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Biosensors Apr 2023Bandage is a well-established industry, whereas wearable electronics is an emerging industry. This review presents the bandage as the base of wearable bioelectronics. It... (Review)
Review
Bandage is a well-established industry, whereas wearable electronics is an emerging industry. This review presents the bandage as the base of wearable bioelectronics. It begins with introducing a detailed background to bandages and the development of bandage-based smart sensors, which is followed by a sequential discussion of the technical characteristics of the existing bandages, a more practical methodology for future applications, and manufacturing processes of bandage-based wearable biosensors. The review then elaborates on the advantages of basing the next generation of wearables, such as acceptance by the customers and system approvals, and disposal.
Topics: Wearable Electronic Devices; Biosensing Techniques; Bandages; Electronics
PubMed: 37185537
DOI: 10.3390/bios13040462 -
Journal of Wound Care Oct 1998The application of external compression is known to be an effective treatment for venous ulcers and the skills required to provide adequate pressure depend on the type... (Review)
Review
The application of external compression is known to be an effective treatment for venous ulcers and the skills required to provide adequate pressure depend on the type of compression to be applied. Holistic assessment of the patient, along with education of the practitioner, leads to safe application of compression bandages. Incorrectly applied bandages can cause an increase in the size of the ulcer and may lead to amputation if used on ischaemic limbs1.
Topics: Bandages; Humans; Nursing Assessment; Varicose Ulcer
PubMed: 9887730
DOI: 10.12968/jowc.1998.7.sup9.5 -
The Cochrane Database of Systematic... Nov 2012Up to one percent of people in industrialised countries will suffer from a leg ulcer at some time. The majority of these leg ulcers are due to problems in the veins,... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Up to one percent of people in industrialised countries will suffer from a leg ulcer at some time. The majority of these leg ulcers are due to problems in the veins, resulting in an accumulation of blood in the legs. Leg ulcers arising from venous problems are called venous (or varicose or stasis) ulcers. The main treatment is the application of a firm compression garment (bandage or stocking) in order to aid venous return. There is a large number of compression garments available and it was unclear whether they are effective in treating venous ulcers and, if so, which method of compression is the most effective.
OBJECTIVES
To undertake a systematic review of all randomised controlled trials (RCTs) evaluating the effects on venous ulcer healing of compression bandages and stockings.Specific questions addressed by the review are:1. Does the application of compression bandages or stockings aid venous ulcer healing? 2. Which compression bandage or stocking system is the most effective?
SEARCH METHODS
For this second update we searched: the Cochrane Wounds Group Specialised Register (31 May 2012); the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 5, 2012); Ovid MEDLINE (1950 to May Week 4 2012); Ovid MEDLINE (In-Process & Other Non-Indexed Citations 30 May 2012); Ovid EMBASE (1980 to 2012 Week 21); and EBSCO CINAHL (1982 to 30 May 2012). No date or language restrictions were applied.
SELECTION CRITERIA
RCTs recruiting people with venous leg ulceration that evaluated any type of compression bandage system or compression stockings were eligible for inclusion. Eligible comparators included no compression (e.g. primary dressing alone, non-compressive bandage) or an alternative type of compression. RCTs had to report an objective measure of ulcer healing in order to be included (primary outcome for the review). SECONDARY OUTCOMES of the review included ulcer recurrence, costs, quality of life, pain, adverse events and withdrawals. There was no restriction on date, language or publication status of RCTs.
DATA COLLECTION AND ANALYSIS
Details of eligible studies were extracted and summarised using a data extraction table. Data extraction was performed by one review author and verified independently by a second review author.
MAIN RESULTS
Forty-eight RCTs reporting 59 comparisons were included (4321 participants in total). Most RCTs were small, and most were at unclear or high risk of bias. Duration of follow-up varied across RCTs. Risk ratio (RR) and other estimates are shown below where RCTs were pooled; otherwise findings refer to a single RCT.There was evidence from eight RCTs (unpooled) that healing outcomes (including time to healing) are better when patients receive compression compared with no compression.Single-component compression bandage systems are less effective than multi-component compression for complete healing at six months (one large RCT).A two-component system containing an elastic bandage healed more ulcers at one year than one without an elastic component (one small RCT).Three-component systems containing an elastic component healed more ulcers than those without elastic at three to four months (two RCTs pooled), RR 1.83 (95% CI 1.26 to 2.67), but another RCT showed no difference between groups at six months.An individual patient data meta-analysis of five RCTs suggested significantly faster healing with the four-layer bandage (4LB) than the short stretch bandage (SSB): median days to healing estimated at 90 and 99 respectively; hazard ratio 1.31 (95% CI 1.09 to 1.58).High-compression stockings are associated with better healing outcomes than SSB at two to four months: RR 1.62 (95% CI 1.26 to 2.10), estimate from four pooled RCTs.One RCT suggested better healing outcomes at 16 months with the addition of a tubular device plus single elastic bandage to a base system of gauze and crepe bandages when compared with two added elastic bandages. Another RCT had three arms; when one or two elastic bandages were added to a base three-component system that included an outer tubular layer, healing outcomes were better at six months for the two groups receiving elastic bandages.There is currently no evidence of a statistically significant difference for the following comparisons:⋅alternative single-component compression bandages (two RCTs, unpooled);⋅two-component bandages compared with the 4LB at three months (three RCTs pooled);⋅alternative versions of the 4LB for complete healing at times up to and including six months (three RCTs, unpooled);⋅4LB compared with paste bandage for complete healing at three months (two RCTs, pooled), six months or one year (one RCT for each time point);⋅adjustable compression boots compared with paste bandages for the outcome of change in ulcer area at three months (one small RCT);⋅adjustable compression boots compared with the 4LB with respect to complete healing at three months (one small RCT);⋅single-layer compression stocking compared with paste bandages for outcome of complete healing at four months (one small RCT) and 18 months (another small RCT);⋅low compression stocking compared with SSB for complete healing at three and six months (one small RCT);⋅compression stockings compared with a two-component bandage system and the 4LB for the outcome of complete healing at three months (one small, three-armed RCT); and,⋅tubular compression compared with SSB (one small RCT) for complete healing at three months.
