Hydrocolloid dressing: Difference between revisions
Content deleted Content added
No edit summary |
Citation bot (talk | contribs) Altered volume. | Use this bot. Report bugs. | Suggested by Abductive | Category:Articles requiring reliable medical sources | #UCB_Category 337/938 |
||
| (132 intermediate revisions by 81 users not shown) | |||
| Line 1: | Line 1: | ||
{{Short description|Type of self-adhesive pad for wounds}} |
|||
{{Orphan|date=August 2006}} |
|||
{{distinguish|Hydrogel dressing}} |
|||
'''Duoderm''' is an opaque dressing used in medicine to protect [[wounds]] from contamination, and provide a moist wound-healing environment. It is generically known as a hydrocolloid dressing, made from a fruit pectin derivative. Hydrocolloids were initially utilized in medicine as a reliable, skin-friendly adhesive, useful for securing colostomy appliances to the patient's abdomen. Clinicians observed that acute abdominal wounds from colostomy operations healed more rapidly when a hydrocolloid was used. It is biodegradeable, nonbreathable and adheres to the [[skin]] so no separate taping is needed. |
|||
A '''hydrocolloid dressing''' is an opaque or transparent<ref>[https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx Coloplast (UK)] {{Webarchive|url=https://web.archive.org/web/20171021220315/https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx |date=2017-10-21 }}- Reviewed 2017-10-21 (Primary)</ref> [[dressing (medical)|dressing]] for wounds. A hydrocolloid dressing is [[biodegradable]],<ref>{{Citation |last1=Kennedy |first1=J.F. |title=The use of 'smart' textiles for wound care |date=2009 |url=https://linkinghub.elsevier.com/retrieve/pii/B9781845692711500108 |work=Advanced Textiles for Wound Care |pages=254–274 |access-date=2023-11-08 |publisher=Elsevier |language=en |doi=10.1533/9781845696306.2.254 |isbn=978-1-84569-271-1 |last2=Bunko |first2=K. |s2cid=107857160 |archive-date=2024-04-26 |archive-url=https://web.archive.org/web/20240426111358/https://linkinghub.elsevier.com/retrieve/pii/B9781845692711500108 |url-status=live }}</ref> breathable, and depending on the dressing selected, may adhere to the [[skin]], so no separate taping is needed.<ref>{{Citation |last=Wietlisbach |first=Christine M. |title=Wound Care |date=2020 |url=https://linkinghub.elsevier.com/retrieve/pii/B978032352479700017X |work=Cooper's Fundamentals of Hand Therapy |pages=154–166 |access-date=2023-11-08 |publisher=Elsevier |language=en |doi=10.1016/b978-0-323-52479-7.00017-x |isbn=978-0-323-52479-7 |s2cid=243089436 |archive-date=2024-07-03 |archive-url=https://web.archive.org/web/20240703010745/https://linkinghub.elsevier.com/retrieve/pii/B978032352479700017X |url-status=live }}</ref> |
|||
The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, [[pectin]] and [[carboxymethyl cellulose]] together with other polymers and adhesives forming a flexible wafer. In contact with wound [[exudate]], the polysaccharides and other polymers absorb water and swell, forming a gel. The gel may be designed to drain, or to remain within the structure of the adhesive matrix.<ref name=3M_paid_article>{{Cite web |url=http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html |title=World Wide Wounds |access-date=2017-02-09 |archive-date=2019-11-25 |archive-url=https://web.archive.org/web/20191125102003/http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html |url-status=live }}</ref> |
|||
