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film dressing; transparent film dressing; barrier film
Characteristics:
1) transparent
2) polyurethane film
3) gas permeable
4) moisture vapor permeable
5) impermeable to bacteria & liquids
6) adhesive
Indications:
1) dry to minimally exudating wounds*
2) partial thickness wounds
3) granular or necrotic wounds (ideal for softening eschar)
4) skin tears
5) donor sites
6) superficial burns
7) may use over absorptive wound fillers or hydrogels on full-thickness wounds
Contraindications:
1) infected wounds
2) wounds with heavy exudate
- pressure ulcers with any exudate [1]
3) fragile surrounding skin
Advantages:
1) protection, bacterial barrier
2) autolysis (especially eschar)
3) allows visual assessment (transparent)
4) waterproof
5) flexible
6) pain reduction
7) moist environment
8) adherent
9) up to 7 days wear time
Disadvantages:
1) not absorptive
2) excess drainage may cause maceration of surrounding skin
3) may strip fragile skin upon removal
4) may be difficult to apply
Notes:
Helpful hints:
1) use a large enough dressing to cover at least 1 inch of surrounding skin
2) application of skin sealant to surrounding skin improves seal
3) change dressing when exudate leaks onto intact skin around the wound in order to avoid maceration
Products:
1) Bioclusive
2) Blisterfilm
3) Carrafilm
4) CarraSmart
5) DermaSite
6) Epiview
7) Flexfilm
8) Mefilm
9) Opsite
10) Polyskin
11) ProCyte
12) Sure Site
13) Tegaderm
14) Transeal
15) Uniflex
Specific
Bioclusive
Blisterfilm
calamine/zinc oxide (Calmoseptine)
Carrafilm
CarraSmart film
Cavilon 3M no sting barrier film
DermaSite
Epiview
Flexfilm
Mefilm
Opsite
Polyskin
ProCyte
Sure Site
Tegaderm
Transeal
Uniflex
General
wound dressing
References
- Medical Knowledge Self Assessment Program (MKSAP) 15,
American College of Physicians, Philadelphia 2009
- Geriatric Review Syllabus, 11th edition (GRS11)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2022