Pessure British System Components Considerations Standard (mmHg) Orthopaedic wool No compression Long stretch Long stretch exerts high bandage compression during rest Class 3c compression Gives and exercise bandage 30-40mmHg applied at 50% pressure extension and 50% overlap in a spiral Patient choice Full Wool contact layer No compression Alternative to four layer compression Proguide bandage applied systems. Sustained vari-stretch 50% stretch 50% overlap 40mmHg pressure two layer system for 1 week in a spiral Patient choice 10mmHg Liner alternative to four layer Compression systems. Self caring - Hosiery Ulcer Kit useful when applying treatments e.g. regular 30mmHg Hosiery steroid application Reduced Criteria for application of Wound contact layer compression reduced compression No compression Orthopaedic wool layer Pressure less Mixed aetiology than 25mmHg ABPI 0.6-0.8 when there is Light support crepe evidence of clinical signs Light compression class 3a of venous hypertension 17-20mmHg applied in a figure of 8 N.B. the rationale for compression therapy is to OR optimise venous return Light compression class 3b 20-23mmHg and reverse hypertension applied spiral 50% stretch within the veins 50% overlap Reduced Alternative choice Compression hosiery compression N.B. if ulcer does not 14-17mmHg systems Class1 Pressure show signs of healing less than consider reverting to bandaging 25mmHg system which will 15-24mmHg Class 2 increase pressure level Short stretch Indication for venous Orthopaedic wool layer No compression hypertension and reduction of oedema Short stretch bandage 18-25cm and Applied at full Applied full stretch 50% Initially the patient will overlap stretch this will give pressures of require more frequent Apply second bandage in 35-40mmHg rebandaging as bandage the opposite direction Above 25cm will be prone to slippage
System Components Pessure British Standard (mmHg) Considerations Long stretch bandage Orthopaedic wool No compression Long stretch exerts high compression during rest and exercise Class 3c compression bandage applied at 50% extension and 50% Gives 30-40mmHg pressure overlap in a spiral Full Wool contact layer No compression Patient choice compression Alternative to four layer Proguide bandage applied 50% stretch 50% overlap in a spiral 40mmHg vari-stretch systems. Sustained pressure two layer system for 1 week Compression Liner 10mmHg Patient choice alternative to four layer systems. Self caring - Hosiery 30mmHg Hosiery Ulcer Kit useful when applying treatments e.g. regular steroid application Reduced Wound contact layer No compression Criteria for application of compression reduced compression Orthopaedic wool layer Pressure less Mixed aetiology Light support crepe than 25mmHg ABPI 0.6-0.8 when there is Light compression class 3a applied in a figure of 8 17-20mmHg evidence of clinical signs of venous hypertension N.B. the rationale for OR Light compression class 3b applied spiral 50% stretch 50% overlap 20-23mmHg compression therapy is to optimise venous return and reverse hypertension within the veins Reduced compression Pressure Compression hosiery systems Class1 14-17mmHg Alternative choice N.B. if ulcer does not show signs of healing consider less than Class 2 15-24mmHg reverting to bandaging 25mmHg system which will increase pressure level Short stretch Orthopaedic wool layer No compression Indication for venous hypertension and reduction Short stretch bandage Applied full stretch 50% Applied at full 18-25cm of oedema and overlap stretch this will Initially the patient will Apply second bandage in the opposite direction give pressures of require more frequent Above 25cm 35-40mmHg rebandaging as bandage will be prone to slippage