Surgery Book

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Hydrocolloid DressingAka: Duoderm CGF Dressing, Comfeel, Restore, Tegasorb, Cutinova range

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  1. See Also
    1. Silicone Gel Sheeting for Hypertrophic Scar
  2. Category
    1. First-line, cost effective occlusive dressing
  3. Characteristics
    1. Absorptive
    2. Occlusive or semipermeable
    3. Adhesive
    4. Moisture retentive
  4. Indications
    1. Light to moderately edudative wounds
    2. Autolytic Debridement
    3. Type 1 to 3 Pressure Sores
    4. Dry necrotic eschar debridement
  5. Contraindications: Relative
    1. Wound infection (especially anaerobic)
    2. Exposed tendon or bone
    3. Diabetes Mellitus (may worsen necrotic Foot Ulcers)
  6. Preparation
    1. Powder, wafer, or paste forms
  7. Technique
    1. Change dressing every 3-5 days
    2. Consider stoma adhesive over top under film or tape
  8. Advantages
    1. Requires less care than other dressing types
    2. Become absorbent gels on contact with exudate
    3. Conformable
    4. Adheres to both wet and dry sites
    5. Water resistant
    6. Excellent microbial barrier (prevents infection)
  9. Disadvantages
    1. Expensive material
      1. Cost effective when compared with saline dressing
    2. Maceration of peri-wound margins
    3. May produce foul, sour odor
    4. Too frequent dressing changes may strip skin
    5. Limits wound visability, monitoring
    6. Secondary hypergranulation tissue may delay healing
      1. Leafy, friable beefy red tissue
      2. Remove with silver nitrate or Sharp Debridement
  10. References
    1. Bello (2000) JAMA 283(6):716
    2. Degreef (1998) Dermatol Clin 16(2):365
    3. Findlay (1996) Am Fam Physician 54(5):1519
    4. Habif (1996) Clinical Derm, Mosby, p. 810-13
    5. Knapp (1999) Pediatr Clin North Am 46(6):1201
    6. Krasner (1995) Prevention Management Pressure Ulcers
    7. Lewis (1996) Med-Surg Nursing, Mosby, p. 199-200
    8. Lueckenotte (1996) Gerontologic Nurs., Mosby, p. 800-7
    9. PUGP (1995) Am Fam Physician 51(5):1207
    10. PUGP (1994) Pressure Ulcer Treatment, AHCPR 95-0653
    11. Way (1991) Current Surgical, Lange, p.95-108

comfeel (C0297311)

ConceptsCarbohydrate (T118) , Pharmacologic Substance (T121)
Englishcomfeel
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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