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The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system

Wound‐dressing performances are affected by exudate viscosity, resistance to flow because of gravity, and bodyweight loads, the level of which is related to the body position. Here, we focussed on two dressing properties: (a) Sorptivity—the ability of dressings to transfer exudate away from the woun...

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Autores principales: Lustig, Adi, Alves, Paulo, Call, Evan, Santamaria, Nick, Gefen, Amit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243987/
https://www.ncbi.nlm.nih.gov/pubmed/33236856
http://dx.doi.org/10.1111/iwj.13515
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author Lustig, Adi
Alves, Paulo
Call, Evan
Santamaria, Nick
Gefen, Amit
author_facet Lustig, Adi
Alves, Paulo
Call, Evan
Santamaria, Nick
Gefen, Amit
author_sort Lustig, Adi
collection PubMed
description Wound‐dressing performances are affected by exudate viscosity, resistance to flow because of gravity, and bodyweight loads, the level of which is related to the body position. Here, we focussed on two dressing properties: (a) Sorptivity—the ability of dressings to transfer exudate away from the wound bed by capillary action—and (b) Durability—the capacity of dressings to maintain their integrity over time and during their removal. Both properties are critically important for avoiding further tissue damage but require the development of new laboratory tests for their measurement. A computer‐controlled phantom of an exuding sacral pressure ulcer has therefore been developed and used to compare the performances of Exufiber (Mölnlycke Health Care) vs an alternative market‐leading dressing. Sorptivity was determined using weight tests, and durability was measured through tensile tests of the used dressings. For a supine configuration, the Exufiber dressing demonstrated ~three times higher sorptivity and better durability, withstanding ~five times greater strain energy than the other product before failure occurred. This work paves the way for quantitative, standardised testing of dressings in all aspects of exudate management. The reported tests are further suitable for testing dressing combinations or how dressings interact with negative pressure wound therapy.
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spelling pubmed-82439872021-07-02 The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system Lustig, Adi Alves, Paulo Call, Evan Santamaria, Nick Gefen, Amit Int Wound J Original Articles Wound‐dressing performances are affected by exudate viscosity, resistance to flow because of gravity, and bodyweight loads, the level of which is related to the body position. Here, we focussed on two dressing properties: (a) Sorptivity—the ability of dressings to transfer exudate away from the wound bed by capillary action—and (b) Durability—the capacity of dressings to maintain their integrity over time and during their removal. Both properties are critically important for avoiding further tissue damage but require the development of new laboratory tests for their measurement. A computer‐controlled phantom of an exuding sacral pressure ulcer has therefore been developed and used to compare the performances of Exufiber (Mölnlycke Health Care) vs an alternative market‐leading dressing. Sorptivity was determined using weight tests, and durability was measured through tensile tests of the used dressings. For a supine configuration, the Exufiber dressing demonstrated ~three times higher sorptivity and better durability, withstanding ~five times greater strain energy than the other product before failure occurred. This work paves the way for quantitative, standardised testing of dressings in all aspects of exudate management. The reported tests are further suitable for testing dressing combinations or how dressings interact with negative pressure wound therapy. Blackwell Publishing Ltd 2020-11-25 /pmc/articles/PMC8243987/ /pubmed/33236856 http://dx.doi.org/10.1111/iwj.13515 Text en © 2020 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Lustig, Adi
Alves, Paulo
Call, Evan
Santamaria, Nick
Gefen, Amit
The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system
title The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system
title_full The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system
title_fullStr The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system
title_full_unstemmed The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system
title_short The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system
title_sort sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243987/
https://www.ncbi.nlm.nih.gov/pubmed/33236856
http://dx.doi.org/10.1111/iwj.13515
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