Evaluation of a Cyanoacrylate Dressing to Manage Peristomal Skin Alterations Under Ostomy Skin Barrier Wafers

Abstract

Average reported discomfort levels were 9.5 out of 10 at the initial peristomal irritation assessment visit decreased to 3.5 at the first wafer change and were absent by the second wafer change. Wafers had increasing wear time between changes in both settings with acute care patients responding faster. Epidermal resurfacing occurred within 10.2 days in outpatients and within 7 days in acute care patients. Because of the skin sealant action of this dressing, immediate adherence of the wafer was reported at all pouch changes.

A Review of Cyanoacrylate Liquid Skin Protectant and Its Efficacy on Pedal Fissures

“…The product investigated in this study is a cyanoacrylate-based skin protectant that is used as a barrier against moisture and friction. [3][4][5] The use of this product in the management of heel fissures, as described in this article, is of interest in the podiatric environment and builds on existing information on this subject. 6 Cyanoacrylates Cyanoacrylate skin protectant barriers are transparent, flexible film-forming products that adhere to the skin at a molecular level.…”

“…Cyanoacrylate skin protectants can be used on at-risk skin to prevent and manage certain types of skin tears, friction-related breakdown of skin, and shear-and moisture-related assault on skin in at-risk patients. [3][4][5] A more comprehensive list of appropriate body areas and skin conditions includes the following:…”

Health economic benefits of cyanoacrylate skin protectants in the management of superficial skin lesions

“…A case series by Milne et al . , for example, has discussed the successful use of a cyanoacrylate protectant in the management of peristomal irritant dermatitis and superficial skin lesions in residents in acute care and outpatient settings. The cyanoacrylate protectant is supplied in unit dose ampoules.…”

Stomal and Peristomal Complications

“…The literature suggests a substantial range depending on type of stoma, timeframe of the complication, the type and defi nition of the complication, and the type of diversion (fecal vs urinary, end vs loop). [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Previous research 1 provided an evidence base for content validation of stomal and peristomal defi nitions and interventions. However, no literature has identifi ed or ranked preferred interventions to manage these complications based on expert clinical judgment.…”