PROFORE* Lite Multi-Layer Compression Bandage System is for the management of "mixed" etiology leg ulcers where assessment has identified that the patient has some degree of arterial impairment which prevents the use of full compression. Not made with natural rubber latex.
• Set contains sterile wound contact layer, absorbent padding layer, light comfortable layer, and a cohesive compression layer
• Provides graduated compression
• Can be worn up to 7 days
• Reduces preparation time
• Minimizes danger or application error
• Pads bony prominences
PROFORE* Lite Multi-Layer Compression Bandage System is indicated for the management of "mixed" etiology leg ulcers, where assessment has identified that the patient has some degree of arterial impairment which prevents the use of full compression.
PROFORE* Lite should not be used on patients with an ankle-brachial index (ABI) of less than 0.6, or on diabetic patients with advanced small vessel disease.
Should the patient develop pain or pale, cool or numb extremities distal to the dressing, the bandages should be promptly removed. Patients with a low ABI and symptoms of arterial disease should be seen by a vascular specialist before application of compression. Care should be taken that very thin, bony legs, or legs with a prominent tibial crest should be protected with extra padding. The pressure under the bandage could bruise and harm unprotected/unpadded skin especially over bony parts of the leg.
Compression bandaging to a leg which already has a partially blocked blood supply could completely stop the flow of blood into the leg and lead to the death of skin and muscle of the leg. Death of the muscle and skin of the leg could lead to further complications and possibly amputation of the leg.
CAUTION: Before applying the first bandage, it is important to check the following:
- Assess the patient to rule out arterial disease. The use of Doppler ultrasound is recommended.
- Measure the ankle circumference to confirm that it is greater than 18cm or 7(1/4)" (padded).
- Check if the patient's ankle circumference has changed due to a reduction in edema. Always remeasure after the initial treatment period.
- Assess the patient's limb for bony prominences or calf fibrosis. Ensure that these are well-protected using the PROFORE* Lite #1 padding bandage.
Wash and dry the leg and apply a moisturizing cream to the unbroken skin.
Apply the PROFORE* WCL sterile wound contact layer directly over the wound surface. If the wound is larger than the contact dressing, PROFORE* WCL dressings may be purchased separately. The contact dressing will not stick to the surface of the wound, and when the wound begins draining after compression is applied, the drainage will pass through the contact dressing to be absorbed by the padding layer.
Apply PROFORE* #1 Absorbent Padding Bandage.
With the foot flexed to 90 degrees, apply from the base of the toes to the knee using a simple spiral technique and 50% overlap. Do not apply tension. Ensure that bony prominences are padded so that the ankle measurement is greater than 18cm or 7(1/4)". Any leftover padding may be applied directly over the wound to absorb more wound drainage.
Apply PROFORE* #2 Light Conforming Bandage.
Keeping the foot flexed to 90 degrees, apply PROFORE* #2 from the base of the toes to the knee using a simple spiral technique and 50% overlap. Ensure that the heel is completely covered. Secure at the top with a piece of tape or ask the patient to hold it in place.
Apply PROFORE* #4 Cohesive Compression Bandage.
Keeping the foot flexed to 90 degrees, apply PROFORE* #4 from the base of the toes to the knee using a simple spiral technique with 50% overlap and 50% extension. Ensure that the heel is completely covered. PROFORE* #4 will adhere to itself and no tape is necessary to keep it in place. However, for added security, a piece of tape may be used for reinforcement.
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