To provide appropriate high level compression of lower extremities to improve venous return, decrease venous hypertension, reduce and control edema, promote wound healing and prevent disease progression.
Documentation confirming lower extremity venous disease (LEVD) with edema, and/or with or without venous leg ulcer/s.
Compression therapy wrap to be applied by skilled and trained clinician.
Prior to application of compression therapy, perform ABI to exclude lower extremity arterial disease
Compression (30-40 mmHg at the ankle) if ABI is greater or equal to 0.80 mmHg
Modified compression (23–30 mmHg at the ankle) if ABI is less than 0.80 and equal to or greater than 0.50
Do not apply compression if ABI is less than 0.50
Multicomponent compression systems may remain in place for up to 7 days
Do not apply compression if ABI is less than 0.50, ankle pressure is less than 70 mmHg, or toe pressure is less than 50 mmHg
Compression wraps should be promptly removed if patient develops pain or pale, cool or numbness of extremity distal to the dressing and/or slippage of wrap
If patient has very thin ankle or very prominent tibial crest, extra padding should be applied to these areas to prevent pressure necrosis
Measure ankle circumference to confirm 18 cm or 7¼ inches (add foam padding per need)
Assessment to rule out arterial disease is vital. Failure to detect significantly reduced arterial blood flow can result in pressure necrosis, amputation of limb or death
Review contraindications for multicomponent compression wrap therapy systems (2, 3, 4 layers)