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Mepilex Border Sacrum Pressure Ulcer Prevention

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Preventing Pressure Ulcers With Mepilex Border Sacrum And Mepilex Border Heel

How does Mepilex Border Sacrum work in pressure ulcer prevention?

Watch Dr. Jan Kottner discuss the 1st European RCT demonstrating pressure ulcer prevention with Mepilex® Border Sacrum and Mepilex® Border Heel dressings significantly reducing the risk of developing pressure ulcers compared to no dressing .

Pressure ulcers severely affect patient quality of life , and in the latest Global Burden of Skin Disease Study, PUs were assigned the highest disability index . High-risk settings, such as intensive care units, have proven to have a very high incidence of pressure ulcers .

Modern PU prevention techniques include identifying PU risk and employing various preventive measures, such as patient repositioning, elevation and offloading of heels, early mobilization and special support surfaces .

Evidence shows that the prophylactic application of wound care dressings anatomic areas at risk of developing pressure ulcers can lead to a reduction in the number of pressure ulcers .

Based on the evidence showing pressure ulcer dressings could be effective in prevention, Clinical Quality and Risk Management at the Charité Universitätsmedizin hospital in Berlin investigated whether prophylactic dressings would also be effective in high-risk intensive care unit patients at its facilities. The study provided all participants with pressure ulcer prevention as usual, according to the hospital standard, while the intervention group also received Mepilex® Border Sacrum and Heel dressings on the sacrum and heels .

What Causes Sacral Pressure Ulcers

Pressure ulcers occur when there is prolonged pressure to the skin, usually over bony areas such as the elbows, spine, or sacral area .

Compression of the soft tissue causes blood vessels to collapse and reduces blood flow and oxygen delivery. This localized tissue damage usually happens when a person sits or lays for long periods of time in a chair, wheelchair, or bed.

Pressure ulcers begin forming under the skin, making them difficult to catch before a wound is actually visible. So its important to take these steps to help prevent sacral pressure ulcers from happening.

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Key Points For Decision Makers

Mepilex Border Heel and Sacrum dressings show promise for preventing pressure ulcers in people who are considered to be at risk in acute-care settings. However, there is currently insufficient evidence to support the case for routine adoption in the NHS.
Research is recommended to address uncertainties about the claimed benefits of using Mepilex Border Heel and Sacrum dressings. This research should also explore issues such as:
the incidence of heel and sacrum pressure ulcers in NHS acute-care settings
criteria for patient selection to reduce pressure ulcer incidence with Mepilex Border Heel and Sacrum dressings in addition to standard care.

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Construction And Features Of Foam Dressings

Made of semipermeable polyurethane, foam dressings contain foamed polymer solutions with small, open cells that can hold fluids. These cells may be layered with other materials. Their absorptiveness varies depending on the thickness of the dressing. The contact area of a foam dressing is nonadherent and nonlinting, so the dressing is easy to remove. The outer layer of the dressing is often hydrophobic or waterproof to keep out bacteria and other contaminants. Foam dressings come either with or without an adhesive border and in many sizes and shapes. Some foam dressings also include a bacterial barrier made from a transparent film. Additionally, some foam dressings are impregnated with an antimicrobial agent such as silver, Manuka honey, cadexomer iodine, antibiotics, or include surfactants as a vehicle for delivery of these substances to the wound bed.

A primary feature of foam dressings is that they help maintain a moist wound environment. Also important is that foam helps cushion the wound and periwound area from additional trauma, as well as providing thermal insulation for wounds. Easy to apply and remove, foam dressings dont cause wound trauma. Foam dressings can be used when there is an infection and during compression therapy. In addition, foam dressings are compatible with enzymatic debridment agents. Depending on the amount of exudate, foam dressings have a wear time of one to seven days.

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Study Design And Study Site

Mepilex Border Sacrum

The 2PSD study is a cluster-controlled clinical trial conducted in a 10-bed ICU located within an outer metropolitan public teaching hospital in Brisbane, Australia. All eligible patients will receive either Dressing 1 or Dressing 2 allocated in alternating three-monthly clusters until the a priori sample size is reached . The allocation strategy was chosen to minimise the impact of seasonal variation9.

Figure 1: Participant allocation

The primary outcome is the incidence of a new sacral PI per 100 dressing days in the ICU. The primary outcome will be assessed by skin inspection at least twice a day by trained members of the ICU team and by a member of the research team for all ICU patients at least three times a week or, more frequently, at ICU clinician request. Inspection involves partially removing the dressing from the sacral region to assess the skin for any sign of PI and then reapplying the dressing if no PI is found.

Secondary outcomes include the mean number of dressings per patient, the cost-effectiveness of dressings to prevent a sacral PI and product integrity. Cost-effectiveness is defined as the average cost of dressings per patient in each group divided by the proportion of patients without a sacral PI. Product integrity is defined as reapplication of the product after skin inspection or rolling of edges, no rolling of product edges, the product remaining intact in the appropriate location since the last skin inspection.

