Iodine and acetone-containing plastic spray dressing.
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A prospective study of 100 surgical patients was undertaken to identify causes of contact dermatitis. Patch testing with the North American Contact Dermatitis Standard Series and additional agents used in the surgical preparation and dressing was performed in 11 patients with post-operative dermatitis or a history of tape allergy. 12 patients were diagnosed as having irritant (mechanical) contact dermatitis. One patient had allergic contact dermatitis to benzoin postoperatively; another patient with a history of an adhesive tape reaction had a positive patch test to thiuram mix, rubber accelerators formerly present in adhesive tapes. Our findings indicate that irritant contact dermatitis is a common problem in the surgical patient. Allergic contact dermatitis is less common, occurring in 2 of the 100 patients.
Laser resurfacing techniques have become a popular means of achieving rejuvenation of damaged skin. Interest is great in attempting to speed re-epithelialization and healing so that patients can return to their normal activities as quickly as possible. Previous studies have demonstrated that wounds heal more quickly when they are covered and kept moist than when they are left open to the air. Until now, no study has been conducted to investigate whether the healing process of a superficial skin burn might be accelerated by the use of an autologous platelet gel as a biologic dressing. Our study of five pigs showed that autologous platelet gel can influence wound healing by stimulating an intense inflammatory process that leads to highly significant increases in the production of extracellular matrices and granulation tissue. The platelet gel accelerated vascular ingrowth, increased fibroblastic proliferation, and accelerated collagen production. However, the gel did not appear to accelerate re-epithelialization. The aggressive production of granulation tissue and the acceleration of collagen production might mean that autologous platelet gel will have a future role in the treatment of burns because the highly vascularized bed it helps create should promote the success of skin grafting in patients with deep partial-thickness and full-thickness burns.
Toxic epidermal necrolysis syndrome is an exfoliative dermatologic disorder of unknown origin resulting in the loss of epidermis in a sheetlike fashion at the dermoepidermal junction. The resulting wound renders the patient vulnerable to potential septic complications, fluid and protein losses, and severe pain. During the past decade treatment of toxic epidermal necrolysis syndrome has incorporated the basic tenets of burn care: appropriate fluid resuscitation, nutritional support, infection surveillance and treatment, and optimal care of the open wound. Biobrane, a readily available and effective biosynthetic skin substitute, has been successfully used in the treatment of toxic epidermal necrolysis syndrome and provides a safe and reliable method to achieve wound closure. Its successful use requires a thorough understanding of application and removal techniques. Once adherent, it avoids the cost and pain associated with repeated dressing changes.
Research has demonstrated that wounds heal faster in a moist environment. Film dressings are used to promote a moist environment. Mefilm is part of the Mölnlycke Health Care chronic wound care system and is a gentle, adherent polyurethane dressing. This product focus discusses the development of the semi-permeable film dressing, Mefilm, examining its uses, application and removal.
This article describes the healing process and explores the role of wound dressings in promoting the formation of granulation tissue. With so many products available it is important that nurses base their decisions on known clinical effectiveness and the best available evidence. Transorbent hydrocellular dressing from Maersk Medical is reviewed along with research into its efficacy. To determine the value of Transorbent in today's dynamic wound care arena, the literature will be examined and the product's ability to fulfil the criteria for the ideal wound dressing will be considered.
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