Surgical site infections SSI occur in 1.
Algorithms managing burns of specific wound depth1,2 have been developed based on the availability of local resources and expertise and depend on inhouse preparation of a range of biomaterials used in conjunction with selective commercially available dressings see Figure 2.
This customized approach is necessary considering the vast array of wound dressings available.
Primary considerations were cost, availability, and effectiveness. The range of skin substitutes available4 was considered, including Biobrane Bertek Pharmaceuticals, Inc. Biobrane has been described as efficacious in Evaluating dressings burns and scald injuries in children.
In addition, the potential cytotoxicity of some of the silver-based burn and wound care materials eg, laminates, foams, and fibers7 caused concern. In the context of exploring new potential wound care dressings, the author had received a grant from the Hong Kong SAR government for laboratory and clinical studies of a hydrogel base combined with electrochemical modulation Innovation and Technology Fund, the Government of the Hong Kong SAR to Prof.
In view of the ongoing collaboration and the impending clinical crisis, the company offered to provide hydrogel sheet dressings marketed as MaxGel at cost the product is supplied by Anacapa Technologies in the US.
For cost, availability, and safety reasons, the decision was made to evaluate the efficacy of this dressing in a range of burn-related wounds. Hydrogel Sheet Dressings According to a published review,8 hydrogel wound dressings comprise a range of materials and include a permanent, three-dimensional network of hydrophilic polymers; water fills the space between the polymer chains.
Hydrogel dressings are available as gels, sheets, and gels pre-applied to gauze. The amorphous gels are used for cavity wounds; sheet dressing and impregnated gauze can be applied to surface wounds.
The sterile permanent hydrogel forms a transparent sheet 3 mm to 4 mm thick. Several options regarding sheet hydrogels were or have been available. As reviewed by Eisenbud,8 a number of studies have compared amorphous hydrogels with other dressing strategies, particularly in the treatment of chronic wounds such as pressure ulcers.
Bard, Inc, Covington, Gaa commercially available sheet hydrogel marketed in the US for almost 25 years.
This gelatinous sheet consists of an insoluble cross-linked polyethylene oxide copolymer with water as the dispersion medium.
Its tensile strength and low-mass configuration make it susceptible to rapid evaporative loss a removable, polyethylene film applied to one side of the dressing controls the rate of moisture loss.
Related literature limits its clinical applications to radiation dermatitis and postoperatively for cosmetic surgery. The product has not been prescribed for more extensive burn wounds. No reports about their use in major burn wounds are available.
The study product choice was made with consideration to this information and the availability of the study product. Methods To address facility need, a clinical evaluation of sheet hydrogel used in place of porcine and cadaver skin was conducted.
Senior medical and nursing staff in the burn unit made the decision to use hydrogel on all patients admitted to the burn service who would otherwise have been treated with either porcine or cadaver skin according to established protocols.
The use of hydrogel sheets on other wounds — eg, skin graft donor sites — also was evaluated. In the context of evaluating a product already approved for wound care, IRB permission was not required.
When appropriate, patients were informed that the dressing was used because of the lack of availability of the regular products. All dressing applications were performed by the burn unit staff including burn unit nursing staff for ward dressings and burn unit medical staff for operating theater dressings.Antimicrobial dressings for wound contamination Antibiotics only for infected wounds (not just colonized/contaminated) Cultures not generally recommended because all wounds are contaminated If culture indicated, cleanse wound bed with saline, then express drainage from wound bed.
The clinical evaluation of hydrogel in the author’s facility included five types of traumatic and iatrogenic wound care challenges commonly encountered in clinical burn care: dressings for skin graft donor sites and acute partial-thickness burns as well as temporary dressings for excised full-thickness wounds, meshed autografts, and .
Nov 12, · Current trends in wound care research move toward the development of wound healing dressings designed to treat different types of wounds (e.g., burns and chronic wounds) and toward tailoring treatments for different stages of the wound healing process. Purpose. The purpose of these evaluation forms for Tegaderm™ transparent dressings is to assist your customer in the development of a tool to evaluate our dressing compared to their current or a competitive dressing for I.V.
and/or wound care.
- A Pocket Guide Developed by • Professor Finn Gottrup, Denmark • Dr. Robert Kirsner, US The pocket guide information is intended as a general of using a holistic approach to evaluate and remove all barriers to healing, so .
S36 British Journal of Nursing , Vol 26, No 6: TISSUE VIABILITY SUPPLEMENT British Journal of Nursing , Vol 26, No 6: TISSUE VIABILITY SUPPLEMENT SPB Evaluating the performance of a new carboxymethyl cellulose dressing in the community setting Jackie Stephen-Haynes, Professor and Consultant Nurse in Tissue Viability, .