Participants

Study interventions

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What Is Mepilex Safetac Technology

The unique proprietary Safetac technology of Molnlycke resides closest to the skin. It has been proven to minimize pain to patients during dressing changes and does not cause skin reactions.

  • Molnlycke dressing drastically reduces both the pain and tissue damage in wound management
  • Without the trauma of maceration and skin-stripping, the healing process is accelerated
  • Mepilex medicated wound dressing does not adhere to the moist wound bed, but only to dry skin
  • Adheres gently to the surrounding skin for easy application of secondary fixation
  • Seals the wound margins and reduces the risk of maceration
  • For pressure ulcer prevention, its elasticity dissipates shear forces and provides assistance with the dressing after skin assessment

+ Hydrocolloid Wound Dressing For Pressure Ulcers Png

Read Also

Hydrocolloid dressing reduce the risk of pressure ulcer . Treating the underlying cause will often address and promote wound healing. Managing sacral pressure ulcers with hydrocolloid dressings: Secondary outcomes were time to heal, ulcer area healed per day, linear healing of wound edge, and cost of therapy. Hydrogel dressings consist of a starch polymer and up to 96% water.

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Designed With Patients At Heart

Optimise your wound treatment and prevention with Mepilex® dressings. The Mepilex range is supported by more than 300 pieces of evidence of strong clinical and health economic outcomes.

Depending on the challenge youre facing, Mepilex dressings are available in many shapes and for many uses. Innovation is in our DNA. So were always improving and developing new solutions to deliver even better ouctomes for patients.

Mepilex will continue to drive the future of treatment and prevention.

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Background To The Indication And Devices

How Mepilex® Border dressings help in pressure ulcer prevention

Pressure ulcers are localised injuries to the skin and/or underlying tissue as a result of pressure, or pressure in combination with shear . Pressure ulcers can range in severity and can be classified into the following categories or stages :

  • Stage 1 Intact skin with non-blanchable erythema of a localised area. Discoloration of the skin, warmth, oedema, hardness or pain may also be present.
  • Stage 2 Partial thickness loss of dermis presenting as a shallow open ulcer with a red/pink wound bed, without slough or bruising. It may also present as an intact or open/ruptured serum-filled blister.
  • Stage 3 Full thickness tissue loss. Subcutaneous fat may be visible, but bone, tendon or muscle are not exposed. Some slough may be present. It may include undermining and tunnelling.
  • Stage 4 Full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present. It often includes undermining and tunnelling.

Pressure ulcers can have a significant impact on a patients quality of life, both physically and psychologically. They can also lead to further health complications such as infection, extended hospital stays, restricted rehabilitation and restricted treatment options for other medical conditions .

All patients are at risk of pressure ulcers. However, Mepilex Border dressings have been indicated for use in people identified as either at risk or at high risk of developing a pressure ulcer.

Guy reports that risk factors for pressure ulcers include:

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The Effectiveness Of Two Silicone Dressings For Sacral And Heel Pressure Ulcer Prevention Compared With No Dressings In High

M. El Genedy

Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany

T. Tomova-Simitchieva

Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany

A. Lechner

Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany

C. Richter

Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany

U. Blume-Peytavi

Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany

Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany

Department of Public Health and Primary Care, Skin Integrity Research Group , University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium

Correspondence

M. El Genedy

Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany

T. Tomova-Simitchieva

Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité Universitätsmedizin Berlin, Berlin, Germany

A. Lechner

Which Wound Dressing Is Best For Your Pressure Ulcer

Now that weve touched on some of the more common types of dressings used for pressure ulcers, you may be wondering which is the best for your particular situation. The answer will depend on multiple factors including where the pressure ulcer is located, how severe the bedsore is, and the degree of skin and tissue damage. Talk to your health care professional about any pressure wounds you notice on your body as soon as possible.

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Molnlycke Healthcare Mepilex Border Foam Dressing 5ct

HSA/FSA Eligible

  • Safetac technology minimizes pain and trauma at dressing changes
  • Helps to prevent pressure ulcers
  • All-in-one dressing for chronic wounds such as pressure ulcers
  • Offers a combination of excellent fluid handling capacity and retention for effective exudate management with less risk of maceration 5
  • For optimal exudate management excellent fluid handling capacity and excellent retention of fluids
  • For chronic wounds like pressure ulcers and diabetic foot ulcers
  • To prevent pressure ulcers development
  • To maintain a moist wound environment

This item is FSA eligible.

Silicone Adhesive Multilayer Foam Dressings To Prevent Pressure Ulcer

MEPILEX Border Protect Sacrum 16x20 cm boîte de 10
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
First Posted : February 22, 2018Results First Posted : April 26, 2021Last Update Posted : April 26, 2021

The objective of this study is to determine if silicone adhesive multilayer foam dressings applied to the sacrum, heels and greater trochanter in addition to standard prevention reduce pressure ulcer incidence category II, III, IV, Unstageable and Deep Tissue Injury compared to standard pressure ulcer prevention alone, in at risk hospitalised patients. In particular, this trial extends previous trial results obtained in ICU setting. Therefore, only a maximum of 25% of patients will be recruited from ICU settings.

