Hydrocolloid dressing: Difference between revisions
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{{Short description|Type of self-adhesive pad for wounds}} |
{{Short description|Type of self-adhesive pad for wounds}} |
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{{distinguish|Hydrogel dressing}} |
{{distinguish|Hydrogel dressing}} |
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A '''hydrocolloid dressing''' is an opaque or transparent<ref>[https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx Coloplast (UK)]- Reviewed 2017-10-21 (Primary)</ref> [[dressing (medical)|dressing]] for wounds. A hydrocolloid dressing is [[biodegradable]],<ref>{{Citation |last=Kennedy |first=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.}}</ref> breathable, and |
A '''hydrocolloid dressing''' is an opaque or transparent<ref>[https://www.coloplast.co.uk/comfeel-plus-transparent-en-gb.aspx Coloplast (UK)]- Reviewed 2017-10-21 (Primary)</ref> [[dressing (medical)|dressing]] for wounds. A hydrocolloid dressing is [[biodegradable]],<ref>{{Citation |last=Kennedy |first=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.}}</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}}</ref> |
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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>[http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html World Wide Wounds]</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>[http://www.worldwidewounds.com/1997/july/Thomas-Hydronet/hydronet.html World Wide Wounds]</ref> |
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Revision as of 20:25, 8 November 2023
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
 | 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. 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. Smaller sizes are used on acne, not only to get rid of acne, but to avoid acne scars.[6] 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).[7]
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,[8] or for diabetic foot ulcers.[9]
There is tentative but unclear evidence for hydrocolloid dressings for superficial and partial thickness burns.[10] Hydrocolloid dressings were, however, superior to other substrates (i.e., alginate, film, gauze, hydrofiber, silicone) for treating skin graft donor sites.[11]
References
- ^ Coloplast (UK)- 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, 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, retrieved 2023-11-08
- ^ World Wide Wounds
- ^ Surgical Materials Testing Laboratory Dressings Datacard: Bordered Granuflex
- ^ "This TikTok acne remedy really does work". wexnermedical.osu.edu. 2020-12-21. 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.
- ^ 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. 3 (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.
External links
- Fact Sheet on Chronic Wounds, Institute for Quality and Efficiency in Health Care (last updated April 4, 2012)