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PubMed2000

[Selection of wound dressings].

The successful wound treatment depends on the adequate local agents and the well selected dressing. There is not single universal dressing that suitable for the management of all types of wounds and a few are suitable for single wound in the all stages of wound healing. The base and the main goal of dressing selection to produce rapid and optimal wound healing, cosmetically acceptable too, to reduce pain, to prevent and control the bacterial state of wound, to decrease the quantity of wound secretion, to cause minimal distress to the patient, and to improve the quality of patient's life. Author gives a summerizing of the wound healing, a discussion about the wound related factors: e.g. wound type, wound surface, wound characteristics and the bacterial profile of wounds. He gives informations about the wound dressing collecting into groups and the classification of the different dressings.

Bandages↗

PubMed1975

[Use of Plastubol as the exclusive dressing of surgical wounds].

The membrane-forming Plastubol-Spray was used to dress the wounds immediately after surgery in 2088 patients operated on in the Surgical Ward of the Miners' Hospital in Bytom. Compared with conventional dressing, there was observed the decrease of incidente of purulent complications. The membrane-forming Plastubol dressing features the following advantages: easiness of dressing application, tightness, possibility of better nursing of the patient and lesser cost compared with conventional dressing.

Acrylic Resins↗

PubMed2002

[Comparison of a transparent dressing with gauze. Venous blood vessel maintenance].

The authors describe a prospective, random study which compares the usefulness, advantages and inconveniences between a 3M Tegaderm transparent surgical dressing and a gauze dressing under a protocol for the maintenance of peripheral venous blood vessels. Their conclusions highlight as major differences the ease and speed in the use of the 3M Tegaderm transparent surgical dressing, the vision in the syringe nozzle insertion zone allowed by this dressing and a higher degree of early detection of phlebitis when this dressing is used. This article was awarded the second place prize in the First 3M Tegaderm Contest.

Adult↗

PubMed2003

Experience with the malleable ear dressing, a versatile silicone-lined bandage for the auricle.

The repair of surgical wounds of the external ear--whether it be a primary skin closure, a skin flap, or a skin graft--presents several challenges with respect to healing. One of these challenges is that it is not easy to fashion a wound dressing that has a smooth, moisture-containing surface, conforms to the shape of the auricle, and adheres to it while providing light pressure. An ear dressing that features these characteristics--the malleable ear dressing--is expected to become commercially available soon. In this article, the author describes his use of this dressing in 48 patients and reviews the results of follow-up questioning of 20 of these patients. Based on these findings, the author concludes that this dressing is effective, comfortable, aesthetically acceptable, and can be worn continuously for 7 consecutive days without complications.

Bandages↗

PubMed2004

The impact of cognitive impairment on upper body dressing difficulties after stroke: a video analysis of patterns of recovery.

OBJECTIVE: to study the underlying cognitive deficits influencing a stroke patient's ability to relearn to dress. The aim was to investigate how recovery had occurred and whether the nature of cognitive impairment was the reason for persistent dressing problems. METHODS: the dressing performance of 30 stroke patients was compared at the sub-acute stage and three months later. Standardised cognitive and physical tests were carried out, together with a video analysis of patients putting on a polo shirt. RESULTS: thirteen patients with preserved power in the upper limb used both arms to put on the shirt. Despite visuospatial impairment or apraxia in some cases, all were successful given sufficient time. Out of 17 patients with arm paresis, 12 were dependent putting on the shirt. Amongst the five who were independent, significantly fewer cases of cognitive impairment were seen on tests for apraxia (p<0.05) and visuospatial perception (p<0.05). Video analysis confirmed the importance of cognitive problems such as neglect or apraxia. Three patients who failed shirt dressing showed neglect or apraxia at follow up and had persistent arm paresis. Test failures also occurred amongst those who were independent. DISCUSSION: cognitive impairment affected patients attempting to relearn to dress with one hand, but did not affect patients who used both hands. The three patients who remained impaired on cognitive tests at follow up were unable to adapt or learn any compensatory strategies. The influence of cognition on a person's ability to learn compensatory strategies has implications for the design of rehabilitation therapies.

Activities of Daily Living↗

PubMed2003

[Treatment of chronic wounds with an alginate dressing containing calcium zinc and manganese].