It not only protects wounds but allows them to heal faster. Many people like to apply these patches on the face in order to heal [[acne]]. They are also used to secure nasogastric tubes or cpap masks to the patient's face, without causing skin irritation. Duoderm is often used to heal [[pressure sores]] or [[pressure ulcers]]. As well as promoting healing, duoderm provides great comfort to the patient, as this type of wound is often extremely uncomfortable and an added layer of protection is soothing. |
|||
The moist conditions produced under the dressing are intended to promote [[fibrinolysis]], [[angiogenesis]] and wound healing, without causing softening and breaking down of tissue. The gel which is formed as a result of the absorption of wound exudate is held in place within the structure of the adhesive matrix. Most hydrocolloid dressings are waterproof, allowing normal washing and bathing.<ref name="granuflex">{{Cite web |url=http://www.dressings.org/Dressings/granufl-brd.html |title=Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex |access-date=2011-06-23 |archive-date=2019-11-08 |archive-url=https://web.archive.org/web/20191108154227/http://dressings.org/Dressings/granufl-brd.html |url-status=live }}</ref> |
|||
{{Refimprove|date=June 2007}} |
|||
== Uses == |
|||
http://www.dressings.org/Dressings/duoderm-et.html |
|||
{{More medical citations needed|section|date=February 2017}} |
|||
http://woundcareshop.safeshopper.com/59/cat59.htm |
|||
Hydrocolloid dressings are used to treat uninfected wounds.<ref>{{Citation |last1=Andrews |first1=Karen L. |title=Prevention and Management of Chronic Wounds |date=2021 |url=https://linkinghub.elsevier.com/retrieve/pii/B9780323625395000242 |work=Braddom's Physical Medicine and Rehabilitation |pages=469–484.e4 |access-date=2023-11-08 |publisher=Elsevier |language=en |doi=10.1016/b978-0-323-62539-5.00024-2 |isbn=978-0-323-62539-5 |last2=Derby |first2=Kelly M. |last3=Jacobson |first3=Therese M. |last4=Sievers |first4=Beth A. |last5=Kiemele |first5=Lester J. |s2cid=224870006 |archive-date=2023-11-23 |archive-url=https://web.archive.org/web/20231123103132/https://linkinghub.elsevier.com/retrieve/pii/B9780323625395000242 |url-status=live }}</ref> Dressings may be used, under medical supervision, even where [[Aerobic organism|aerobic infection]] is present; the infection should be treated appropriately.{{Citation needed|date=November 2023}} |
|||
The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the [[face]] for [[acne]]. Smaller sizes are used on acne, not only to get rid of acne, but to avoid acne scars.<ref>{{Cite web |date=2020-12-21 |title=This TikTok acne remedy really does work |url=https://wexnermedical.osu.edu/blog/tiktok-bandaids-for-acne |access-date=2023-11-08 |website=wexnermedical.osu.edu |language=en |archive-date=2023-11-08 |archive-url=https://web.archive.org/web/20231108195711/https://wexnermedical.osu.edu/blog/tiktok-bandaids-for-acne |url-status=live }}</ref> They are also used to secure [[nasogastric tube]]s or [[Continuous positive airway pressure|CPAP]] masks to the patient's face.{{Citation needed|date=November 2023}} Hydrocolloid dressings are used for [[pressure ulcer]]s (also known as bed sores).<ref>{{Cite journal |last1=Heyneman |first1=Alexander |last2=Beele |first2=Hilde |last3=Vanderwee |first3=Katrien |last4=Defloor |first4=Tom |date=2008 |title=A systematic review of the use of hydrocolloids in the treatment of pressure ulcers |url=https://pubmed.ncbi.nlm.nih.gov/18416792 |journal=Journal of Clinical Nursing |volume=17 |issue=9 |pages=1164–1173 |doi=10.1111/j.1365-2702.2007.02218.x |issn=1365-2702 |pmid=18416792 |access-date=2023-11-08 |archive-date=2023-11-08 |archive-url=https://web.archive.org/web/20231108201105/https://pubmed.ncbi.nlm.nih.gov/18416792/ |url-status=live }}</ref> |