SECONDARY OUTCOMES
4LB was more cost-effective than SSB. It was not possible to draw firm conclusions regarding other secondary outcomes including recurrence, adverse events and health-related quality of life.
AUTHORS' CONCLUSIONS
Compression increases ulcer healing rates compared with no compression. Multi-component systems are more effective than single-component systems. Multi-component systems containing an elastic bandage appear to be more effective than those composed mainly of inelastic constituents. Two-component bandage systems appear to perform as well as the 4LB. Patients receiving the 4LB heal faster than those allocated the SSB. More patients heal on high-compression stocking systems than with the SSB. Further data are required before the difference between high-compression stockings and the 4LB can be established.
Topics: Bandages; Cost-Benefit Analysis; Humans; Randomized Controlled Trials as Topic; Stockings, Compression; Varicose Ulcer; Wound Healing
PubMed: 23152202
DOI: 10.1002/14651858.CD000265.pub3 -
Veterinary Ophthalmology Sep 2019To assess and compare retention, application characteristics, and patient tolerance of nine bandage contact lens types from four manufacturers. (Comparative Study)
Comparative Study
OBJECTIVE
To assess and compare retention, application characteristics, and patient tolerance of nine bandage contact lens types from four manufacturers.
ANIMALS STUDIED
Six research Beagles were used in this pilot study.
PROCEDURE
Five bandage contact lens types from two veterinary brands and four bandage contact lens types from two human brands were evaluated in six research Beagles. Placement ease, the dogs' contact lens tolerance, and contact lens retention time for up to 14 days were recorded. Statistical analysis with a linear mixed model was performed.
RESULTS
Veterinary contact lenses had an average retention time of 0.4 days (range 0-7 days, with an average of 10% and 3% retained ≥1 and ≥7 days, respectively), while human contact lenses had a significantly (P < 0.0001) longer average retention time of 5.2 days (range 0-14 days, with an average of 83% and 37.5% retained ≥1 and ≥7 days, respectively). Specifically, Johnson and Johnson Vision Care Acuvue® Oasys™ with Hydraclear™ Plus lenses were retained significantly longer than all veterinary lenses, and Bausch and Lomb PureVision® 2 lenses were retained significantly longer than Keragenix HydroBlues™ 18 and AnimaLens™ HRT 78 18 mm lenses.
CONCLUSION
Although all bandage contact lenses were easy to use and well tolerated by the dogs, the human lenses were retained significantly better and longer than the veterinary lenses. Additionally, human lenses were retained significantly better and longer than veterinary lenses of similar measurements. This suggests factors other than measurement and associated fit may determine contact lens retention time.
Topics: Animals; Dogs; Female; Humans; Male; Bandages; Contact Lenses; Pilot Projects; Time Factors
PubMed: 30706601
DOI: 10.1111/vop.12626 -
International Journal of Surgery... Mar 2019The efficacy of modified Robert Jones bandage in primary total knee arthroplasty (TKA) is controversial. On the basis of randomized controlled trials (RCTs), this... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
The efficacy of modified Robert Jones bandage in primary total knee arthroplasty (TKA) is controversial. On the basis of randomized controlled trials (RCTs), this systematic review and meta-analysis was conducted to evaluate the modified Robert Jones bandage in TKA.
METHODS
The electronic databases of EMBASE, PubMed, Web of Science and Cochrane Library were searched from the inception to November 2018 for all relevant English studies. The outcome measurements consisted of total blood loss, hemoglobin decline, transfusion rates, pain score, range of motion, length of hospitalization, knee circumference difference, and adverse effects. Data were analyzed using STATA 14.0 software (The Cochrane Collaboration, Oxford, United Kingdom).Quality assessment was conducted according to the Cochrane Handbook for systematic review of interventions.