BACKGROUND: Treatment of chronic wounds comprises adequate debridement, reduction in the bacterial burden, and application of a dressing to absorb excess exudate. METHODS: In a prospectively documented, multicenter observational study involving 1285 chronic wounds of varying etiologies, carried out in 314 doctor's offices in Germany, the effect of the new alginate dressing, containing calcium zinc and manganese was investigated. RESULTS: After twelve weeks of treatment with the dressing, 95% of all wounds had improved appreciably, and 52.5% had healed completely. The drop out rate was 4.4% and side effects were observed in 2.6% of the cases. 73.8% of the patients reported markedly improved tolerability in comparison with previous treatment. 604 patients (47.0%) considered handling of the dressing to be "much better", and 411 (32.0%) to be "better" than previous treatment. The frequency of dressing changes decreased from 5.2 to 3.2 a week.

Aged↗

PubMed2004

[Combined polyurethane foam and hydrogel dressing. Outcome in lesions of diverse etiology].

The authors present an observational evaluation on the effectiveness of a dressing included in the Indafoam brand for treatment of skin lesions due to different etiology which have an acute or chronic diagnosis; the authors include some very valuable information for professionals who use combined polyurethane foam and hydrogel dressings in their daily practice. Due to their composition, these dressings may be considered combined dressings having only one structure which maintains a stable temperature at the lesion site; these dressings have a high absorption capacity which prevents maceration of the skin surrounding lesions and protects lesions from contamination by exogenous germs.

Adult↗

PubMed2005

[Hydro-colloidal dressings which release hydro-active silver].

The study presented is a multicentric, prospective, open and comparative study designed with the objective of evaluating the performance of an antibacterial hydrocolloid dressing with hydroactivated silver (Comfeel Plata), when used to activate the healing process in wounds with high bacterial load, clinical signs of infection or malodour. Additionally, once the wound bed was appropriately prepared, a comparison in terms of efficacy was made between, on the one hand, continued treatment with the antibacterial hydrocolloid dressing, and, on the other hand, continued treatment with other dressings specifically designed for the proliferative phase of healing. Included into this study were 43 patients with chronic ulcers who were divided into two parallel treatment groups: In one group, Comfeel Plata (Coloplast AIS) was used until complete wound healing or for a maximum of 10-12 weeks, and in the second group Comfeel Plata (Coloplast A/S) was used until a clean wound bed was obtained and until the wound showed signs of positive evolution, at which moment the treatment was continued until complete healing or for a maximum of 10-12 weeks with dressings without silver designed especially for the proliferative phase of healing [Alione, Comfeel or Biatain (Coloplast AIS)]. The results obtained from the various study parameters indicate that the use of Comfeel Plata in the treatment of infected or colonized wounds prepares the wound bed and facilitates more rapid healing, and that the use of Comfeel Plata effectively reduces pain and malodour. The results indicate that once a clean wound bed is obtained, the use of a dressing without silver specifically for the proliferative phase will facilitate healing.

Bandages, Hydrocolloid↗

PubMed2005

[Evaluation of the clinical effectiveness of the dressing PermaFoam for the treatment of chronic ulcers].

INTRODUCTION: The presence on the market of new dressings to cure injuries makes it necessary for professionals to know their peculiarities for use in order to optimize their applications. The main objective of this study is to know the clinical behavior of a polymer sponge dressing having a porous grade called PermaFoam in the treatment of chronic ulcers caused by various etiologies. MATERIAL AND METHODS: The authors carried out an open observational, prospective and multi-centric study during the first semester in 2004 on patients who suffered from chronic lesions sent by the Primary Health Care Centers and Social-Sanitary Centers. The injuries under study showed states II, III or IV with moderate to high oozing and whose follow-up took place during a maximum of 8 weeks of treatment. RESULTS: 53 patients, 31 women and 22 men, formed part of this study; their average age was 76.1 (+/- 13.18). 56 lesions were treated; 26 bedsores, 11 venous sores, 10 mixed lesions and 9 other types, they had an average presence on the patient of 270 (+/- 684) days, the medium was 85 days and the mode 365 days. Complete cicatrisation occurred in 21 lesions (37.5%), the absolute average surface reduction was 13.42 cm2 squared (IC 95%: 7.39-19.45) and the relative mean reduction was 61.31% (IC 95%: 50.66-71.97) CONCLUSIONS: The use of the PermaFoam dressing permitted complete cicatrisation of an improvement in the final surface area in all lesions treated regardless of their etiology state, or length of presence. The use of this dressing has controlled the levels of oozing, diminished the number of changes of the dressing, respected the skin surrounding the lesion, and favored a reduction in the number of alterations in the surrounding area.