Condition or disease

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Keep Skin Clean Dry And Moisturized

In addition to pressure, the sacral area is at risk for breakdown due to the potential for sweat and other body fluids to sit on the skin.

These sources of moisture cause irritation, and can result in maceration-or softening of the tissue. Because this weakens the skin, it can make the tissue more susceptible to sacral pressure ulcers forming.

To avoid this, ensure the area is completely cleaned and dried after any contact with sweat, urine, or stool. And to prevent wounds due to weakened or cracking skin resulting from dryness, apply a moisture barrier or moisturizing lotion as needed throughout the day.

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Additional Comfort And Protection

The high MVTR and absorbent PU foam will help keep fluids from being retained, allowing them to be drained quickly and easily. The silicone-bordered foam dressing’s protective backing provides durability. At the same time, the bandage can be retrieved easily in one whole piece, minimizing your discomfort with dressing removal. Our bordered dressing can also be used as a nonstick gauze in first aid kits in the office and at home.

  • Removable in One Piece

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When To Use Mepilex Border Heel

Treatment

Mepilex® Border Heel is specifically designed to fit the heel. The five-layer absorbent foam structure effectively manages exudate and the wound environment. So you can use it in the treatment of exuding wounds such as pressure ulcers, diabetic foot ulcers, heel ulcers, traumatic wounds, and other secondary healing wounds.

Pressure ulcer prevention

Mepilex Border Heel has been proven to prevent pressure ulcers . You can apply the dressings prophylactically for at-risk patients , such as the immobile, those with poor skin perfusion and impaired skin condition, in emergency rooms, in intensive care, or before and during long surgical interventions. Scientific studies have demonstrated that Mepilex Border Heel has the ability to impact four extrinsic factors that can contribute to developing pressure ulcers: by minimising and redistributing shear, redistributing pressure, reducing friction and maintaining an optimal microclimate .

Note: using dressings as a prophylactic therapy does not replace the need a comprehensive pressure ulcer prevention protocol.

Foam Dressings For Treating Pressure Ulcers

Mepilex Part 1 – Pressure Ulcer Prevention Tool

What is the aim of this review?

The aim of this review was to find out whether foam dressings have any advantages or disadvantages in healing pressure ulcers compared with other dressings . Researchers from Cochrane collected and analysed all relevant studies to answer this question and found nine relevant studies.

Key messages

There is no clear evidence from any of the studies included in this review that foam dressings are more effective at healing pressure ulcers than other types of dressings or that foam dressings are more cost effective than other dressings. This is due in part to the low quality of the studies, many of which had small numbers of participants and did not provide accurate details of their methods.

What was studied in the review?

Pressure ulcers are wounds that develop on bony parts of the body such as the heels, hips and lower back. Sitting or lying in the same position for long periods can cause damage to the skin and underlying tissue. People at risk of developing pressure ulcers include those with limited physical mobility such as people with spinal cord injuries, older people, or those ill in hospital.

What are the main results of the review?

Generally, the studies we found did not have many participants and the results were often inconclusive. Overall the evidence that exists is of very low quality.

How up to date is this review?

We searched for studies that had been published up to February 2017.

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Frequent Movement And Repositioning

Depending on factors like age and nutrition status, pressure can cause internal tissue damage within 2-6 hours. And skin can show signs warning of breakdown after as little as 30 minutes of prolonged pressure.

To prevent sacral pressure ulcers, its important to change positions frequently, whether its taking a walk, moving from bed into a chair, or even changing the level of recline in a seated position.

Research shows that 30 degrees of wheelchair tilt helps to reduce pressure in the ischial, buttocks, and sacral areas. And alternating side lying positions or using a wedge cushion while in bed can also help to limit the burden on these areas.

While theres not one single best position to prevent sacral pressure ulcers, you can reduce your risk by moving/shifting weight frequently and avoiding prolonged amounts of time sitting or lying in one spot.

Pressure Ulcer Treatment And Prevention With Mepilex Border Dressings

Join Penny for a discussion of pressure ulcers, aka bed sores, one of the leading hospital acquired conditions in the world, with up to 23% of hospital patients affected. Learn how Mepilex Border dressings can help treat and prevent these painful, potentially life-altering injuries.

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Absent proper prevention protocols, pressure ulcers are apt to appear in individuals dealing with immobility issues or paralysis, and in surgical patients. People in these situations will tend to stay in a fixed position for long periods of time, creating an environment for ulcers to occur. Common problem areas include the sacrum, buttocks, hips and heels. Bony prominences and locations where medical devices are worn are also considered high-risk.

Mepilex® Border Flex dressings five-layer construction protects the wound and handily absorbs any exudate. The durability and gentle adhesion of Molnlyckes SafeTac® technology helps it to stay in place for several days, reducing the frequency of dressing changes. Because regular monitoring of pressure ulcers is vital to the healing process, Safetac® is ideal because it allows the dressing to be lifted from the wound with little-to-no pain for the patient, and be re-applied several times over the course of the dressings life.

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