Calvo Izquierdo participate ANDE 2022

Calvo Izquierdo participate ANDE 2022

We are pleased to inform you that last June 1st until Friday June 3rd we were present at the 32nd NATIONAL NURSING MANAGEMENT NURSES CONFERENCES this year were held in Toledo (Spain), better known as The Imperial City.

We shared experiences with the national health sector, sharing experiences, generating new learning, giving visibility to our products and, of course, we tried among all health sectors a stronger, more compact and at the same time closer health.

 

MEDICA 2021

In our stand we were showing our medical-sanitary products, since they are of great help to the nursing sector at national level.

They were three intensive days of learning and sharing knowledge that help us to grow every day.

 

Thanks to all the health professionals who shared their time with us.

BLOG 10: Basic bandaging techniques

BLOG 10: Basic bandaging techniques

There are a variety of basic bandaging techniques, and in this post we will explain the most common and basic ones. We will also include some photos of the process of each bandage technique.

Spiral bandaging

In this technique, the bandage is applied obliquely, so that each turn partially overlaps with the previous turn.

It is important to pay attention to the amount of overlap, especially in compression bandages where the number of passes over a point will affect its final compression. By way of example, in this bandaging technique, if we apply the bandage with a 50% overlap, the bandage will pass over the same point twice. If the overlap is 75%, the bandage will pass over the same point three times. 

This widely used bandaging technique should be applied starting from the distal end of the body (the part which is further away from the heart, such as the foot or wrist) to the proximal end of the body (the part closer to the heart). In the case of the leg, for example, bandaging would begin at the base of the toes and go upwards to the knee. Some of the uses of spiral bandaging include compression (such as for venous ulcers), to support dressings, for the attachment of splints and to protect areas from mechanical injuries and infections.

How is a spiral bandage applied?

The application of this bandage on a leg begins by securing the ankle with a figure-of-eight bandage (Image 1 to 4), to continue with the spiral bandage itself (image 5 to 8). If it were on an arm, it would be a similar procedure, the bandage technique would be applied to hold the wrist first,  and then the bandage would be made in a spiral shape.

Image 1: The bandage begins a few centimeters from the most distal area. And it takes one or two laps.

Image 2: A figure eight is made around the ankle avoiding covering the heel.

Image 3: After performing the figure-eight bandage, the heel is covered.

Image 4: Go up to the top of the ankle to start the spiral bandage.

Image 5: Start the spiral bandage with the desired overlap.

Image 6: As can be seen, the overlap must be constant throughout the entire bandage.

Image 7: The bandage will be made for the entire member. In the case of the leg, up to a few cm below the knee.

Image 8: Lastly, if necessary, a couple of strips can be placed to fix the end of the bandage.

Circular bandaging

The circular bandage is a specific case of the spiral bandage. It is applied in such a way that each turn of the bandage overlaps the previous one 100%, or in other words, each turn completely covers the previous one.

This technique is mainly used for prevent and control bleeding. Its use is very specific since, when a 100% bandage overlap is applied, it can generate complications due to a cut in blood circulation.

Vendaje en espiga

This bandaging technique consists of an oblique application to the axis of the limb being bandaged. The bandage is applied at an angle of 30-45 degrees upwards and downwards, so that the first turn is applied upwards and the second downwards. As more and more layers overlap, this generates 30-40% more compression than if the bandage were applied in a spiral. When it comes to the overlap between the wraps of the bandage, this also varies depending on its application, but usually ranges between 50% and 75% overlap.

  • For a 50% overlap, it passes over the same point four times. Double the pressure levels compared to the 50% spiral technique that would go through each point twice.
  • For a 75% overlap, it passes over the same point six times. In this case, it triples the pressure levels compared to the 50% spiral technique.

This technique is used mainly for compressive purposes. To observe how to apply this bandaging technique in practice check the following guidelines.

How is a vendaje en espiga applied?

The application of this bandage begins by fastening the ankle with a figure-eight bandage (Image 1 to 4), to continue with the ascending / descending bandage along the leg (image 5 to 9).

Image 1: We start with the most distal part of the limb to be bandaged.

Image 2: We make a figure eight bandage around the heel, always without covering it.

