The Effectiveness of Using a Lipido-Colloid Dressing for Patients With Traumatic Digital Wounds

Abstract

This study compares the effect of a daily gauze dressing with that of a lipido-colloid dressing on the time taken to make up the dressing and efficacy of the management of traumatic digital wounds. This is a randomized controlled trial of 28 patients (16 experimental and 12 control) with injuries to their fingers and loss of tissue. The patients in the experimental and control groups were given a lipido-colloid dressing and a daily gauze dressing, respectively. The patients'wounds were assessed in terms of the size of the wound and the time it took for the wound to heal. The findings showed that patients in the experimental group had a faster recovery time from the healing of their wound than the control group (p= .024). The findings can help to establish an evidence-based practice in the management of traumatic digital wounds in clinical settings.

Wound care technologies used by nurses / Tecnologias utilizadas por enfermeiros no tratamento de feridas / Tecnologías utilizadas por enfermeros en el tratamiento de heridas

“…Por meio da análise, verificou-se que 8 artigos(61,5%) foram da base Web of Science (11)(12)(13)(14)(15)(16)(17)(18) , 3 (23,1%) da CINAHL (19)(20)(21) e 2 (15,4%) da Scopus (22)(23) . Observou-se que apenas um artigo era do Brasil (7,7%) (14) , publicado na Revista LatinoAmericana de Enfermagem.…”

“…Em relação aos estudos que utilizaram a tecnologia dura, o uso de curativos/coberturas foi o que mais se destacou (15,(21)(22)(23) . Além disso, também foi observado sistema de medição digital (11)(12) e biomarcadores (20) .…”

“…A prática clínica baseada em evidências contribui para tomada de decisão, através de evidências científicas que possibilitem recomendações para o uso (24) . Ensaio clínico randomizado encontrou tempo de recuperação mais rápido nos pacientes com feridas traumáticas digitais em que foi utilizado o curativo lipídio-colóide (22) . Outro estudo utilizou um mel de qualidade medicinal no tratamento de feridas, comparando com tratamentos convencionais, comprovando, portanto, que no grupo em que foi utilizado o mel, o tempo médio para cura foi de 100 dias em comparação com 140 dias do grupo que não utilizou, com taxa de cicatrização de 46,2% comparada com 34% do grupo convencional.…”

National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

“…109,115 Hydrocolloids can also be used for lacerations and traumatic and postoperative incisions with moderate exudate and adequate tissue approximation. 113,114,116 Alginates and foams should be used to manage the heavy exudate typically produced by partialto full-thickness abrasions, avulsions, blisters, lacerations, and traumatic and postoperative incisions with adequate tissue approximation. 91,109,117 Lacerations and traumatic and postoperative incisions in areas of low skin tension that require tissue approximation can be closed with dermal adhesives.…”

“…91,105,108,109 Films are appropriate as secondary dressings to secure foams and hydrogels to provide occlusion 122 and can also be applied in combination with other occlusive dressings in sheet form for additional adherence to the periwound tissues and to prevent leakage of excess exudate from heavily draining wounds. Films and hydrocolloids can serve as secondary dressings for lacerations and traumatic and postoperative incisions that have been closed with sutures, 3,101,113,114,116,123 staples, 101 or dermal adhesives. 3,101 Healing.…”