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Transparent Film Dressing
Aka: Transparent Film Dressing, Transparent Adhesive Dressing, Polyurethane Dressing, Biocclusive, Op-Site Flexigrid, Tegaderm, Acu-Derm, Polyskin, Blisterfilm, Carrafilm, Dermaview, Mefilm, Opsite, Suresite, Uniflex
- See Also
- Hydrocolloid Dressing
- Category
- Occlusive Dressing
- Characteristics
- Semipermeable
- Allows gaseous and oxygen exchange across polyurethane membrane
- Retains exudate to create moist environment
- Adhesive
- Moisture retentive
- Indications
- Non-exudative wounds
- Autolytic Debridement
- Type 1 to 2 Pressure Sores
- Secure other Wound Dressings
- Protect vulnerable areas from friction injury
- Elbows
- Heels
- Coccyx
- Skin Tear (generally avoid this bandage over tears due to risk of maceration and pulling up skin on removal)
- Contraindications
- Absolute
- Cavity wounds
- Wounds with sinus tracts, undermining or tunneling
- Relative
- Infected Wounds (especially anaerobic)
- Wounds with excessive exudate
- Unless combined with foam, gauze, or hydrogel
- Technique
- Change dressing every 3 to 7 days
- Check dressing daily (transparent)
- Consider protecting skin edge from maceration
- Stomal adhesive wafer
- Vaseline
- Zinc Oxide
- Advantages
- Requires less care than traditional dressing (gauze)
- Conformable
- Water resistant
- Wound visualized without dressing removal
- Protects against secondary infection
- No additional dressing needed (no tape or wrap)
- Disadvantages
- Expensive
- Maceration of peri-wound edges (wound border must be intact)
- Too frequent dressing changes may strip skin
- No absorptive capacity (can only use in non-exudative wounds)
- Difficult to apply
- No data showing efficacy in Pressure Ulcers
- Contraindicated in infected wounds
- Separates from skin in high friction areas
- References
- Bello (2000) JAMA 283(6): 716-8 [PubMed]
- Degreef (1998) Dermatol Clin 16(2): 365-75 [PubMed]
- Findlay (1996) Am Fam Physician 54(5): 1519-28 [PubMed]
- Habif (1996) Clinical Derm, Mosby, p. 810-13
- Knapp (1999) Pediatr Clin North Am 46(6):1201-13 [PubMed]
- Krasner (1995) Prevention Management Pressure Ulcers
- Lewis (1996) Med-Surg Nursing, Mosby, p. 199-200
- Lueckenotte (1996) Gerontologic Nurs., Mosby, p. 800-7
- PUGP (1995) Am Fam Physician 51(5):1207-22 [PubMed]
- PUGP (1994) Pressure Ulcer Treatment, AHCPR 95-0653
- Way (1991) Current Surgical, Lange, p.95-108