Dermatology (Skin conditions)

Wet Wrap Bandages

This involves the application to the skin of two layers of Tubifast, or Comfiifast bandage.

The first layer is applied moist, the second layer is dry.

When your child has been prescribed this treatment nurses from the Dermatology Department will demonstrate how to apply the bandages.

Generally when this treatment is initially started the bandages remain in place for 24 hours and are then changed. Gradually as your child's condition improves and as instructed by medical staff this may be reduced.

The Tubifast or Comfiifast bandage is cut to the required length to give 2 vests and 2 lengths for each arm and each leg. Approximate measurements can be obtained by measuring against the child's clothing and adding 1.5 to 2 inches. Tubifast or Comfiifast gauze vest or leggings are now also available to use for wet wrapping.

One length of bandage is soaked in warm water, gently squeeze out and then apply. The dry length of bandage is then applied over this.

When all of the bandages are applied, the long lengths (arms and legs) are secured to the vest by using small pieces of bandages as ties.

As the water in the bandages evaporates, a cooling effect results.

The inner layer of bandages should be checked regularly as they may become hot and uncomfortable if allowed to dry out. To keep the bandages moist, the outer layer can be pulled down and the inner layer can be sprayed with warm water or use a wet sponge.

The bandages should be checked before your child goes to sleep at night for drying out.

The life of the bandages can be extended by washing them. They can be cleaned in a washing machine, although to minimise fraying they should be placed in something like an old pillow case. 

The best nightwear to wear over the dressings is one piece cotton pyjamas.


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