Compression modalities and dressings: their use in venous ulcers

Authors: Sackheim, Kimberly¹; DeAraujo, TamiS.²; Kirsner, RobertS.

Source: Dermatologic Therapy, Volume 19, Number 6, November 2006 , pp. 338-347(10)

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Abstract:

Among the standard of care for venous ulcer treatment are the use of compression therapy to reverse the effect of venous hypertension and the use of occlusive dressings to maintain a moist wound-healing environment and for treatment of abnormalities of the ulcer bed. The use of multilayered elastic bandages for compression in patients with normal arterial flow currently provides the treatment with the highest level of evidence for treatment of venous ulcers. Additionally, treatment of the ulcer bed, especially with cadexemer iodine dressings, is also supported by evidence from randomized controlled trials, whereas newer dressings provide less well proven alternative opportunities to speed the healing of venous ulcers.

Keywords: elastic and nonelastic compression; occlusive dressings; venous ulcer

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1529-8019.2006.00092.x

Affiliations: 1: Department of Dermatology and Cutaneous Surgery and 2: Department of Epidemiology and Public Health, University of Miami, Miller School of Medicine, Miami, Florida

Publication date: 2006-11-01