Jump to content

Hydrocolloid dressing: Difference between revisions

From Wikipedia, the free encyclopedia
Content deleted Content added
removed dead wikilink and corrected spelling error
FrescoBot (talk | contribs)
m Bot: link syntax/spacing and minor changes
Line 2: Line 2:
A '''hydrocolloid dressing''' ([[trade name]]s include '''Duoderm'''<ref>[http://www.dressings.org/Dressings/duoderm-et.html Surgical Materials Testing Laboratory Dressings Datacard: Duoderm extra thin ]</ref>, '''Granuflex'''<ref name=granuflex>[http://www.dressings.org/Dressings/granufl-brd.html Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex]</ref>, and '''3M Tegaderm Hydrocolloid''') is an opaque [[dressing (medical)|dressing]]. A hydrocolloid dressing is [[biodegradeable]], non breathable and adheres to the [[skin]] so no separate taping is needed.
A '''hydrocolloid dressing''' ([[trade name]]s include '''Duoderm'''<ref>[http://www.dressings.org/Dressings/duoderm-et.html Surgical Materials Testing Laboratory Dressings Datacard: Duoderm extra thin ]</ref>, '''Granuflex'''<ref name=granuflex>[http://www.dressings.org/Dressings/granufl-brd.html Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex]</ref>, and '''3M Tegaderm Hydrocolloid''') is an opaque [[dressing (medical)|dressing]]. A hydrocolloid dressing is [[biodegradeable]], non breathable and adheres to the [[skin]] so no separate taping is needed.


The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxy-methylcellulose 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 which is held within the structure of the adhesive matrix. 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 not mobile and free running but held within the structure of the adhesive matrix. Most hydrocolloid dressings are waterproof, allowing normal washing and bathing. <ref name=granuflex/> Dressings may be used, under medical supervision, even where [[Aerobic organism|aerobic infection]] is present; the infection should be treated appropriately.
The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxy-methylcellulose 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 which is held within the structure of the adhesive matrix. 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 not mobile and free running but held within the structure of the adhesive matrix. Most hydrocolloid dressings are waterproof, allowing normal washing and bathing.<ref name=granuflex/> Dressings may be used, under medical supervision, even where [[Aerobic organism|aerobic infection]] is present; the infection should be treated appropriately.


The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the [[face]] for [[acne]]. They are also used to secure [[nasogastric tube]]s or [[Continuous positive airway pressure|CPAP]] masks to the patient's face. Hydrocolloid dressings are used for [[pressure ulcer]]s (also known as bed sores). They are used in the treatment of [[eczema]], to seal steroid ointment underneath and to provide a barrier to against scratching.
The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the [[face]] for [[acne]]. They are also used to secure [[nasogastric tube]]s or [[Continuous positive airway pressure|CPAP]] masks to the patient's face. Hydrocolloid dressings are used for [[pressure ulcer]]s (also known as bed sores). They are used in the treatment of [[eczema]], to seal steroid ointment underneath and to provide a barrier to against scratching.
Line 8: Line 8:
==Effectiveness==
==Effectiveness==
{{Expand section|date=June 2011}}
{{Expand section|date=June 2011}}
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|coauthors=Nelson EA, Lochiel R, Michaels JA.|title=Dressings for healing venous leg ulcers.|journal=Cochrane Database of Systematic Reviews|year=2006|issue=3|pmid=16855958|accessdate=15 July 2012}}</ref>, for superficial burns<ref>{{cite journal|last=Wasiak|first=J|coauthors=Cleland H, Campbell F.|title=Dressings for superficial and partial thickness burns.|journal=Cochrane Database of Systematic Reviews|year=2008|issue=4|pmid=18843629}}</ref>, or for diabetic foot ulcers<ref>{{cite journal|last=Dumville|first=JC|coauthors=Deshpande S, O'Meara S, Speak K.|title=Hydrocolloid dressings for healing diabetic foot ulcers.|journal=Cochrane Database of Systematic Reviews|year=2012|issue=2|pmid=22336859|url=http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0033929/|accessdate=15 July 2012}}</ref> .
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|coauthors=Nelson EA, Lochiel R, Michaels JA.|title=Dressings for healing venous leg ulcers.|journal=Cochrane Database of Systematic Reviews|year=2006|issue=3|pmid=16855958|accessdate=15 July 2012}}</ref>, for superficial burns<ref>{{cite journal|last=Wasiak|first=J|coauthors=Cleland H, Campbell F.|title=Dressings for superficial and partial thickness burns.|journal=Cochrane Database of Systematic Reviews|year=2008|issue=4|pmid=18843629}}</ref>, or for diabetic foot ulcers<ref>{{cite journal|last=Dumville|first=JC|coauthors=Deshpande S, O'Meara S, Speak K.|title=Hydrocolloid dressings for healing diabetic foot ulcers.|journal=Cochrane Database of Systematic Reviews|year=2012|issue=2|pmid=22336859|url=http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0033929/|accessdate=15 July 2012}}</ref>.


