Actico Application Guide

Prescriber’s Guide

Actico® ‘Safe-Loc’ system® - for consistently safe,
accurate and easy application - ‘Lock & Roll !’

1. Lock it at full stretch Applied with 50% overlap

2. Roll it at full stretch

loAwciesstsyittcshtopeer®micedActico® should beapplied at 100% full stretch, close to the limb

Cost of the leading four-layer witmhaioAnutcttaiisclniiopn®pigaspgrceea(s1p)saubrlee of
elastic compression bandage kit - £9.08
Cost of a two-layer
elastic compression bandage kit - £7.76
Cost of the Actico® cohesive inelastic
compression bandage system - £3.69

Figures taken from Drug Tariff August 2011.

Reference
1. Moffatt, C.(2004) Factors that affect concordance with compression therapy. Journal of Wound Care, Vol; No 7: 291-294

Below Knee Actico® application for
leg ulcer management

12 3 4

Application instructions: Prior to bandaging the Hold Actico® with tension and apply two turns
patient should have a full holistic assessment from the base of the toes. Roll Actico® across
(please refer to local guidelines). the dorsum keeping tension. An extra turn
may be applied in the middle of a long foot.
Assessing the shape of the limb: Ensure • Step 4 Enclose the ankle and heel with
sufficient padding is used to protect vulnerable a figure of eight.
areas and reshape the leg (if necessary) to • Step 5 Start to spiral up the leg using the
provide graduated compression. Measure the ‘Lock & Roll’ method (50% overlap –
ankle circumference before and after the full stretch). Roll the Actico® round the
padding layer is applied. back of the leg whilst ensuring it is locked
out at full stretch. Continue with the ‘Lock &
Please note: For ankle circumference less than Roll’ method up the limb in a spiral.
18cm, apply enough FlexiBan® padding to bring • Step 6 Finish the Actico® 3cm below the
the ankle measurement between 18-25cm. popliteal fossa. Cut off excess bandage
and tape if necessary. Ensure layers are
• Step 1 Measure the ankle. Reshape/protect bonded.
the limb (if necessary) by applying FlexiBan®
padding. with an ankle circumference more than 25cm
after padding.
• Step 2 Secure padding with two turns at the
base of the toes and with a figure of eight at • Step 7 Apply a second Actico® 10cm in the
the ankle before using a 50% overlap spiral opposite direction. Secure with two turns
up the leg to 2cm below the knee/popliteal with tension over the ankle and on the third
fossa. Re-measure the ankle. turn follow the ‘Lock & Roll’ method as
before in Steps 5 & 6. Finish as before.
with an ankle circumference of 18cm-25cm
after padding.

• Step 3 Before applying Actico® 10cm check
that the foot is correctly positioned ‘toes to
nose’ to maximise ankle movement.

6

57

Actico® application for F&uBlleLloegw Knee
chronic oedema and lymphoedema

1 23

Application instructions: Prior to bandaging • Step 5 Change to 10cm Actico® bandage
the patient should have a full holistic and continue with the ‘Lock & Roll’ method
assessment (please refer to local guidelines). (50% overlap - full stretch) up the leg.
• Step 1 If necessary bandage the toes using Below knee: If there is no oedema above
the knee - finish the Actico® bandaging 3cm
Mollelast® 4cm retention bandage to prevent below the popliteal fossa. Cut off excess
swelling in the toes. bandage. Apply the second layer in the
• Step 2 Apply a layer of ActiFast® tubular opposite direction repeating from Step 4.
retention bandage along the section of the Cut off excess bandage and tape if
limb being bandaged, allowing an extra 6cm necessary. Ensure layers are bonded.
either end.
• Step 3 Assess, reshape and protect the limb • Step 6 Full leg: When bandaging above the
using FlexiBan® padding, ensuring graduated knee the patient can be sitting or standing,
conical shape. Protect the popliteal fossa but the knee needs to have slight flexion.
and make sure the knee has slight flexion. Continue to bandage over the knee with the
Fold the ActiFast® over either end of the 10cm bandage, changing to 12cm Actico®
padding. above the knee. Continue using the ‘Lock &
• Step 4 Correctly position the foot ‘toes to Roll’ method, stopping 1cm below the
nose’ to maximise ankle movement. Apply padding. Cut off excess bandage and
two turns of Actico® 8cm starting at the tape if necessary. Ensure layers are bonded.
base of the toes and apply with tension.
An extra turn may be applied in the middle • Step 7 Apply a second layer of Actico®.
of a long foot. Bandage the heel with a Follow the same stages from steps 4-6
figure of eight, keeping the tension. but apply the second layer in the opposite
Continue a simple spiral with direction to create a semi-rigid cuff around
(50% overlap - full stretch) finishing just the limb.
above the ankle. Cut off any extra 8cm
bandage and secure. • Step 8 Finish as before.

