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ProGuide* Instructions for use

 

Before applying the first bandage it is important to check the following:

  1. Assess the patient to rule out arterial disease. The use of Doppler ultrasound is recommended (Doppler ultrasound should be re-checked every 3-6 months).
  2. Measure the ankle circumference to confirm that it is greater than 18cm (padded). Ensure the correct kit is being applied.
  3. Check if the patient's ankle circumference has changed due to a reduction in oedema. Always re-measure after the initial treatment period and check the bandage selection guide for the correct kit for the size of leg.
  4. Assess the patient's limb for bony prominences or calf fibrosis. Ensure that these are well protected using the ProGuide #1 padding.
  5. Bandages must not be washed and re-applied. A new kit should be applied at each change.

 

Instructions for use:

1. Select the correct kit depending upon the ankle circumference.

 

Product Code

66000780

66000781

66000782

 

Ankle Circumference

18 - 22cm

22 - 28cm

28 - 32cm

 

 

Kit

Red

Yellow

Green

Proguide

2.

ProGuide WCL. Do not use contents if pouch is opened or damaged.


Do not use the Wound Contact Layer with oxidising agents such as Hypochlorite solutions (e.g. Eusol) or hydrogen peroxide as these can break down the absorbent polyurethane component of the dressing.


Use a clean technique to remove the WCL from the pack and apply directly to the wound. Either side of the WCL can be placed in contact with the wound.

 

Ensure ulcerated area is covered. Use extra WCL as required.

 

 

 

 

 

 

3. ProGuide #1 Padding. Apply ProGuide #1 from the base of the toes to the knee. Note: Do not apply tension. Wrap the padding around the foot. Complete an ankle lock: take the padding around the back of the ankle and return across the top of the foot ensuring that the heel and foot are covered. Proceed from the ankle to the knee using a simple spiral technique at 50% overlap. Cut off excess padding.

 

4.

ProGuide #2 Compression Bandage. Precaution: Avoid direct contact with oil based skin preparations and ointments.

Apply ProGuide #2 from the base of the toes to the knee. Note: Apply the bandage at minimal tension around the foot and ankle. The bandage has been extended too much if the compression guide becomes a circle. Wrap the bandage around the foot. Complete an ankle lock: take the bandage around the back of the ankle and return across the top of the foot to cover ProGuide #1. From the ankle to the knee use a simple spiral technique at 50% extension (at this point, stretch the bandage until the compression guide becomes a circle and the cross is at right angles - fig 1) and 50% overlap, using the centre line as a guide. Cut off excess bandage. Use tape to secure.

 

Removal/Disposal instructions ProGuide may be worn on the leg for up to 7 days. If any problems occur please seek medical advice.

Remove with bandage scissors and discard as per local policy guidelines on clinical waste/infection control.

 

Precautions:
Please follow instructions correctly as in some patients, pain may result from improper application technique.

Should the patient develop pain or pale, cool or numb extremities distal to the dressing, the bandages should be immediately removed.

It is important that the size and the shape of the limb is assessed carefully and that the appropriate kit is used - the systems will not protect vulnerable areas from excessive pressure in patients with very thin legs or prominent tibial crests unless additional ProGuide #1 padding is used.

Patients with a history of heart disease who suffer breathing discomfort should seek medical advice.

Avoid direct contact of ProGuide #2 Compression bandage with oil based skin preparations/ointments.

Do not use ProGuide Wound Contact Layer with oxidising agents such as hypochlorite solutions (e.g. EUSOL) or hydrogen peroxide, as these can break down the absorbent polyurethane component of the dressing.

Reddening of the skin around the wound following the use of hydrocellular dressings has been reported rarely. In some cases this relates to irritation of fragile skin, in others wound exudate remaining in contact with normal skin for prolonged periods may be the cause. Infrequently, cases of sensitivity to the dressing have also been reported. If reddening or sensitisation occurs discontinue use.

Wound Contact Layer only: Do not use contents if pouch is opened or damaged.

 

Warning: Failure to detect significantly reduced arterial flow can result in pressure necrosis, amputation or even death.

 

The risk of a patient having arterial as well as venous disease rise with age.

 

Contra-indication:
Do not use on patients with an ankle:brachial pressure index of less than 0.8 or on diabetic patients with advanced small vessel disease.

 

Compression Guide


Figure 1
Compression Guide