Image 3: The crossover of the figure eight will always be found on the front of the leg.

Image 4: Once the figure-of-eight bandage has been made, the heel is covered and the spike-shaped bandage is started.

Image 5: The beginning of the turn will be ascending. This will be a half turn behind the leg.

Image 6: To later make the next half turn in a downward direction.

Image 7: Next we will start the half turn up again applying the desired overlap.

Image 8: And again a half turn down. This procedure will be carried out throughout the area to be bandaged.

Image 9: Once finished, you can put some strips of waiting if necessary.

Recurrent bandaging

This bandage is applied from the proximal end to the distal end. More specifically, it is used on the scalp, stumps (amputated limbs) and fingers or toes.

This type of bandage combines different types of turns, where the aim is to cover the amputated area to protect it. Unlike other techniques, this will begin in the proximal area, fixing the bandage with a circular turn, applied without tension, then the bandage is directed towards the distal area, the end of the stump, covers it and returns to the proximal area. From there, a herringbone bandage is started to cover the entire affected area.

As a precaution, it must be taken into account that the applied tension does not impede circulation and that it contributes to the formation of the stump.

 

How is a recurrent bandage applied?

Image 1: We start in the proximal area, fixing the bandage with a circular turn without tension.

Image 2: Later we go to the distal area and perform a half turn.

Image 3: we return to the proximal area and perform another circular turn without tension.

Image 4: We carry out the three previous steps a second time.

Image 5: Next we cover the central point of the stump.

Image 6: After this we start with a herringbone bandage to cover the rest of the leg.

Image 7: As we have mentioned before, the herringbone bandage combines ascending/descending turns.

Image 8: After the bandage we can fix the bandage with clips or adhesive tape.

Vendaje en forma de ocho

This bandaging technique is intended for use on joints such as the elbow, knee or ankle. It should be applied in the functional position of the joint (elbow at 90º, knee at 20º, etc.).

The procedure is the same as in steps 1 through 4 for the spiral bandage already mentioned above. It is used as a joint support as it still allows some joint mobility, while keeping it somewhat rigid and preventing full extension of the joint.

How is a Figure-of-eight bandage applied?

Image 1: The bandage begins a few centimeters from the most distal area. And it takes one or two laps.

Image 2: A half turn is made from the upper part to the ankle and then a lower half turn.

Image 3: We repeat this process for 5 or 6 times and fix the end of the bandage with a few pieces of hope cloth if necessary.

Conclusion

As we have seen, there are many ways to make a bandage. During this post we have tried to show the most common ones, and in later posts we will show these same bandages applied to specific bandages. One case will be with compressive bandages, focused on the treatment of venous ulcers and another will be the case of functional bandages, more focused on the treatment of muscle injuries and rehabilitation.

Produced by the Technical Department of Calvo Izquierdo S.L.

with the collaboration of Carmen Alba Moratilla.

Bibliography:

      BLOG 9:Overview of bandaging techniques

      BLOG 9:Overview of bandaging techniques

      Now that we have analyzed the different types of bandages according to their composition and function, it’s time to review the most common types of bandages and understand how to apply them. In this post we will discuss some generalities about the application of bandages and introduce some basic concepts that will serve as guidelines. In the next post, we will explain the different basic bandaging techniques.

      Which side of a bandage is applied?

      The bandage is always applied keeping the outer side of the bandage roll in contact with the previous layer and rolling over itself. This correct way of application is shown in the photo on the left below.

      The reason why the outer side is always applied to the area to be bandaged is because this allows for greater control of the force or pressure during the application of the bandage. The health professional will be able to control the force applied at all times and the bandage will unfold in a constant and homogeneous manner over the applicable area. If done in the opposite way (keeping the inner side of the bandage roll in contact with the previous layer) the practitioner will have to pull the bandage away from the patient’s body in order to unroll the bandage and then apply it. This generates irregular pressure peaks, less control over the bandage application technique, greater discomfort for the professional applying the bandage and discomfort for the patient. In addition, the risks of iatrogenesis are increased by not maintaining constant pressure during the application, which can impede correct blood circulation and lymphatic drainage.