The FDA MAUDE website (Manufacturers and Users Device Events) reports that Duoderm has an
The FDA MAUDE website (Manufacturers and Users Device Events) reports that Duoderm has an
Line 17: Line 17:


==External links==
==External links==
* [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004983/| Fact Sheet on Chronic Wounds], Institute for Quality and Efficiency in Health Care (last updated April 4, 2012)
* [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004983/ Fact Sheet on Chronic Wounds], Institute for Quality and Efficiency in Health Care (last updated April 4, 2012)


[[Category:Medical equipment]]
[[Category:Medical equipment]]

Revision as of 22:30, 9 August 2012

A hydrocolloid dressing (trade names include Duoderm[1], Granuflex[2], and 3M Tegaderm Hydrocolloid) is an opaque dressing. A hydrocolloid dressing is biodegradeable, non breathable and adheres to the skin so no separate taping is needed.

The active surface of the dressing is coated with a cross-linked adhesive mass containing a dispersion of gelatin, pectin and carboxy-methylcellulose 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 which is held within the structure of the adhesive matrix. 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 not mobile and free running but held within the structure of the adhesive matrix. Most hydrocolloid dressings are waterproof, allowing normal washing and bathing.[2] Dressings may be used, under medical supervision, even where aerobic infection is present; the infection should be treated appropriately.

The dressing is applied to a cleaned wound. Hydrocolloid patches are sometimes used on the face for acne. They are also used to secure nasogastric tubes or CPAP masks to the patient's face. Hydrocolloid dressings are used for pressure ulcers (also known as bed sores). They are used in the treatment of eczema, to seal steroid ointment underneath and to provide a barrier to against scratching.

Effectiveness

The results of meta-analyses indicate no significant difference in healing rates between hydrocolloid dressings and other dressings (including simple dressings) for venous ulcers[3], for superficial burns[4], or for diabetic foot ulcers[5].

The FDA MAUDE website (Manufacturers and Users Device Events) reports that Duoderm has an allergic response in some patients and is used "off-label" by the manufacturer in a response to a reported event.[6]

References

  1. ^ Surgical Materials Testing Laboratory Dressings Datacard: Duoderm extra thin
  2. ^ a b Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex
  3. ^ Palfreyman, SJ (2006). "Dressings for healing venous leg ulcers". Cochrane Database of Systematic Reviews (3). PMID 16855958. {{cite journal}}: |access-date= requires |url= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  4. ^ Wasiak, J (2008). "Dressings for superficial and partial thickness burns". Cochrane Database of Systematic Reviews (4). PMID 18843629. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  5. ^ Dumville, JC (2012). "Hydrocolloid dressings for healing diabetic foot ulcers". Cochrane Database of Systematic Reviews (2). PMID 22336859. Retrieved 15 July 2012. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  6. ^ [1]