Surgery Book


Hydrocolloid Dressing

Aka: Hydrocolloid Dressing, Carrasmart, Combiderm, Comfeel, Cutinova Range, Dermafilm, Duoderm, Exuderm, Hyperion, Nuderm, Primacol, RepliCare, Restore, Tegasorb, Sorbex, Ultec
  1. See Also
    1. Silicone Gel Sheeting for Hypertrophic Scar
  2. Category
    1. First-line, cost effective Occlusive Dressing
    2. Wafers, pastes and powders composed of gelatin or pectin
  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 2 to 4 Pressure Sores (some dressings may be used in Type I sores)
    4. Dry necrotic eschar Debridement
    5. Wounds with slough or necrosis
  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
    3. May be used under compression dressing
    4. May be applied over an Alginate Dressing
  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)
    7. Assists with Autolytic Debridement
    8. Can be used under compression (e.g. Unna Boot)
  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): 716-8 [PubMed]
    2. Degreef (1998) Dermatol Clin 16(2): 365-75 [PubMed]
    3. Findlay (1996) Am Fam Physician 54(5): 1519-28 [PubMed]
    4. Habif (1996) Clinical Derm, Mosby, p. 810-13
    5. Knapp (1999) Pediatr Clin North Am 46(6):1201-13 [PubMed]
    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):1207-22 [PubMed]
    10. PUGP (1994) Pressure Ulcer Treatment, AHCPR 95-0653
    11. Way (1991) Current Surgical, Lange, p.95-108

comfeel (C0297311)

Concepts Pharmacologic Substance (T121) , Carbohydrate (T118)
MSH C093472
English comfeel, Comfeel
Derived from the NIH UMLS (Unified Medical Language System)

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