4-LB Multi Layer Compression Bandaging System

The Power of 5 Layers: Protection, Cushioning, Support and Compression

Layer 1 (Silver Stockinette): Provides antimicrobial protection and maintains the ulcer area infection-free

Layer 2 (Absorbent Padding): Provides cushioning and absorbs wound exudate.

Layer 3 (Cotton Compression Bandage): Delivers the therapeutic pressure needed for effective venous return

Layer 4 (Compression Bandage): Exert 25mmHg compression, applied in ‘figure of 8′ pattern & 50% stretch

Layer 5 (Cohesive Bandage): Exert 20mmHg compression, helps to maintain the compression

Layer-by-Layer: How Multi-Layer Bandaging Work

Silver Stockinette: The first layer of the 4LB bandage is the Silver Stockinette, which serves as an antimicrobial protective layer over the wound dressing. The Silver Stockinette contains silver, known for its antimicrobial properties, helping to prevent infection and promote a clean wound environment.

Orthopaedic Bandage: Following the Silver Stockinette is the Orthopaedic Bandage, which serves multiple purposes. This layer absorbs excess exudate from the wound, reducing moisture and maintaining a favorable healing environment. Additionally, the Orthopaedic Bandage provides padding, offering cushioning and protection to the wound site.

Cotton Compression Bandage: The next layer is the Cotton Compression Bandage, which acts as the primary supportive bandage in the 4LB system. This bandage provides consistent compression to the affected area, aiding in reducing swelling, improving circulation, and facilitating the healing process. The Cotton Compression Bandage plays a crucial role in maintaining proper compression throughout the treatment.

Compression Bandage: : The fourth layer of the 4LB system is the Compression Bandage, which exerts approximately 25mmHg compression. This bandage is applied in a figure-of-eight pattern with a 50% stretch, ensuring even and targeted compression. The Compression Bandage further supports venous return, reduces edema, and promotes healing by improving blood flow.

Cohesive Bandage: To secure the entire bandage system in place, the final layer is the Cohesive Bandage. The Cohesive Bandage not only provides compression (approximately 20mmHg) but also helps maintain the compression achieved by the previous layers. Its cohesive nature allows it to stick to itself without adhesive, ensuring the bandage remains securely in place during daily activities.

Together, the layers of the 4LB compression bandage system offer a comprehensive treatment approach for venous leg ulcers. This protocol addresses wound management, exudate absorption, compression, and stability. By following the 4LB system, healthcare professionals can provide an effective and standardized treatment for patients with venous leg ulcers, promoting healing and improved quality of life.

Healing Duration

The use of 4LB system typically ranges from 12 to 16 weeks, depending on the level of exudate and the severity of the wound, such as venous leg ulcers. The treatment duration can be shorter for wounds with lower exudate levels and ranges from 4 to 6 weeks.

Dressing Change Frequency

The dressing should be changed every 4 to 7 days, based on the amount of wound exudate. Higher levels of exudate may require more frequent changes to prevent the dressings from getting soaked. Regular monitoring by a healthcare professional ensures that the dressing schedule and compression levels are appropriate, maximizing therapeutic benefits and patient comfort.

Watch: How to Apply 4LB

CASE STUDIES