RESULTS
A total of 5 randomized controlled trials (RCTs) were included in the systematic review and meta-analysis. The present meta-analysis indicated that there were no significant differences in terms of total blood loss, hemoglobin decline, transfusion rates, pain score, range of motion, length of hospitalization, knee circumference difference, or adverse effects.
CONCLUSIONS
Although published articles have shown improved outcome of blood loss, pain, and knee swelling after application of a modified Robert Jones bandage, our study suggest the use of modified Robert Jones bandage may not be necessary after primary TKA.
Topics: Arthroplasty, Replacement, Knee; Bandages; Blood Loss, Surgical; Humans; Knee Joint; Range of Motion, Articular
PubMed: 30708062
DOI: 10.1016/j.ijsu.2019.01.015 -
British Journal of Nursing (Mark Allen...Management of venous leg ulcers account for a large proportion of the work of healthcare professionals, especially for those who are community based. Multilayer and... (Review)
Review
Management of venous leg ulcers account for a large proportion of the work of healthcare professionals, especially for those who are community based. Multilayer and long-stretch bandage systems have been used successfully for many years in venous leg ulcer management. Rosidal K, a short-stretch bandage, is now also becoming more widely accepted in this country as an effective and cost-effective bandage system. This product focus looks at bandage systems and examines the research supporting the use of short-stretch bandages and Rosidal K.
Topics: Bandages; Cost-Benefit Analysis; Equipment Design; Humans; Nursing Evaluation Research; Practice Guidelines as Topic; Pressure; Treatment Outcome; Varicose Ulcer
PubMed: 12070370
DOI: 10.12968/bjon.2001.10.6.5351 -
Journal of Wound Care Sep 1998
Review
Topics: Bandages; Humans; Nursing Assessment; Patient Selection; Varicose Ulcer
PubMed: 9832741
DOI: No ID Found -
International Wound Journal Feb 2023This meta-review aimed to appraise and synthesise findings from existing systematic reviews that measured the impact of compression therapy on venous leg ulcers healing.... (Meta-Analysis)
Meta-Analysis Review
This meta-review aimed to appraise and synthesise findings from existing systematic reviews that measured the impact of compression therapy on venous leg ulcers healing. We searched five databases to identify potential papers; three authors extracted data, and a fourth author adjudicated the findings. The AMSTAR-2 tool was used for quality appraisal and the certainty of the evidence was appraised using GRADEpro. Data analysis was undertaken using RevMan. We identified 12 systematic reviews published between 1997 and 2021. AMSTAR-2 assessment identified three as high quality, five as moderate quality, and four as low quality. Seven comparisons were reported, with a meta-analysis undertaken for five of these comparisons: compression vs no compression (risk ratio [RR]: 1.55; 95% confidence interval [CI] 1.34-1.78; P < .00001; moderate-certainty evidence); elastic compression vs inelastic compression (RR: 1.02; 95% CI: 0.96-1.08; P < .61 moderate-certainty evidence); four layer vs
bandage systems (RR: 1.07; 95% CI: 0.82-1.40; P < .63; moderate-certainty evidence); comparison between different four-layer bandage systems (RR: 1.08; 95% CI: 0.93-1.25; P = .34; moderate-certainty evidence); compression bandage vs compression stocking (RR 0.95; 95% CI 0.87-1.03; P = .18; moderate-certainty evidence). The main conclusion from this review is that there is a statistically significant difference in healing rates when compression is used compared with no compression, with moderate-certainty evidence. Otherwise, there is no statistically different difference in healing rates using elastic compression vs inelastic compression, four layer vs bandage systems, different four-layer bandage systems, or compression bandages vs compression stockings. Topics: Humans; Compression Bandages; Varicose Ulcer; Stockings, Compression; Wound Healing; Data Analysis; Leg Ulcer
PubMed: 35855678
DOI: 10.1111/iwj.13891 -
Cutis Dec 2022Biopsies, excisions, and other invasive cutaneous procedures are daily occurrences in dermatology clinics. Each procedure requires subsequent placement of a bandage;...
Biopsies, excisions, and other invasive cutaneous procedures are daily occurrences in dermatology clinics. Each procedure requires subsequent placement of a bandage; physicians can be left with an overwhelming choice of supplies for this purpose. We present a universal bandage kit as a resource for physicians in search of a concise guide for purchasing materials and educating nursing staff. These few supplies meet all bandaging needs that arise in a dermatology clinic.
Topics: Humans; Dermatology; Bandages; Skin; Biopsy
PubMed: 36735979
DOI: 10.12788/cutis.0661 -
Nursing TimesBandaging is a basic procedure but if carried out incorrectly it has the potential to cause considerable harm, for example by restricting movement or blood flow.... (Review)
Review
Bandaging is a basic procedure but if carried out incorrectly it has the potential to cause considerable harm, for example by restricting movement or blood flow. Bandages may be used for: Retaining primary dressings; Support; Compression; As a vehicle for administering medication, for example zinc oxide bandages.
Topics: Bandages; Equipment Design; Humans; Nursing Care; Wounds and Injuries
PubMed: 15373162
DOI: No ID Found