications of the present findings for venous ulcer therapy are speculative and based on the concept that arterial pulsatile flow augmentation is a positive feature. If so, more frequent bandage changes to provide transient flow stimulation or use of bandages to better maintain sub-bandage pressure to sustain flow increases may be useful.

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Section: Introductionmentioning

confidence: 99%

Compression‐induced pulsatile blood flow changes in human legs

Mayrovitz

1998

Clinical Physiology

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“…The four-layer system was developed specifi cally to incorporate different bandage types and properties in order to overcome the clinical issues of exudate, protection of bony prominences, and the ability to sustain sub-bandage pressure over a period of time. 70 In addition, the system was designed to apply the required 40 mmHg of pressure at the ankle, overcome disproportionate limb size and shape, and to remain in position on the leg without slippage. Application of the four-layer system involves fi rst applying a padding bandage layer from the base of the toes to just below the knee.…”

Section: Application Of Bandagesmentioning

confidence: 99%

Hi-tech textiles for interactive wound therapies

Rajendran

Anand

2011

Handbook of Medical Textiles

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“…In addition, they conform easily around the lower limb and allow for frequent dressing changes. 42 In addition, the system was designed to apply the required 40 mm Hg of pressure at the ankle, overcome disproportionate limb size and shape, and to remain in position on the leg without slippage. 40 Application of high sub-bandage pressure on patients with any type of micro-vascular disease can lead to further occlusion and pressure necrosis of these vessels.…”

Section: Applications Of Bandagesmentioning

confidence: 99%