|||
| ⚫ | |||
===Effectiveness=== |
|||
{{med-stub}} |
|||
The results of meta-analyses indicate no significant difference in healing rates between hydrocolloid dressings and other dressings (including simple dressings) for [[venous ulcer]]s,<ref>{{cite journal|last=Palfreyman|first=SJ|author2=Nelson EA |author3=Lochiel R |author4=Michaels JA. |editor1-first=Simon SJ|editor1-last=Palfreyman|title=Dressings for healing venous leg ulcers.|journal=Cochrane Database of Systematic Reviews|year=2006|issue=3|pmid=16855958|doi=10.1002/14651858.CD001103.pub2|pages=CD001103}}<!--|access-date=15 July 2012--></ref> or for diabetic foot ulcers.<ref>{{Cite journal|last1=Dumville|first1=Jo C.|last2=Deshpande|first2=Sohan|last3=O'Meara|first3=Susan|last4=Speak|first4=Katharine|date=2013-08-06|title=Hydrocolloid dressings for healing diabetic foot ulcers|journal=The Cochrane Database of Systematic Reviews|volume=2013 |issue=8|pages=CD009099|doi=10.1002/14651858.CD009099.pub3|issn=1469-493X|pmid=23922167|pmc=7111300}}</ref> |
|||
There is tentative but unclear evidence for hydrocolloid dressings for superficial and partial thickness [[burn]]s.<ref>{{cite journal|last1=Wasiak|first1=J|last2=Cleland|first2=H|last3=Campbell|first3=F|last4=Spinks|first4=A|title=Dressings for superficial and partial thickness burns.|journal=The Cochrane Database of Systematic Reviews|date=28 March 2013|volume=2013|issue=3|pages=CD002106|pmid=23543513|doi=10.1002/14651858.CD002106.pub4|pmc=7065523|hdl=10072/58266|hdl-access=free}}</ref> Hydrocolloid dressings were, however, superior to other substrates (i.e., alginate, film, gauze, hydrofiber, silicone) for treating skin graft donor sites.<ref>{{cite journal |vauthors=Sinha S, Schreiner AJ, Biernaskie J, Nickerson D, Gabriel VA |title=Treating pain on skin graft donor sites: review and clinical recommendations. |journal=J Trauma Acute Care Surg |volume= 83|issue= 5|pages= 954–964|date=June 2017 |pmid=28598907 |doi=10.1097/TA.0000000000001615|s2cid=44520644 }}</ref> |
|||
==References== |
|||
{{reflist}} |
|||
| ⚫ | |||
Latest revision as of 14:43, 11 October 2024
A hydrocolloid dressing is an opaque or transparent[1] dressing for wounds. A hydrocolloid dressing is biodegradable,[2] breathable, and depending on the dressing selected, may adhere to the skin, so no separate taping is needed.[3]
The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxymethyl cellulose together with other polymers and adhesives forming a flexible wafer. In contact with wound exudate, the polysaccharides and other polymers absorb water and swell, forming a gel. The gel may be designed to drain, or to remain within the structure of the adhesive matrix.[4]
The moist conditions produced under the dressing are intended to promote fibrinolysis, angiogenesis and wound healing, without causing softening and breaking down of tissue. The gel which is formed as a result of the absorption of wound exudate is held in place within the structure of the adhesive matrix. Most hydrocolloid dressings are waterproof, allowing normal washing and bathing.[5]
Uses
[edit] | This section needs more reliable medical references for verification or relies too heavily on primary sources. (February 2017) |  |
Hydrocolloid dressings are used to treat uninfected wounds.[6] Dressings may be used, under medical supervision, even where aerobic infection is present; the infection should be treated appropriately.[citation needed]