      Venda de yeso

      Correct

      Venda tubular de compresión

      Incorrect

      What is overlap when applying a bandage?

      Bandage overlap is the amount of bandage width that is covered by the following layer after one revolution of a bandage has been applied. Thus, 0% overlap means that each new layer of the bandage does not cover any of the previous layer, and 100% overlap means that the next layer of the bandage completely covers the previous one. As we will see in the next post, a 100% overlap is the one used in circular bandages. The bandage as a whole must have a homogeneous thickness, allowing for mobility and comfort.

      Below can be seen an example of overlapping at 25%, 50% and 75%.

      Venda de espuma (Pre-tape)

      25% overlapping

      Venda tubular de compresión

      50% overlapping

      Venda de crepe

      75% overlapping

      Another important aspect of the overlap is that the greater the overlap with the same force, the greater the level of pressure. Therefore, the more turns of a bandage there are over one specific point, the more pressure is generated at that point. This will be discussed in greater depth later.

      Is it necessary to first put a padding bandage before applying any type of bandaging?

      Pressure-absorbing products (cottons, foam, felt, etc.) should always be to protect areas at risk of hyperpressure such as bony prominences or areas that compromise the movement of the joint, to smooth perimeters by avoiding areas with folds, or to fill concavities such as the malleolar area. There are few occasions when such protection is not required.

      If, for example, immobilization is the goal, it is always advisable to apply padding bandages to protect the area before the immobilization bandage is applied. In addition, in immobilization bandaging it is even recommended to bandage the nearby joints to prevent further harm and to provide support. If a decongestive or post-surgical bandage is to be applied, it is essential to smooth the perimeter with padding or extrinsic compression systems (pads) that strengthen the pressure in certain areas.

      Currently, there are bandages that incorporate padding in their design, as they are strictly for support or protection.

      How to begin the bandaging process correctly

      At the beginning of the bandaging process, the bandage must be fixed securely, placing the bandage at an oblique angle from the heel to the forefoot to give stability to the bandage making two initial turns , thereby avoiding greater pressure in distal areas.

      Bandaging is begun from the distal end of the limb (further from the heart) to the proximal end (closer to the heart) in order to promote lymphatic drainage and prevent oedema. As we have seen, there are many points to bear in mind when applying a bandage. It is always advisable to have bandaging done by a professional, unless expressly told otherwise, as failure to do so could lead to injury or worsening of the affected area.

      Produced by the Technical Department of Calvo Izquierdo S.L.

      with the collaboration of Carmen Alba Moratilla

       

      Bibliography:

        BLOG 8: Types of bandages according to their function.

        BLOG 8: Types of bandages according to their function.

        In the last post, we discussed one of the ways to classify bandages, which is based on the materials used in the bandages and their composition. In today’s post we will discuss a different classification based on the function of the bandage. But first, let’s summarize the different functions for which bandages are used:

        Uses of bandages

        Nowadays, bandages are commonly used by healthcare professionals in the hospital, physiotherapy and veterinary sectors. This is why there are so many different types of bandages and such a variety of purposes for which they are used.

        Some of the most common uses of bandages are:

        • Supporting a wound: after an operation it is often necessary to use a support bandage to prevent stitches or recently closed wounds from reopening.
        • Securing dressings or splints: both dressings and splints are usually accompanied by a bandage to keep them in place.
        • Protection against mechanical injuries or bacteria: in parallel with the first function, some bandages are applied as a protective layer to protect the wound from blows, friction or external infections.
        • Stop hemorrhages: in the case of these wounds, a compressive bandage is often necessary to stop or reduce bleeding.
        • Improve venous return, as in the case of venous ulcers that appear on the lower limbs of the body. In this way, the bandage supports the body’s blood circulation to allow the blood to circulate correctly.
        • Immobilization of joints, either partially or totally: in the case of bone cracks, fractures or muscle tears, one of the treatments involves the use of immobilization bandages that allow the affected area to recover.

         

        Classification according to the function of the bandage

        After observing the uses indicated in the previous section, bandages can be grouped into four basic functions, fixation and support bandages, compression bandages, padding bandages and immobilization bandages.