Adult↗

PubMedDate not supplied

Association of hypogammaglobulinemia with DRESS (Drug Rash with Eosinophilia and Systemic Symptoms).

The association of hypogammaglobulinemia was recently reported in anticonvulsant-associated DRESS. Hypogammaglobulinemia could be the consequence of hypoproteinemia in patients with erythroderma. To ascertain the association of hypogammaglobulinemia with DRESS we compared the prevalence of hypogammaglobulinemia in DRESS and in other cause of erythroderma. In a retrospective study, 39 consecutive patients with DRESS were compared to 52 patients with other causes of erythroderma hospitalized in the same period. Hypogammaglobulinemia was statistically significantly associated with DRESS (p = 0.022). This association was not limited to anticonvulsants (phenytoin, carbamazepin) and was observed with other drugs (allopurinol, tazocillin, ibuprofen, celecoxib, vancomycin).

Agammaglobulinemia↗

PubMed1989

[Discontinuing postoperative wound dressings].

The influence of postoperative dressings on wound healing was investigated. Clean and potentially contaminated operation wounds were subdivided at random into a group with dressings until the sutures were removed or a group with dressings during the first 24 hours after operation only. No significant differences in the incidences of wound infections were observed in the two groups. The majority of the patients treated with dressings for a brief period only did not desire prolonged periods with dressings after possible future operations.

Adolescent↗

PubMed1988

A prospective, randomized trial of Unna's boots versus hydroactive dressing in the treatment of venous stasis ulcers.

In many centers the standard treatment for venous stasis ulcers consists of UB dressings. A new dressing, DuoDERM hydroactive dressing (HD), has recently been used extensively for the treatment of venous stasis ulcers. Because of this trend, a prospective, randomized trial of these two dressings was undertaken. Sixty-nine ulcers (39 HD and 30 UB) were randomized. End points were complete healing and development of complications necessitating cessation of treatment. Time to healing, cost of treatment, and patient convenience were also evaluated. Twenty-one of 30 ulcers (70%) healed with UB therapy compared with 15 of 39 ulcers (38%) treated with HD (p less than 0.01, CST). Life-table healing rates at 15 weeks were 64% for UB compared with 35% for HD (p = 0.01, log rank test). Ten of 39 patients (26%) receiving HD had complications compared with no complications in the UB group (p = 0.004, FET). For those patients whose ulcers healed, there was no significant difference (p = 0.51, STT) in the mean time required for healing or the average weekly cost of dressing materials between the HD group (7.0 weeks at +11.50 per week) and the UB group (8.4 weeks at +12.60 per week). Those patients treated with HD reported a significantly greater level of convenience than those patients with UB (p = 0.004, STT). Although treatment with HD led to better patient acceptance, those patients receiving UB therapy had a significantly greater rate of healing and a significantly lesser incidence of complications than those patients treated with HD.

Bandages↗

PubMed1977

Surgical wound infection: a comparison between dressed and undressed wounds.

At the University College Hospital, Ibadan, the conventional method of surgical wound dressing is the use of air-tight and relatively water-tight cotton-gauze-elastoplast dressing. This is usually left in place for seven to ten days unless there is evidence of wound infection, in which case the wound is inspected and redressed using the time-consuming sterile technique, in which a box of sterile instruments may have to be shared amongst about 25 surgical patients. A group of 100 patients was randomly selected and this group divided into two. In the first group, A, the surgical wounds were dressed in the usual manner and dressings left for seven to ten days unless there was any evidence of infection. In the second group, B, the wound was left undressed and "uncared" for 24 to 36 hours after surgery. The comparison of the two groups shows that the time-consuming aseptic method of changing and dressing surgically incised wounds 24 to 36 hours after surgery, does not cut down on the rate of wound infection and is probably unnecessary. This may be due to early formation of fibrin at the wound site which offers a protection against invasion of the wound by bacteria. Typhoid perforation of the terminal ileum gave rise to wound infection in all the cases (100%) in the two groups.

