Using transparent polyurethane film and hydrocolloid dressings to prevent pressure ulcers

Dutra, Rosimar Aparecida Alves; Salomé, Geraldo Magela; Alves, Juliana; Pereira, Vanessa Oliveira Silva; Miranda, Flávia Danielle Sordi Silva; Vallim, V B; Brito, Maria José Azevedo de; Lm, Ferreira

doi:10.12968/jowc.2015.24.6.268

Cited by 39 publications

(30 citation statements)

References 16 publications

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“…The most common study design was RCTs ( n = 6). Regarding the PU preventive interventions, most of the featured studies focused on support surfaces, health professional's education, multiple intervention programmes, repositioning and early mobilisation, preventive skincare, prophylactic dressings, remind systems on patient care plan, and risk‐assessment tools . According to the care setting where the studies were carried out, most of them ( n = 17) were developed in intensive care units (ICU) followed by medicine ( n = 6), geriatrics ( n = 2), surgical ( n = 2), orthopaedics ( n = 2), oncology ( n = 1), rehabilitative ( n = 1), community hospital ( n = 1), and other specific units ( n = 4).…”

Section: Resultsmentioning

confidence: 99%

“…Among all the studies that assessed dressings as a PU preventive measure ( n = 6), there was at least one type of dressing that showed a statistically significant decrease in incidence rates of PU occurrence. The study conducted by Dutra et al showed that polyurethane film dressings were more effective than hydrocolloid dressings in decreasing PU incidence in the trochanteric and sacral areas for patients cared for in the ICU, coronary unit, and in one general medicine unit . Other studies found that a multilayered silicone foam dressing was effective in reducing PUs on heels and sacrum in orthopaedics patients and patients in ICU when previously applied in emergency department or within 24 hours of admission to the ICU .…”

Section: Resultsmentioning

confidence: 99%

“…The role of dressings in PU prevention, regarding the capacity of reducing pressure, friction, and shear, as well as effectively managing skin moisture, has been explored by many investigators . Multilayered foam dressings are effective in preventing PUs on heels and sacrum in patients admitted to ICUs when they were in the emergency department or in the first 24 hours of ICU admission .…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Gaspar

Peralta

Budri

et al. 2019

International Wound Journal

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The effective approach on pressure ulcer (PU) prevention regarding patient safety in the hospital context was evaluated. Studies were identified from searches in EBSCO host, PubMed, and WebofScience databases from 2009 up to December 2018. Studies were selected if they were published in English, French, Portuguese, or Spanish; incidence of PUs was the primary outcome; participants were adults (≥18 years) admitted in hospital wards and/or units. The review included 26 studies. Studies related to prophylactic dressings applied in the sacrum, trochanters, and/or heels, education for health care professionals, and preventive skin care and system reminders on‐screen inpatient care plan were effective in decreasing PUs. Most of the studies related to multiple intervention programmes were effective in decreasing PU occurrence. Single interventions, namely support surfaces and repositioning, were not always effective in preventing PUs. Repositioning only was effective when supported by technological pressure‐mapping feedback or by a patient positioning system. Risk‐assessment tools are not effective in preventing PUs. PUs in the hospital context are still a worldwide issue related to patient safety. Multiple intervention programmes were more effective in decreasing PU occurrence than single interventions in isolation. Single interventions (prophylactic dressings, support surfaces, repositioning, preventive skin care, system reminders, and education for health care professionals) were effective in decreasing PUs, which was always in compliance with other preventive measures. These results provide an overview of effective approaches that should be considered when establishing evidence‐based guidelines to hospital health care professionals and administrators for clinical practice effective in preventing PUs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Gaspar

Peralta

Budri

et al. 2019

International Wound Journal

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“…Care must be taken to remove these dressings as they can rip skin if removed forcefully. 51 Negative pressure wound therapy. Negative pressure wound therapy (NPWT) consists of a foam dressing, which can be tailored to fit the patient's wound and is covered by a transparent film to enable creation of a vacuum in the wound when the foam is attached to a suction device via tubing.…”

Section: Dressings and Topical Agentsmentioning

confidence: 99%

Review of the Current Management of Pressure Ulcers

Boyko

Longaker

Yang

2018

Advances in Wound Care

224

144

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Significance: The incidence of pressure ulcers is increasing due to our aging population and the increase in the elderly living with disability. Learning how to manage pressure ulcers appropriately is increasingly important for all professionals in wound care. Recent Advances: Many new dressings and treatment modalities have been developed over the recent years and the goal of this review is to highlight their benefits and drawbacks to help providers choose their tools appropriately. Critical Issues: Despite an increased number of therapies available on the market, none has demonstrated any clear benefit over the others and pressure ulcer treatment remains frustrating and time-consuming. Future Directions: Additional research is needed to develop products more effective in prevention and treatment of pressure ulcers.

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“…Biodegradable elastomeric polyurethane has been used for biomedical applications due to its tunable mechanical properties, processability, biodegradability, and good biocompatibility . It has been processed into films, electrospun fibers, and porous scaffold, for tissue engineering application as well as nano/micro particulates, membranes, and matrices for controlled drug release. The biodegradable polyurethane has also been combined with traditional conductive polymers or organic additives to form PU‐based conductive composites for tissue engineering .…”

Section: Discussionmentioning

confidence: 99%

Synthesis and characterization of conductive, biodegradable, elastomeric polyurethanes for biomedical applications

Yepez

et al. 2016

J Biomedical Materials Res

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Biodegradable conductive polymers are currently of significant interest in tissue repair and regeneration, drug delivery, and bioelectronics. However, biodegradable materials exhibiting both conductive and elastic properties have rarely been reported to date. To that end, an electrically conductive polyurethane (CPU) was synthesized from polycaprolactone diol, hexadiisocyanate, and aniline trimer and subsequently doped with (1S)-(+)-10-camphorsulfonic acid (CSA). All CPU films showed good elasticity within a 30% strain range. The electrical conductivity of the CPU films, as enhanced with increasing amounts of CSA, ranged from 2.7 ± 0.9 × 10(-10) to 4.4 ± 0.6 × 10(-7) S/cm in a dry state and 4.2 ± 0.5 × 10(-8) to 7.3 ± 1.5 × 10(-5) S/cm in a wet state. The redox peaks of a CPU1.5 film (molar ratio CSA:aniline trimer = 1.5:1) in the cyclic voltammogram confirmed the desired good electroactivity. The doped CPU film exhibited good electrical stability (87% of initial conductivity after 150 hours charge) as measured in a cell culture medium. The degradation rates of CPU films increased with increasing CSA content in both phosphate-buffered solution (PBS) and lipase/PBS solutions. After 7 days of enzymatic degradation, the conductivity of all CSA-doped CPU films had decreased to that of the undoped CPU film. Mouse 3T3 fibroblasts proliferated and spread on all CPU films. This developed biodegradable CPU with good elasticity, electrical stability, and biocompatibility may find potential applications in tissue engineering, smart drug release, and electronics. © 2016 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 104A: 2305-2314, 2016.

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Using transparent polyurethane film and hydrocolloid dressings to prevent pressure ulcers

Abstract: The results suggest that the transparent polyurethane film had a better performance and was more effective than the hydrocolloid dressing in preventing PU development.

Cited by 39 publications

References 16 publications

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Review of the Current Management of Pressure Ulcers

Synthesis and characterization of conductive, biodegradable, elastomeric polyurethanes for biomedical applications

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