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Hanging wet-to-dry dressings out to dry.

Wet-to-dry dressings have been standard procedure for home care wound care patients although research indicates gauze dressings are not an optimal wound care modality for the patient, the clinician, or the healthcare system. Gauze dressings do not effectively support optimal healing and are more labor intensive to use than advanced dressings such as films, foams, hydrocolloids, and hydrogels. This article provides clinicians with the rationale and evidence needed to collaborate with physicians in choosing the most cost-effective wound care products to achieve positive patient outcomes.

Bandages↗

Clinical application of new bovine collagen membranes as a partial-thickness burn wound dressing.

New bovine collagen membranes were applied for covering of partial-thickness burn wounds to compare with porcine skin used as biological dressing. Forty four of investigated patients had superficial (2a degree), and forty four of them had deep (2b degree) partial thickness burn wounds. When nonperforated collagen membranes or porcine skin were used for dressing of superficial (2a degree) burn wounds, time of healing was established as 11 +/- 3.4 (mean + or - sd) and 12+/- 4.9 days, respectively (n=12). For perforated version of the dressings the time of healing was 9 +/- 3.5 and 10 +/- 3.2, respectively (n=10). The differences were nonsignificant in both cases. When nonperforated collagen membranes or porcine skin were used for treatment of deep (2b degree) burn wounds, the time of healing was established as 29 + or - 6.1 and 30 +/- 5.4 days, respectively ( n=10). The differences were nonsignificant as well. We can conclude from our study that new collagen membranes can be considered as biological dressings and can be recommended for partial-thickness burn wound care. Perforated version of the collagen membranes was better than nonperforated.

Adolescent↗

The application of foam dressings.

Foam dressings are used for their absorbency and ability to conform to a wound. The way they handle fluid varies between brands. Simple foam dressings allow fluid to pass straight through while maintaining non-adherent contact with the wound. Other foams absorb fluid within the structure of the dressing and have horizontal wicking which spreads the fluid throughout the dressing, allowing greater absorbency (Thomas, 1990).

Absorption↗

Wound dressings of the nineties: indications and contraindications.

A revolution in wound management has occurred over the past 3 decades. A plethora of wound care dressings appear to enhance the wound repair process in acute and chronic wounds. However, extensive research is needed to discriminate between the beneficial effects of increased attention to all aspects of patient care, including wound management, and the salutary effects of dressing materials.

Algorithms↗

Cyanoacrylates for skin closure.

Cyanoacrylates (CAs) were not widely adopted for medical use until recently because of lingering concerns regarding the initial tissue toxicities of the short-chain CAs. The medium-chain CAs, primarily butyl-cyanoacrylate, have been widely used in Europe and Canada for several decades and have gone a long way in dispelling any lingering concerns about tissue toxicity. The newer, longer chain CA, octyl-2-cyanoacrylate (2-OCA), now has been approved for multiple uses in the United States and has achieved widespread acceptance by the medical and lay communities. The current authors believe that this is probably only the beginning of the use of 2-OCA and other CAs in cutaneous medicine. This article discusses the use of CAs in their original cutaneous use as glues for the repair of lacerations and incisions and in their more recent use as dressings for the treatment of abrasions and wounds.

Cyanoacrylates↗