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Clinical Research
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Evaluation of a new acrylic dressing for the management of partial-thickness wounds Allison Rankine, RN, ET, Julie Kruchowski, RN, CNCC(C), BScN(c), Eslyn Williams, RN, BScN(c), Laura Teague, RN, MN, ACNP Partial thickness wounds caused by pressure, maceration and skin tears/trauma can be painful for patients and difficult to treat. The use of hydrocolloid dressings have been a mainstay in management of these wounds. The purpose of this project was to evaluate the performance and patient tolerance to a new clear acrylic absorbent dressing for the treatment of partial thickness wounds. Education on product use was provided to staff on two in-patient units. Parameters evaluated included wear time, patient comfort, bunching, wound and skin visibility, peri-wound skin integrity and absorption. Nurses were also asked to rate the dressing overall. A total of 80 evaluations were completed No adverse reactions were observed in any of the evaluations. Forty two percent of the dressing evaluations reported at least 5 day wear time. Common reasons for early dressing changes included lifting, bunching or fecal soiling. Patient comfort, from the raters perspective, was reported as 98% at either excellent or good. Wounds were easily visualized in 97% of the wounds evaluated. Ease of application and removal of dressing was reported to be 97% and 86%, respectively. In rating absorptive capacity, 85% ranked it as having good or excellent absorption Our overall impression of this dressing is favourable. Controlled trials comparing hydrocolloid dressings to this new acrylic dressing in terms of cost efficiency and patient tolerance could strengthen evidence to recommend this product as an alternative to hydrocolloids. The results presented suggest that this product may be a viable choice in the management of partial thickness wounds. Grange-Prunier A, Coulliet D, Grange J, Guillame JC. Allergie de contact a l' hydrocolloide Comfeel. Ann Dermatol Venereol. 2002;129:725Ð727 Johnsson M, Fiskerstrand EJ. Contact uticaria syndrome due to carboxymethylcellulose in a hydrocolloid dressing. Contact Dermatitis. 1999;41:344Ð345. Machet L, Couhe, C, Perrinaud A, Lorette G, Vaillant L. A high prevalence of sensitization still persists in leg ulcer patients : a retrospective series of 106 patients tested between 2001 and 2002 and a meta-analysis of 1975Ð2003 data. Br J Dermatol. 2004;150(5):929Ð935 Saap L, Fahim S, Arsenault E, et al. Contact sensitivity in patients with leg ulcerations. Arch Dermatol. 2004;140:1241Ð1246 . |
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