The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the face for acne. Smaller sizes are used on acne, not only to get rid of acne, but to avoid acne scars.[7] They are also used to secure nasogastric tubes or CPAP masks to the patient's face.[citation needed] Hydrocolloid dressings are used for pressure ulcers (also known as bed sores).[8]
Effectiveness
[edit]The results of meta-analyses indicate no significant difference in healing rates between hydrocolloid dressings and other dressings (including simple dressings) for venous ulcers,[9] or for diabetic foot ulcers.[10]
There is tentative but unclear evidence for hydrocolloid dressings for superficial and partial thickness burns.[11] Hydrocolloid dressings were, however, superior to other substrates (i.e., alginate, film, gauze, hydrofiber, silicone) for treating skin graft donor sites.[12]
References
[edit]- ^ Coloplast (UK) Archived 2017-10-21 at the Wayback Machine- Reviewed 2017-10-21 (Primary)
- ^ Kennedy, J.F.; Bunko, K. (2009), "The use of 'smart' textiles for wound care", Advanced Textiles for Wound Care, Elsevier, pp. 254–274, doi:10.1533/9781845696306.2.254, ISBN 978-1-84569-271-1, S2CID 107857160, archived from the original on 2024-04-26, retrieved 2023-11-08
- ^ Wietlisbach, Christine M. (2020), "Wound Care", Cooper's Fundamentals of Hand Therapy, Elsevier, pp. 154–166, doi:10.1016/b978-0-323-52479-7.00017-x, ISBN 978-0-323-52479-7, S2CID 243089436, archived from the original on 2024-07-03, retrieved 2023-11-08
- ^ "World Wide Wounds". Archived from the original on 2019-11-25. Retrieved 2017-02-09.
- ^ "Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex". Archived from the original on 2019-11-08. Retrieved 2011-06-23.
- ^ Andrews, Karen L.; Derby, Kelly M.; Jacobson, Therese M.; Sievers, Beth A.; Kiemele, Lester J. (2021), "Prevention and Management of Chronic Wounds", Braddom's Physical Medicine and Rehabilitation, Elsevier, pp. 469–484.e4, doi:10.1016/b978-0-323-62539-5.00024-2, ISBN 978-0-323-62539-5, S2CID 224870006, archived from the original on 2023-11-23, retrieved 2023-11-08
- ^ "This TikTok acne remedy really does work". wexnermedical.osu.edu. 2020-12-21. Archived from the original on 2023-11-08. Retrieved 2023-11-08.
- ^ Heyneman, Alexander; Beele, Hilde; Vanderwee, Katrien; Defloor, Tom (2008). "A systematic review of the use of hydrocolloids in the treatment of pressure ulcers". Journal of Clinical Nursing. 17 (9): 1164–1173. doi:10.1111/j.1365-2702.2007.02218.x. ISSN 1365-2702. PMID 18416792. Archived from the original on 2023-11-08. Retrieved 2023-11-08.
- ^ Palfreyman, SJ; Nelson EA; Lochiel R; Michaels JA. (2006). Palfreyman, Simon SJ (ed.). "Dressings for healing venous leg ulcers". Cochrane Database of Systematic Reviews (3): CD001103. doi:10.1002/14651858.CD001103.pub2. PMID 16855958.
- ^ Dumville, Jo C.; Deshpande, Sohan; O'Meara, Susan; Speak, Katharine (2013-08-06). "Hydrocolloid dressings for healing diabetic foot ulcers". The Cochrane Database of Systematic Reviews. 2013 (8): CD009099. doi:10.1002/14651858.CD009099.pub3. ISSN 1469-493X. PMC 7111300. PMID 23922167.
- ^ Wasiak, J; Cleland, H; Campbell, F; Spinks, A (28 March 2013). "Dressings for superficial and partial thickness burns". The Cochrane Database of Systematic Reviews. 2013 (3): CD002106. doi:10.1002/14651858.CD002106.pub4. hdl:10072/58266. PMC 7065523. PMID 23543513.
- ^ Sinha S, Schreiner AJ, Biernaskie J, Nickerson D, Gabriel VA (June 2017). "Treating pain on skin graft donor sites: review and clinical recommendations". J Trauma Acute Care Surg. 83 (5): 954–964. doi:10.1097/TA.0000000000001615. PMID 28598907. S2CID 44520644.