Actico

In detail
Indications
Clinical evidence
Ordering codes

In detail

Actico is a cohesive inelastic compression bandage system. Actico is applied at 100% full stretch for accurate and easy simple spiral application – reducing the risk of over compression. A Randomised Controlled Trial showed Actico is as effective as 4L at healing ulcers in both mobile and immobile patients. Actico can be applied up to the knee or as a full leg bandage as required.

How to use Actico

Key benefits

Non slip so Actico requires fewer re-applications.
Patients can usually wear their normal footwear.
Suitable for leg ulcers with or without oedema.
Effective for mobile and immobile patients
Actico can treat the majority of limb shapes
Ideal for oedema or exudate reduction prior to ongoing healing with a hosiery kit
Patient leaflet available

Forms

Actico Competency Form

Guide to applying Actico

Indications

A full holistic assessment, including Doppler, should be carried out prior to application (refer to local guidelines)

Indications for use:

Venous leg ulcers with and without chronic oedema
Chronic oedema and lymphoedema
Mobile and immobile patients
ABPI >0.8 - 1.3 Actico® compression therapy can be applied. If ABPI is >1.3 further investigation may be required before Actico® is applied (please refer to local guidelines).

Precautions:

If the ABPI is 0.5 – 0.8 (venous leg ulcer with an arterial component) Actico® can be applied with caution under strict medical or vascular specialist supervision (Please refer to local guidelines.)
Not suitable for ankle circumference of less than 18cm unless padding is used to increase the ankle circumference to 18cm or more.

Contraindications:

Significant arterial disease (ischaemia) according to vascular assessment
Current acute inflammatory episode
Acute deep vein thrombosis
Patients with diabetes or rheumatoid arthritis unless after specialist referral and under supervision
Patients with renal failure unless after specialist referral and under supervision
Congestive heart failure, as compression could lead to cardiac overload
Sensory disorders of the limb i.e. peripheral neuropathy
Known sensitivity to the bandage system

Following application:

if the patient shows signs of pain, reduced colour or numbness on their extremities distal to the bandage, then it should be removed immediately
Actico® should not be reused
As with all compression bandage systems, training on the correct application of Actico® is recommended
Actico® contains ultra-low sensitivity latex. If latex intolerance is suspected, the use of Actico2C or Rosidal® K 100% cotton inelastic bandage is recommended

Ordering codes

	PIP code	Hospital code
Cohesive Short Stretch Bandage 10cmx6m	271-5431	EBA 016
Cohesive Short Stretch Bandage 4cmx6m	314-0860	EBA 030
Cohesive Short Stretch Bandage 6cmx6m	314-0878	EBA 031
Cohesive Short Stretch Bandage 8cmx6m	314-0886	EBA 032
Cohesive Short Stretch Bandage 12cmx6m	314-0894	EBA 033

Clinical evidence

A STEP-DOWN APPROACH TO LEG ULCER MANAGEMENT: FACILITATING BEST PRACTICE, COST IMPROVEMENTS AND QUALITY OF LIFE

Bandages may not be what the patient prefers, using bandages until the limb and wound are suitable for a hosiery kit suited this tennis playing patient.

Author: Jenny Williamson,Lol Pidcock,
Publication: Harrogate Poster
Date: November 1st, 2014

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Randomised trial comparing four layer with Actico cohesive short stretch compression bandaging in the management of chronic venous ulceration

159 patients, 12 centres- Outcomes; ulcer closure 4 LB 68%, CSSB 73%. Mobility deficit did not affect healing with cohesive short stretch bandages

Author: P.Franks, M.Moody, C.Moffatt, R.Martin, R.Blewett, E.Seymour, A.Hildreth, C Hourican, J Collins, A Heron,
Publication:
Date: April 1st, 2004

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Clinical audit of a lymphoedema bandaging system: a foam roll and cohesive short stretch bandages

The combination of Actico and Rosidal Soft bandages reduced limb volume in patients with late stage lymphoedeama.

Author: J. Whitaker et al.
Publication: Journal of Woundcare
Date: March 1st, 2015

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Innovations in compression for chronic oedema

The supplement is written for the specialist nurse or clinician with specialist skills in the management of chronic oedema, with a focus on late stage 2/3 fibrotic lymphoedema.

Author: Whitaker, Elwell, Atkin, Norris et al
Publication: British Journal of Community Nursing
Date: April 1st, 2015

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SHORT STRETCH VERSUS FOUR LAYER? THE PATIENT'S CHOICE

A literature review was conducted to explore the efficacy of short stretch bandages versus 4 layer bandage systems

Author: Amy Pierrepont,
Publication: Harrogate Poster
Date: November 1st, 2014

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In detail

Key benefits

Forms

Actico Competency Form

Indications

Indications for use:

Precautions:

Contraindications:

Following application:

Ordering codes

Clinical evidence

A STEP-DOWN APPROACH TO LEG ULCER MANAGEMENT: FACILITATING BEST PRACTICE, COST IMPROVEMENTS AND QUALITY OF LIFE

Randomised trial comparing four layer with Actico cohesive short stretch compression bandaging in the management of chronic venous ulceration

Clinical audit of a lymphoedema bandaging system: a foam roll and cohesive short stretch bandages

Innovations in compression for chronic oedema

SHORT STRETCH VERSUS FOUR LAYER? THE PATIENT'S CHOICE

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