Bandages↗

PubMed1978

The problem of adherence in dressed wounds.

Adherence of the wound dressing is an avoidable problem. Use of the three layered dressing, proper construction of the dressing, knowledgeable and judicious selection of dressing components and reasonably frequent changing of dressings will prevent adherence from developing.

Adhesiveness↗

PubMed1995

[Duplex ultrasound control of the effectiveness of a newly developed combined pressure clamp for acute and long-term pressure dressings of the femoral artery and vein after heart catheterization].

After transfemoral angiography the artery has to be manually compressed in order to stop acute bleeding. Then, to prevent retarded bleeding, a continuous pressure dressing has to be fixed for up to 24 h. To simplify this procedure, we developed a novel compression device and tested it in 133 patients. Color-flow-ultra-sonography was used to scan gross alterations such as hematomas, AV-fistulas or pseudoaneurysms, and changes in tissue consistency as well. By the new device it is possible to perform femoral artery compression and to substitute pressure dressing safely and with significantly less expenditure than by the combination of manual compression and pressure dressing. We found a reduction from 18 to 3 min time requirement for primary sealing of the puncture site. Moreover, 86% of patients experienced in both methods--the conventional and the new device--would prefer the new equipment in recatheterization. It is better tolerated than the combination of pressure dressing and manual compression. The device is reusable and the compression is easily and exactly adjustable in a wide pressure range. In comparison with previously described mechanical compression systems the remarkable advantage of our device is to merge the function of compression for sealing of the puncture site and pressure dressing for prevention of retarded bleeding.

Aneurysm, False↗

PubMed1994

Cold compressive dressing after total knee arthroplasty.

The efficacy of a cold compressive dressing after total knee arthroplasty (TKA) was prospectively studied in 105 knees in 76 patients. All components were cemented. All patients were placed in continuous passive motion machines after operation. A cold compressive Cryocuff dressing was applied to 50 knees after operation. An ACE wrap and ice pack were applied to the knees of 55 control patients after operation. Postoperative range of motion was recorded as maximum active flexion at two to four days (interval one), at seven to 14 days (interval two), and four to six weeks (interval three). Swelling was measured at the same time intervals by circumference at the midpatella and circumference at the distal thigh one inch proximal to the superior pole of the patella. Use of postoperative narcotics was calculated for postoperative days zero to three and for postoperative days four to seven. Wound drainage was recorded for all knees. The use of a cold compressive dressing after TKA was not associated with an increase in range of motion at any point after the operation. The Cryocuff dressing did not appreciably reduce swelling around the knee after TKA. No significant difference was found in the amount of postoperative wound drainage between the two groups of patients. In patients undergoing unilateral TKA, no significant difference existed between the narcotic requirements of control patients and patients wearing the cold compressive dressing.

Analgesics, Opioid↗

PubMed1996

[Properties and acceptance of Melolin wound dressing in postoperative management of male urethral reconstruction].

In a prospective study we examined the quality and acceptance of the non-adhesive wound dressing Melolin during postoperative treatment following urethral reconstruction in 30 male patients. The wound dressing was cut individually for each patient and sterile Bepanthen ointment was applied to it. We fixed the dressing with a cohesive elastic bandage (Easifix Cohesive) and three cutaneous stiches and left it in place for 9 days. Both acceptance and absorbance of this bandage were good. Complete removal of the wound dressing was possible with no problems, although a camomile-water bath was necessary in two cases. No wound infections were observed. As functional and cosmetic results are so good, we now use this wound dressing routinely.

Adolescent↗

PubMed1996

Assessing the use of dressings in practice.

An audit was carried out in an NHS trust to identify the degree to which wound management products were being selected and used appropriately. Fifty patients with various types of wounds were involved; observers noted the condition of wounds at dressing changes and the procedures used, then studied each patient's hospital documentation (medical notes, nursing care plan and drug chart). Nursing staff were interviewed to ascertain the input of various disciplines in dressing choice. The 'correct' choice of dressing was made in only 48% of wounds, and correct choice and use were identified in just 20%, with wide variations between different products. A quarter of patients reported pain associated with their wounds, but none received analgesia before dressing changes. As a result of the audit, new guidelines on dressing choice and use have been produced, with others in preparation, and the hospital formulary has been amended.

Bandages↗