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How to Apply a Multilayer Compression Bandage

How to Apply a Multilayer Compression Bandage

How to Apply a Multilayer Compression Bandage


Compression therapy is considered the mainstay of venous leg ulcer (VLU) treatment.[1] Correctly applied compression therapy is essential in management of VLUs.[1] This topic provides practical guidance with step-by-step videos on how to apply a multilayer compression bandage for management of VLU. 

For a comprehensive overview on compression therapy from the clinical, coverage and reimbursement perspective, see " Compression Therapy". For guidance on selection of compression devices see "How to Select Adequate Compression Therapy Pressure Levels and Products". For evidence and recommendations on compression therapy for VLUs, see section 'Compression Therapy' in topic "Venous Leg Ulcer - Introduction and Assessment".

   Videos



Video 1. Application of a multilayer compression bandage for venous leg ulcer

Video 2. Application of a multilayer compression bandage with indicators, for venous leg ulcer

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    1. Patton D, Avsar P, Sayeh A, Budri A, O'Connor T, Walsh S, Nugent L, Harkin D, O'Brien N, Cayce J, Corcoran M, Gaztambide M, Moore Z et al. A meta-review of the impact of compression therapy on venous leg ulcer healing. International wound journal. 2023;volume 20(2):430-447.
    Topic 1953 Version 2.0


    Compression therapy is essential for patients with venous leg ulcer, lymphedema and other conditions. This topic provides algorithms that illustrate how audible handheld Doppler ultrasound/ waveform analysis or ankle-brachial index can be utilized to determine appropriate pressure levels and types of compression across different clinical scenarios.

    Instructions: 1. Select number of entries (rows) to be displayed on the table. 2. Click on the header of each column to sort (e.g., click on "Product Name" to sort by product names in alphabetical order), or use the "search" field to find a specific product. Standard compression: 30-40 mmHg resting pressure; modified compression: low resting pressure, i.e., 20-30 mmHg. Both s

    Unna Boot, also known as Unna's Boot or paste boot, is an inelastic bandage that is frequently used in compression therapy to treat venous leg ulcers. Application of UB is one of the most common clinic procedures billed to Medicare. This topic provides practical guidance on how to apply an Unna Boot, assess effectiveness, troubleshoot, code and document each application. See step-by-step protocol, and documentation checklist.