The document discusses surgical dressings and bandages. It defines a surgical dressing as a sterile pad or compress applied to a wound to promote healing, while a bandage is material used to support, cover, immobilize, or exert pressure on part of the body. The document outlines the purpose of bandaging, considerations before bandaging such as the type and patient comfort, different types of bandages based on material and structure, proper bandaging techniques including different turns, important site-specific bandages, and bandage removal.
2. Learning Objectives
What is the difference between surgical
dressing and bandage?
Purpose of bandaging
Considerations before bandaging
Types of bandages and their characteristics
What is bandaging?
Do’s & Don’t of bandaging
Techniques of bandaging
Bandage removal
3. What is the difference between
surgical dressing and bandage?
Surgical dressing:
Sterile pad or compress applied to a
wound to promote healing and prevent further
harm
Bandage:
A piece of material used to support, cover,
immobilize, or exert pressure to a part of body.
4. Purpose of Bandaging
• First aid measure for injured, esp. bleeding
control
• Immobilize/restrict movement
• Support
• Hold splint securely
• Prevent/reduce swelling
• Protect wound against infection
• Hold surgical dressings
5. Considerations before bandaging
• Type & purpose of bandage
• Comfort of the patient
• Bandaging in most natural position of body
part
• Neatness
• Economy of the bandage
6. Types of bandages and their characteristics
• Types available:
– Depending upon material
• Roller bandages: length of material wound into a
compact firm roll
• Open weave cotton bandage
• open mesh conforming bandage
• Cotton crepe bandage
• Crepe knit bandage
7. Types of bandages and their characteristics
• Types available:
– Depending upon material
8. Types of bandages and their characteristics
• Types available:
– Depending upon structure
• Roller bandages
• ‘T’ bandages
• Tubular bandages
• Triangular bandages
• Cravat bandages
9. Types of bandages and their characteristics
• Types available:
– Depending upon structure
• Roller bandages
10. Types of bandages and their characteristics
• Types available:
– Depending upon structure
• ‘T’ bandages- perineum
11. Types of bandages and their characteristics
• Types available:
– Depending upon structure
• Tubular bandages
12. Types of bandages and their characteristics
• Types available:
– Depending upon structure
• Triangular bandages
13. Types of bandages and their characteristics
• Types available:
– Depending upon structure
• Cravat bandages
17. Do’s & Don’t of bandaging
• Do’s:
– Patient in comfortable position
– Part to be bandaged to be in natural position
– Person bandaging to stand in front
– Use tightly rolled bandage, not uncomfortably
long
– Unroll bandage at a time for better control
– Unroll outwards
18. Do’s & Don’t of bandaging
• Do’s:
– Start just distal to part to be covered
– Initial two circular turns for firm anchor
– Should be applied distal to proximal
– Place absorbent material between two skin
surfaces (absorb perspiration & avoid friction)
– All prominences to be padded
– Even tension through out (degree of pressure
required depends on purpose of bandaging)
19. Do’s & Don’t of bandaging
• Do’s:
– 1/3rd of each turn of bandage to be left uncovered
– Leave ends of toes/fingers open for checking
circulation
– Finished with a complete turn
– Fixation of ends:
• Adhesive tape, end of bandage- split & tied, safety pin,
or by swing ends
20. Do’s & Don’t of bandaging
• Avoid:
– Wet bandage- shrinks when dry
– Uneven tension
– Reverse turns over wound/ prominences
– Too much bandage
– Incorrect securing of ends
21. Techniques of bandaging..
• Basic turns used in roller bandaging:
1. Circular-
horizontal turns around a part
Used mainly for securing bandage at beginning & end
To be avoided around limbs
22. Techniques of bandaging..
• Basic turns used in roller bandaging:
2. Spiral-
Spiral turns distal to proximal
Applied over parts with uniform thickness. e.g.,
finger, upper arm
23. Techniques of bandaging
• Basic turns used in roller bandaging:
3. Reverse Spiral-
Spirals have reverse turn
Applied over parts with varying thickness. e.g.,
forearm
24. Techniques of bandaging
• Basic turns used in roller bandaging:
4. Figure of eight-
Each complete turn of bandage forms a figure of eight
around limb or torso
Overlapping turns, each crossing at midpoint &
ascending/ descending alternately
Used over joints, shoulder, groin, thumb
SPICA-
Modification
One loop is much larger than others
Name derived- appearance similar to “ear of barley”
27. Techniques of bandaging
• Basic turns used in roller bandaging:
4. Recurrent-
Series of alternating turns
One or two spiral turns, initial turn made across the
middle of area to be covered.
Succeeding turns passed to & fro over end of first one
side, then another. Until entire area is covered.
Completed with one or two spiral turns and secured
Used- amputated stump of limb or to the head.
38. Other types of bandages
• Impregnated with medicaments
– Zinc paste BPC
– Zinc oxide & ichthammol BPC 2%
– Zinc oxide, ichthammol & urethane
– Zinc oxide, calamine 5.75% & urethane
– Prepared coal tar #% in zinc paste
– Iodochlorohydroxyquinoline 1% with zinc paste
– Zinc oxide with calamine
39. Other types of bandages..
– Cotton crepe (Elastocrepe)
– Cotton incorporated with rubber threads
– Adhesive elastic strapping
40. Removal of bandage
• For disposable bandage (single use)
– cutting longitudinally, avoiding injury to patient or
self using
• Lister’s scissors
• Surgical blade (sharp edge away from patient)
• For reusable bandage
– Removal of adhesive/pin/knot
– Gentle unrolling
– Wash, sterilize & reuse
41. What did we learn?
What is the difference between surgical
dressing and bandage?
Purpose of bandaging
Considerations before bandaging
Types of bandages and their characteristics
What is bandaging?
Do’s & Don’t of bandaging
Techniques of bandaging
Bandage removal