Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Four layer bandaging

Discussion in 'General Issues and Discussion Forum' started by gangrene1, Sep 5, 2007.

  1. gangrene1

    gangrene1 Active Member


    Members do not see these Ads. Sign Up.
    Dear all,

    I've got an obese patient with an infected MRSA right lower limb with extensive venous ulcers. He has such chronic venous ulcers for the past 18 years ( if i've read the history correctly!) The Dr suggested four layer bandaging on his infected leg.
    Let me just say that even after using 5 pieces of Biatain Silver Foam dressings, the ulcer sites still cannot be covered adequately.
    Currently our hospital is using profore 4 layer bandaging from Smith & Nephew.

    Does anyone know if Profore is contraindicated on infected leg ulcers or not?

    Cheerios
     
  2. Dawn Bacon

    Dawn Bacon Active Member

    Dear Colleague,
    Infected wounds are not a contra-indication for compression bandaging. The cruical question is whether the arterial supply is sufficient. If the ulcers are venous in origin then the bandaging system can produce impressive results. So assessment of vascular status would be the next thing needed for your patient.

    Hope this helps,
    Poll
     
  3. Tuckersm

    Tuckersm Well-Known Member

    Gangrene,

    I agree fully with Polly. Compression is the way to go. If you are concerned about the Vascular status, the patient will need a duplex scan.
    They should only need to use the silver dressings for acouple of weeks, then standard profore should be OK.
    (I take it by Biatain Silver Foam you mean Contreet?)
     
  4. gangrene1

    gangrene1 Active Member

    Thanks guys for your valuable input!
    Yes Stephen, Biatain Ag is Contreet.I'll try to put up a pic of the dude's leg when I get a chance to do so.

    I ended up using Acticoat with Biatain Foam dressing as the supply for contreet was running low!
     
Loading...

Share This Page