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Bandages and Drains

Mike Conzemius, DVM, PhD

Diplomate ACVS

Iowa State University

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Bandages Wound dressings

Padded/support bandages Robert Jones, bobby jones

Splints/Casts

Spica

full cast, half cast, metal rod reinforced bandage

Slings Velpeau, Ehmer, Hobbles, Robinson

Pressure bandages

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Wound Dressings contact layer

adherent dry to dry; wet to dry; wet to wet

nonadherent

semiocclusive or occlusive

padding layer

absorption of fluid, secure contact layer,obliterate dead space

support layer

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Bandage Principles

stirrups leave access to two toes

distal to proximal even amount of padding

even tension when applying supportlayer

bandage care

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Padded/Support Bandages

immobilization of fractures prior to surgery reduction of postoperative edema

Robert Jones Bandage heavily padded with cotton

immobilization at or below elbow or knee

Spica splint

immobilization above elbow or knee

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Full Cast

Cut before finishing

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Robert Jones

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Robert Jones Bandage

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Spica Splint

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Pressure Bandages

control hemorrhage, edema, deadspace

apply from distal to proximal

apply evenly

leave access to tips of toes

12-24 hours, 30-50 mmHg

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Tourniquet

Start distal

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Slings Velpeau Sling

forelimb immobilization scapular fracture

Ehmer Sling

hindlimb immobilization

craniodorsal hip luxation

Robinson sling hindlimb not weight bearing sling

Hobbles

ventral hip luxation

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Bandage Care

check toes BID; change if swollen or cold

keep clean and dry; change if wet

change if odor develops

change if patient traumatizes bandage change if patient anorexic, depressed, fever

change if limb function worsens change every two weeks

every patient/owner gets written instructions

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Drains

eliminate dead space open fracture

eliminate established collection of fluid or gas

peritonitis, pleuritis

prophylactic elimination of fluid or gas that

may form for contaminated procedures

total ear canal ablation

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Drain Classification

passive drains fx by gravity, overflow

separate incision sites and through space

penrose, sump, triple lumen

active drains

apply negative pressure

open (pump) or closed (tube) suction

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