NB: If patients require support and palliation
then one layer may be adequate.

45
6 78

Actico® automatically reacts to your patient’s activity level to effectively
manage venous ulceration with or without chronic oedema.

A full holistic assessment, including Doppler, - arterial disease is present
should be carried out before treatment. - renal failure is present

Indications Following application, if the patient shows signs of pain,
Actico® Inelastic Compression bandage system reduced colour or numbness on their extremities distal
can be used for: to the bandage, then it should be removed immediately.
- venous leg ulcers (VLU)
Table adapted from the World Union of Wound Healing Society (WUWHS),
with and without chronic oedema, Compression in Venous Leg Ulcers: A Consensus Document(2).
- chronic oedema and lymphoedema
- mobile and immobile patients Conditions Actico®

ABPI >0.8 - 1.2 Actico® compression therapy can be Venous leg ulcer (VLU) uncomplicated Yes
applied. If ABPI is >1.2 further investigation is required VLU and arterial disease (ABPI 0.5 – 0.8) Yes*†
before Actico® is applied (please refer to local VLU and diabetic foot ischaemia Yes*
guidelines). VLU and cardiac failure Yes*
VLU and immobility Yes
Precautions
ABPI <0.8 - Actico® compression therapy should only be * With caution - under specialist supervision
used under strict medical or vascular specialist † Please refer to local guidelines
supervision.

Not suitable for ankle circumference of less than 18cm Actico® should not be re-used. As with all compression
unless padding is used to increase the ankle bandage systems, training on the correct application of
circumference to 18cm or more. Actico® is recommended. Actico® contains low
sensitivity latex.

As with all compression systems, caution is

required when: If latex intolerance is suspected,
- cardiac overload is suspected
the use of Rosidal® K 100% Actico®

- patients have diabetes cotton inelastic bandage

- advanced small vessel disease is recommended.

FlexiBan®

Reference
2. WUWHS (World Union of Wound Healing Society), 2008. Principles of Best Practice – Compression in Venous Leg Ulcers:
A Consensus Document. Toronto, Canada 4th – 8th June 2008. Medical Education Partnership (MEP) Ltd: London: 1-10.

Actico® PIP Codes Hospital Codes Rosidal® K PIP Codes Hospital Codes
4cm x 6m 314-0860 EBA030 4cm x 5m 305-1786 -
6cm x 6m 314-0878 EBA031 6cm x 5m 214-5928
8cm x 6m 314-0886 EBA032 8cm x 5m 214-5910 EBA005
10cm x 6m* 271-5431 EBA016 10cm x 5m 214-5902 EBA006
12cm x 6m 314-0894 EBA033 12cm x 5m 214-5894 EBA040
EBA010

FlexiBan® Padding Bandage PIP Code Cellona®
Undercast Padding
10cm x 3.5m 271-5423 5cm x 2.75m PIP Codes Hospital Codes
7.5cm x 2.75m 214-5845 -
* Please note 10cm x 2.75m 214-5852
10cm Actico® is recommended for use in the treatment of 15cm x 2.75m 214-5860 EFA036
venous leg ulcers with or without oedema. 214-5878 EFA035

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Call our customer care line: 08450 606707
International enquiries: +44 1283 576800
or visit our website at: www.activahealthcare.co.uk

1 Lancaster Park, Newborough Road, Needwood, Burton on Trent, Staffordshire, DE13 9PD. M384 V1.3 August 2011
Activa®, Actico®, Safe-Loc® and FlexiBan® are registered trademarks of Activa Healthcare Ltd.