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

Woo, Kevin

doi:10.1111/iwj.12237

Cited by 17 publications

(10 citation statements)

References 15 publications

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“…Cyanoacrylates seem to have a unique degree of robustness, based on experience from clinicians who have written on the skin protective aspect of these materials. 22 , 39 A case series by Milne et al, 22 for example, has discussed the successful use of a cyanoacrylate protectant in the skin 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 and has a purple tint that allows clinicians to identify the area where the liquid barrier is applied to avoid excessive application.…”

Section: Resultsmentioning

confidence: 99%

Management of Moisture-Associated Skin Damage: A Scoping Review

Woo

Beeckman

Chakravarthy

2017

Adv Skin Wound Care

Self Cite

104

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BACKGROUND:Protecting the skin against moisture-associated damage is an important component of comprehensive skin and wound care. Based on a review of literature, the authors propose key interventions to protect and prevent damage in the skin folds, perineum, and areas surrounding a wound or stoma.OBJECTIVE:The aim of this scoping review is to identify and provide a narrative integration of the existing evidence related to the management and prevention of moisture-associated skin damage (MASD).METHODS:Study authors searched several databases for a broad spectrum of published and unpublished studies in English, published between 2000 and July 2015. Selected study information was collated in several different formats; ultimately, key findings were aggregated into a thematic description of the evidence to help generate a set of summative statements or recommendations.RESULTS:Based on inclusion criteria, 37 articles were considered appropriate for this review. Findings included functional definitions and prevalence rates of the 4 types of MASD, assessment scales for each, and 7 evidence-based strategies for the management of MASD.CONCLUSIONS:Based on this scoping review of literature, the authors propose key interventions to protect and prevent MASD including the use of barrier ointments, liquid polymers, and cyanoacrylates to create a protective layer that simultaneously maintains hydration levels while blocking external moisture and irritants.

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Section: Resultsmentioning

confidence: 99%

Management of Moisture-Associated Skin Damage: A Scoping Review

Woo

Beeckman

Chakravarthy

2017

Adv Skin Wound Care

Self Cite

104

View full text Add to dashboard Cite

show abstract

“…Overhydration of the skin causes the stratum corneum to swell and stretch, weakening the connections between epidermal cells and collagen fibres. Increased permeability and disruption of the normal barrier function renders the skin more susceptible to irritants and mechanical damages such as shear and pressure . In a recent systematic review and meta‐analysis, Beeckman et al confirmed that individuals with bowel and bladder incontinence and related incontinence‐associated dermatitis are 4·99 times more likely (OR = 4.99, 95% CI 2·62–9·50) to develop PrUs than those who are continent.…”

Section: Discussionmentioning

confidence: 99%

Exploration of pressure ulcer and related skin problems across the spectrum of health care settings in Ontario using administrative data

Woo

Sears

Almost

et al. 2015

International Wound Journal

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This is a prospective cohort study using population-level administrative data to describe the scope of pressure ulcers in terms of its prevalence, incidence risk, associating factors and the extent to which best practices were applied across a spectrum of health care settings. The data for this study includes the information of Ontario residents who were admitted to acute care, home care, long term care or continuing care and whose health care data is contained in the resident assessment instrument-minimum data set (RAI-MDS) and the health outcomes for better information and care (HOBIC) database from 2010 to 2013. The analysis included 203 035 unique patients. The overall prevalence of pressure ulcers was approximately 13% and highest in the complex continuing care setting. Over 25% of pressure ulcers in long-term care developed one week after discharge from acute care hospitalisation. Individuals with cardiovascular disease, dementia, bed mobility problems, bowel incontinence, end-stage diseases, daily pain, weight loss and shortness of breath were more likely to develop pressure ulcers. While there were a number of evidence-based interventions implemented to treat pressure ulcers, only half of the patients received nutritional interventions.

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“…17 The current study highlights a different application for this chemistry, consisting of a skin protectant to manage superficial skin lesions or to protect skin exposed to irritants. 18 …”

Section: Discussionmentioning

confidence: 99%

Skin Protectants Made of Curable Polymers: Effect of Application on Local Skin Temperature

Walt

Atwood

Bernatchez

et al. 2017

Advances in Wound Care

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Objective: To measure the skin temperature after application of a new skin protectant intended for incontinence-associated dermatitis (IAD), compared with a commercial product with an analogous cyanoacrylate-based chemistry.Approach: Twelve healthy human volunteers received an application of the new product on one thigh and of the comparator on the other thigh. An infrared camera using ThermaCAM™ software imaged the skin and measured the temperature at the skin surface over time to characterize the thermal cure profile induced by the products on the skin.Results: The new product led to a drop in skin surface temperature (endothermic reaction), whereas the commercial product displayed an exotherm and a slight rise in skin surface temperature.Innovation: Cyanoacrylate-based chemistries come in various formulations, differing in the side chains and additives used. They are liquid monomers that polymerize after application, and this polymerization is accompanied by an exothermic reaction that can be perceived as an unpleasant warming sensation, especially on compromised skin. A new formulation was designed to mitigate this rise in temperature.Conclusion: The new skin protectant may potentially be more comfortable for IAD patients, since it causes a drop in skin surface temperature instead of a rise during the curing process that follows application.

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

Cited by 17 publications

References 15 publications

Management of Moisture-Associated Skin Damage: A Scoping Review

Management of Moisture-Associated Skin Damage: A Scoping Review

Exploration of pressure ulcer and related skin problems across the spectrum of health care settings in Ontario using administrative data

Skin Protectants Made of Curable Polymers: Effect of Application on Local Skin Temperature

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