High-valve vapor-permeable film dressing versus fine mesh gauze dressing on skin graft donor areas in diabetic patients: a prospective randomized controlled trial

Baser, Nesrin Tan; Barutcu, Ayse Yuksel; Akbuga, Unzile Balci; Terzioğlu, Ahmet; Aslan, Gürcan

doi:10.1007/s00238-008-0273-8

Cited by 6 publications

(11 citation statements)

References 34 publications

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“…The studies by Ferreira et al and Lui et al found no difference between a dry and moist dressing approach; both researchers compared the use of the biological film dressing Veloderm® with dry dressings. Twelve studies found that the dressings that provided a moist wound‐healing environment were superior to non‐moist dressings in terms of pain reduction …”

Section: Resultsmentioning

confidence: 99%

“…For example, several researchers used a variety of definitions of healing; this subsequently reduced comparison between the studies. In addition, some studies did not provide operational definitions of healing, which increased the risk of systematic error. Other studies were at risk of researcher bias by not identifying the level of training or experience of the assessors .…”

Section: Methodological and Academic Rigour Of Studiesmentioning

confidence: 99%

“…Within this evidence-based review, 16 studies assessed pain on dressing removal, whilst only 1 study 45 detailed the method of dressing removal. Eight studies 12,20,21,25,26,29,30,47 did not include an assessment of donor site wound pain on dressing removal as the dressings were left in situ on the wound bed until spontaneous separation of the dressing occurred.…”

Section: Dressing Removal and Pain Managementmentioning

confidence: 99%

“…Twelve studies found that the dressings that provided a moist wound-healing environment were superior to non-moist dressings in terms of pain reduction. 20,28,29,32,40,[44][45][46][47]50,51…”

Section: Primary Dressings and Painmentioning

confidence: 99%

“…Thirteen studies used dry gauze (secured with either tape or crepe bandage) as a secondary dressing. Ten studies 26,30,32,34,35,38,40,44,45,47 found that donor site wounds (DSWs) managed with a secondary dressing of gauze (in which the primary DSW dressing subsequently dried out) were associated with more pain in comparison with the DSW dressings that maintained a moist environment.…”

Section: Secondary Dressings and Painmentioning

confidence: 99%

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An evidence‐based review of split‐thickness skin graft donor site dressings

Brown

Holloway

2018

International Wound Journal

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This evidence-based review aimed to identify and evaluate current existing evidence relating to the efficacy of dressing materials for spit-thickness skin graft donor site wounds in relation to promoting rapid healing and reducing patient pain. A comprehensive systematic search of the literature between 2006 and 2016 identified 35 publications that were included in the review. Based on the results of the review, it was found that moist wound-healing products have a clear advantage over non-moist products in the reduction of pain and increased healing rates. This review concluded that moist wound-healing products are more effective than non-moist wound-healing products in reducing pain and promoting healing in split-thickness skin graft donor site wounds. A recommendation based on this review is that further research examine the role of secondary dressing usage in donor site wound management, and the consideration of using more than one primary dressing product during the donor site wound-healing process should be undertaken.

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Section: Resultsmentioning

confidence: 99%

Section: Methodological and Academic Rigour Of Studiesmentioning

confidence: 99%

Section: Dressing Removal and Pain Managementmentioning

confidence: 99%

Section: Primary Dressings and Painmentioning

confidence: 99%

Section: Secondary Dressings and Painmentioning

confidence: 99%

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An evidence‐based review of split‐thickness skin graft donor site dressings

Brown

Holloway

2018

International Wound Journal

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A hand‐targeted auxiliary personal protective equipment for intervention of fomite transmission of viruses

Tan

Song

2022

Bioengineering & Transla Med

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In COVID‐19, fomite transmission has been shown to be a major route for the spreading of the SARS‐CoV‐2 virus due to its ability to remain on surfaces for extended durations. Although glove wearing can mitigate the risk of viral transmission especially on high touch points, it is not prevalent due to concerns on diversion of frontline medical resources, cross‐contamination, social stigma, as well as discomfort and skin reactions derived from prolonged wearing. In this study, we developed FlexiPalm, a hand‐targeted auxiliary personal protective equipment (PPE) against fomite transmission of viruses. FlexiPalm is a unique palmar‐side hand protector designed to be skin‐conforming and transparent, fabricated from medical‐grade polyurethane transparent film material as a base substrate. It serves primarily as a barrier to microbial contamination like conventional gloves, but with augmented comfort and inconspicuousness to encourage a higher public adoption rate. Compared to conventional glove materials, FlexiPalm demonstrated enhanced mechanical durability and breathability, comparable hydrophobicity, and displayed a minimal adsorption of SARS‐CoV‐2 spike protein and virus‐like particles (VLP). Importantly, FlexiPalm was found to bind significantly less viral protein and VLP than artificial human skin, confirming its ability to reduce viral contamination. A pilot study involving participants completing activities of daily living showed a high level of comfort and task completion, illustrating the usability and functionality of FlexiPalm. Moreover, we have demonstrated that surface modification of FlexiPalm with microtextures enables further reduction in viral adsorption, thereby enhancing its functionality. An effective implementation of FlexiPalm will bolster PPE sustainability and lead to a paradigm shift in the global management of COVID‐19 and other infectious diseases in general.

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