Use of a simple compression dressing to obtain hemostasis after pharmacologic thrombolysis of dialysis grafts.
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Skin grafts are vulnerable to shear stress, infection, and hematoma formation during the postoperative period, all of which reduce graft survival. Various methods of dressing application and materials have been described in the literature to try and prevent graft loss. The authors report the use of the "stegosaurus dressing" (Eggcrate Pad) in 6 patients to secure skin grafts. Patients chosen were those who were either noncompliant or who sustained burns in unfavorable anatomic sites. All grafts demonstrated complete take without infection and hematoma formation. This foam dressing provides an even pressure to the recipient bed, absorbs drainage, and protects the graft from shearing. It also demonstrates the versatility to be used in difficult nonburn skin graft areas. The stegosaurus dressing is easy to apply, inexpensive, and provides a very secure dressing over the skin graft.
This article describes a novel dressing product that was developed from existing technology: hydrocolloid. The main benefits of Urgotul relate to the fact that it does not adhere to the wound surface, so both wound trauma on removal and the build up of moisture under the dressing are avoided.
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A wound dressing prepared from silicone which is catalysed by a gas-producing activatory is described. The resultant foam elastomer is soft, comfortable and easy to prepare, and can be removed, cleaned and reinserted by the patient with minimal instruction and formality. It promises to be a highly cost-effective dressing, with a particularly wide range of potential applications.
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A new transparent dressing, IV3000 is reported to be successful in preventing moisture accumulation around the catheter site. A trial was thus undertaken to compare its effectiveness in preventing catheter-related sepsis with a conventional film dressing.
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