The application of moist dressings in wound care for tracheostomy patients: A meta‐analysis

Abstract

AimTo evaluate the clinical application of moist wound dressings in wound care for patients with the tracheostomy.BackgroundTracheostomy patients may suffer from many complications. Moist dressings have been proposed to lower complication rates for patients with the tracheostomy.DesignA Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA) checklist‐guided meta‐analysis of randomised and controlled clinical trials.MethodIn this meta‐analysis, two reviewers independently searched PubMed, EMBASE, Cochrane Library, Web of Science, CNKI and Wanfang databases for controlled clinical trials (CCTs) comparing the use of moist dressings and gauze for tracheostomy patients. The reviewers screened studies according to the inclusion criteria and extracted data from published reports independently. The outcome of site infection and pressure ulcer incidence, the frequency of dressing changes and wound closing time were evaluated by random‐effects or fixed‐effects meta‐analysis.ResultsAfter the screening, ten studies including 1,220 participants were eligible for analysis. The result showed that the incidence of site infection and pressure ulcer was significantly reduced in the moist dressings group compared with the gauze group. Moist dressings were also associated with significant reductions in the frequency of dressing changes and wound closing time. These results were assessed as moderate‐ to low‐quality evidence.ConclusionMoist dressings seem to be beneficial to tracheostomy patients, giving a lower incidence of site infection and pressure ulcers as well as shorter wound closing times and lower dressing change frequency. More high‐quality trials are needed to support this finding.Relevance to clinical practiceThe findings offer clinicians an assessment of and evidence for the efficacy of moist dressings, which may be a superior option for patients with a tracheotomy.

Preparation and Properties of Minocycline-Loaded Carboxymethyl Chitosan Gel/Alginate Nonwovens Composite Wound Dressings

“…As the skin substitute, the ideal wound dressings should possess the following functions: (1) be a barrier to protect wound from contamination by chemicals and microorganisms; (2) allow air exchange, which provides oxygen for cell growth and excreting carbon dioxide produced by cells; (3) remove wound exudates in time and maintain the moist microenvironment between wound, wound exudates and dressings; (4) be non-toxic and non-allergenic to wound [1,2,3,4]. Nowadays, the preparation of new generation functional dressings with biological activity has become a hot research topic.…”

Factors Associated with The Incidence of Infection in Tracheostomy Stoma at Mohammad Hoesin Hospital

“…The secondary purpose of using antiseptics is In this study all subjects used an antiseptic type povidone iodine. 13,14,15 The results of the bivariate analysis showed that there was a relationship between tracheostomy cannula treatment and the incidence of infection in the tracheostomy stoma. The results of multivariate analysis showed that tracheostomy cannula treatment had a significant effect on the incidence of infection in tracheostomy stoma with a risk of 9.362 times to experience infection.…”

Reducing Tracheostomy-Related Acquired Pressure Injury by Flipping the Ventilator Circuit Position Study

“…Direct contact of the tracheostomy tube to skin and incision, with angulation resulting in stretching of blood vessels, has also been suggested as a potential mechanism of injury (13,14). Similarly, moist skin under the flange and around the stoma due to tracheal or oral secretions, presence of sutures, timing of removal of sutures, direct contact of the tracheostomy tube flange with bony prominences, and non-neutral head position have been suggested to be risk factors for TRPIs in adults (18)(19)(20).…”