         

        1. Fixation and support bandages

        These types of bandages are mainly used to support wounds, to secure dressings and/or splints and to protect areas of the body from mechanical injury or infection. Some of the bandages used for these purposes include gauze bandages, crepe bandages, elastic bandages, cohesive bandages or tubular support bandages.

        Gauze bandages

        Elastic bandages

        Crepe bandages

        Cohesive bandages

        Tubular support bandages

         

        2.Compression bandages

        These are used to stop bleeding and to improve venous return, as in the case of venous ulcers. They are also used for semi-rigid immobilization of a limb.

         

        The most commonly used compression bandages include compression bandages themselves, tubular compression bandages and some types of crepe bandages.

        Elastic bandages 

        Crepe bandages

        Tubular compression

        In terms of bandages intended to perform a compression function, especially in the case of compression bandages for the treatment of venous ulcers, it should be mentioned that there are kits that combine everything necessary to perform this compressive treatment according to the patient’s needs. These are called compression kits and will be discussed in more detail in future blog posts.

         

        3.Padding bandages

        When we talk about a padding bandage, we are referring to bandages that are used prior to a more aggressive bandage and which aim to protect the skin or joint from the main bandage. Among the main padding bandages we find pre-tapes, crepe paper bandages and padding bandages, the last being the most common in most cases.

        Venda de espuma (Pre-tape)

        Foam bandages (pretape)

        Venda tubular de compresión

        Padding bandages

        Venda de crepe

        Crepe paper bandages

        4.Immobilization bandages

        The aim of immobilization bandages is to limit the mobility of a joint, either partially or completely. In this way, a damaged area can be restored or painful movements can be avoided.

        Venda de yeso

        Plaster of Paris

        Venda tubular de compresión

        Fiberglass bandages

        As we can see, there are a multitude of bandages and their uses are quite varied. It should also be noted that the classification of bandages is quite subjective so it is not surprising that there are different classifications. However, in today’s entry we have tried to bring together the most widely used criteria.

         

        Produced by the Technical Department of Calvo Izquierdo S.L.

        with the collaboration of Carmen Alba Moratilla.

         

        Bibliography:

        • Fundamentals of Nursing. Kozier & Erb
        • Vendajes e inmovilizaciones. Manual de bolsillo para enfermería Cristina Gomez Enriquez M1 Jose Rodriguez (https://www.picuida.es/wp-content/uploads/2015/09/Manual-Venajes-Jerez.pdf)
        • El vendaje funcional. Toni Bové (http://udocente.sespa.princast.es/documentos/El%20vendaje%20funcional.pdf)

         

        BLOG 7: Types of bandages according to their composition.

        BLOG 7: Types of bandages according to their composition.

        There are many ways to classify bandages. In this and the following post we are going to deal with the two most widespread ones. First, in this blog post we will classify bandages according to the material and composition, and then, in BLOG 8, we will categorize bandages according to their purpose or function when applied. Although these classifications are common in many points, in others they differ.

        Gauze bandage

        This type of bandage is widely used as a support bandage. It is sometimes applied directly to wounds as it can be impregnated with Vaseline or medication. At the same time, it allows air to circulate through it, enabling very good breathability for the wound. Gauze bandages have little or no elasticity. In the past, gauze bandages were quite common, although in recent years they have fallen into disuse.

        Elastic bandages

        Venda elástica

        These are bandages that adapt very well to any area of the body thanks to their elasticity. Their main use is to hold and support, allowing the wounds to be protected from the environment and preventing them from becoming infected. Elastic bandages are usually made of synthetic and natural yarns such as: cotton, viscose, polyamide and/or PBT.

        As we can imagine, elasticity is one of the key factors of this bandage, normally being around 100% and about 140% for crepe elastic bandages.

        Crepe elastic bandage

        Venda de crepe

        This is a particular type of elastic bandage, so called because of the shape of the fabric that forms it. It is arguably the most widespread type of elastic bandage. It usually has two longitudinal lines on the sides of the bandage in red or blue. It is a full-bodied bandage but at the same time it is very porous and breathable.

        The main characteristic of this bandage is the grammage. Some of the most common standards are 70 gr/m2, 90 gr/m2 or 100 gr/m2.

