Age, indication for tracheotomy, comorbidities, and severity of wound breakdown were also compared. The rates of wound breakdown before and after the introduction of Mepilex Ag were compared. Starting in February 2010, the application of Mepilex Ag, a silver-impregnated foam dressing, underneath the tracheostomy tube and twill ties became standard practice. Peristomal skin breakdown was documented at the time of the first tracheostomy tube change. We identified 134 pediatric tracheotomies performed between June 2005 and June 2011 at a tertiary care academic pediatric hospital. The aim of this study is to determine the effectiveness of Mepilex Ag dressings in reducing posttracheotomy wound complications. ![]() ![]() unless otherwise stated.Skin irritation and ulceration beneath the tracheostomy tube or ties secondary to pressure and shearing forces on the skin frequently complicate pediatric tracheotomy in the immediate postoperative period. ![]() Wound Care 2001 10(2): 7-10.įurther information on obtaining Mölnlyckeįrom data provided by the manufacturer and/or from published Effects of adhesive dressings on the stratum corneum of the skin. Mepilex Ag is supplied individually wrapped in paper/plastic laminated peel pouches, sterilised by ethylene oxide.ġ. The dressing should also not be used together with oxidising agents such as hypochlorite solutions or hydrogen peroxide. X-ray, ultrasound, diathermy or magnetic resonance imaging. Mepilex Ag should not be used during radiation treatment or examinations, e.g. The interval between changes will normally be determined by the degree of exudate produced but the dressing may be left undisturbed for several days on clean lightly exuding wounds. Additional absorbent pads are not usually required, as the plastic membrane on the outer surface of the dressing will prevent the passage of exudate from the Mepilex Ag to the secondary absorbent layer. Once in position the dressing may be held in place with a bandage or other suitable retention aid. If required Mepilex Ag may be cut to size or shape before removal of the protective film. A dressing should be selected that overlaps the wound margin by at least two centimetres. If clinically indicated, the wound should be cleaned and the surrounding skin thoroughly dried. The wound contact surface of the dressing is protected by a divided plastic film that must be removed before use. The dressing absorbs exudate and maintains a moist wound-healing environment whilst minimising the risk of maceration. It may also be used under compression bandaging. Mepilex Ag is suitable for dressing many types of exuding wounds including leg and pressure ulcers, and traumatic wounds resulting in skin loss. ![]() This gentle adhesion also tends to prevent maceration by inhibiting the lateral movement of exudate from the wound on to the surrounding skin. This soft silicone layer is also slightly tacky, which facilitates application and retention of the dressing to intact skin, but does not cause epidermal stripping or pain on removal. The wound contact surface of Mepilex Ag is coated with a layer of soft silicone that does not stick to the surface of a wound or cause trauma to delicate new tissue upon removal. This effect is initially detectable within 30 minutes and lasts for up to 7 days The foam contains a silver salt that provides an antimicrobial action, inactivating pathogens taken up by the dressing. The membrane, which has a wrinkled appearance, is applied in this way to accommodate the slight swelling that occurs as the dressing absorbs exudate. The outer surface of the foam is bonded to a vapour-permeable polyurethane membrane, which acts as a barrier to liquid and microorganisms including viruses. Mepilex Ag is an absorbent, atraumatic dressing made from polyurethane foam. Soft silicone faced polyurethane foam dressing with silver
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