        Cohesive elastic bandages

        Venda de crepe

        This type of bandage is an elastic bandage that has been impregnated with a cohesive material, which gives the bandage its properties. Cohesive elastic bandages are widespread in Europe and the Americas. Its main advantage, as we have already mentioned, is that because the bandage adheres to itself, it remains in place for much longer. In addition, unlike adhesive bandages, these bandages do not stick to the skin or clothing, thus facilitating their removal.

        Padding bandages

        Venda de crepe

        This type of bandage is an elastic bandage that has been impregnated with a cohesive material, which gives the bandage its properties. Cohesive elastic bandages are widespread in Europe and the Americas. Its main advantage, as we have already mentioned, is that because the bandage adheres to itself, it remains in place for much longer. In addition, unlike adhesive bandages, these bandages do not stick to the skin or clothing, thus facilitating their removal.

        Foam bandages

        Venda de espuma (Pre-tape)

        They have a similar purpose to the padding bandages but are made of polyurethane of greater or lesser thickness. Sometimes this material is impregnated with a substance to eliminate odors, relieve itching or reduce inflammation. They are also often referred to as pre-tape bandages.

        Elastic adhesive bandages

        Venda de espuma (Pre-tape)

        Estas vendas están diseñadas para reducir el movimiento parcial de alguna articulación o alguna parte del cuerpo. Contienen un adhesivo que permite que se fijen a diferentes superficies y contiene un alto poder adhesivo. Es una venda muy utilizada en la aplicación de vendajes funcionales.

        Plaster of Paris Bandages

        Venda de yeso

        These bandages are designed to reduce partial movement of a joint or body part. They contain an adhesive that allows them to be attached to different surfaces and have a high adhesive power. They are widely used in the application of functional bandages.

        Polyester fiber bandages

        Venda de yeso

        They have the same purpose and use as plaster bandages but are made from synthetic materials. While they are more expensive than plaster, they have the advantage that, once correctly applied, the patient can get wet without damaging the bandage. Polyester fiber bandages are also much lighter than plaster bandages.

        Tubular bandages

        Venda tubular de compresión

        Tubular bandages are tube-shaped and there are three main types. First, there is the tubular compression bandage, which generates a slight compression on the applied area. Second, the support bandage is an elastic bandage that serves as protection before another type of bandage is applied. Finally, the mesh bandage is a very elastic bandage used as a support for dressings and other bandages. This type of bandage is easy to apply. The materials from which it is composed are very diverse

        Plasters and tapes

        Venda tubular de compresión

        Plasters are bandages that are impregnated with adhesive, but unlike elastic adhesive bandages, these bandages have little or no elasticity. They are made of different materials: paper plasters, plastic plasters, fabric plasters and TNT plasters. Finally, there are the ones known as tapes, which are like plasters but different. Although they are all made of a fabric impregnated with adhesive, their functions are very diverse and their use is very versatile, from fixing bandages or other objects, to their use in functional or compression bandages.

        In the case of tapes, they are inelastic adhesive bandages which, when properly applied, form undulations on the skin to increase the subdermal space and facilitate lymphatic and blood flow.

        Kinesiology tape

        Venda tubular de compresión

        These are a very specific type of tape that due to the undulations of the fabric and always being applied by professionals in the sector, allows muscle recovery in a faster and more effective way. They are widely used in fields such as physiotherapy and sports rehabilitation.

        This is an adhesive bandage, with elasticity only in the longitudinal direction.

        Como podemos comprobar existen multitud de vendas y su uso es muy variado, es muy importante conocer todo

        As we can see, there are a multitude of bandages and their use is quite varied. It is very important to be familiar with all these types, as well as their compositions, because their functions and the way they are applied depend greatly on this knowledge. 

        Produced by the Technical Department of Calvo Izquierdo S.L.

        with the collaboration of Carmen Alba Moratilla.

        Bibliography:

        • Fundamentals of Nursing. Kozier and Erb
        • Vendajes e inmovilizaciones. Manual de bolsillo para enfermería Cristina Gomez Enriquez M1 Jose Rodriguez Rodriguez
        • El vendaje funcional. Toni Bové