Izdelki za oskrbo rane
Poliuretanske pene z mehkim silikonom Safetac
Mepilex Ag
Mepilex Ag je poliuretanska pena z mehkim silikonom in s srebrom, namenjena za oskrbo kroničnih ali akutnih ran z zmerno količino izločka, pri katerih so prisotni znaki okužbe. Okužene rane so zelo boleče, zato je pri njih potrebno zagotoviti najboljšo možno oskrbo. Obloga Mepilex Ag preprečuje razmnoževanje patogenih mikororganizmov na rani že po 30 minutah12, in tako učinkuje do 7 dni4,5,6,7. Hkrati z zmanjšanjem števila mikroorganizmov13 zmanjšuje tudi neprijeten vonj10 okužene rane. Poleg tega je obloga zelo mehka in udobna8,9. Izloček vpije in ga enakomerno porazdeli ter ohrani vlažno okolje. Sloj mehkega silikona zatesni robove rane in prepreči iztekanje izločka na okolno kožo, s čimer prepreči tveganje za nastanek maceracije. Tehnologija Safetac zagotavlja nežen oprijem na okolno kožo in menjavo obloge brez dodatnih poškodb rane, novonastalih celic ali okolne kože, ter brez povzročanja dodatne bolečine pacientom1,2,3,14-17. Manj bolečin pomeni nižjo raven stresa in tesnobe19 pri pacientih11, kar posledično pozitivno vpliva tudi na proces celjenja rane. Mepilex Ag klinično dokazano celi opekline hitreje in z manj bolečin ter stroškov3,18 kot srebrov sulfadiazin.
Področja uporabe
Mepilex Ag uporabljamo pri okuženih ranah z malo do srednje veliko količino izločka, kot so golenje razjede, razjede na stopalih, razjede zaradi pritiska ali opekline 2. stopnje.
Izdelek je neprimeren za oskrbo pri bolnikih z znano občutljivostjo na srebro. Ne sme se ga uporabljati med obsevanjem ali pregledi z rentgenom, ultrazvokom, magnetno resonanco ali diatermijo. Mepilex Ag ne uporabljajte v kombinaciji z raztopinami hipokloritov ali vodikovim peroksidom.
Mepilex Ag lahko uporabimo pod kompresijsko terapijo. Ne drsi iz mesta nastavitve, oblogo lahko režemo na želeno velikost. Potrebuje dodatno pritrditev. Priporočamo uporabo v kombinaciji s cevastim povojem Tubifast.
Nabor oblog Mepilex Ag (sterilno pakiranje)
| Koda artikla | Naziv artikla | Pakiranje kos/zavitek | NENSI šifra |
|---|---|---|---|
| 287021 | Mepilex Ag 6 x 8,5 cm | 5 | 1024695 |
| 287121 | Mepilex Ag 12,5 x 12,5 cm | 5 | 1024716 |
| 287221 | Mepilex Ag 10 x 21 cm | 5 | 1024703 |
| 287321 | Mepilex Ag 17,5 x 17,5 cm | 5 | 1024684 |
| 287510 | Mepilex Ag 20 x 50 cm | 2 |
Reference
- White R. A Multinational survey of the assessment of pain when removing dressings. Wounds UK, 2008.
- Dykes PJ et al. Effect of adhesive dressings on the stratum corneum of the skin. Journal of Wound Care, 2001.
- Data on file : PD-131052, PD-005010, PD-030039, PD-068363, PD-133408, PD-275474
- Data on file : PD-356715
- Wiberg A.B et al. Preventing maceration with a soft silicone dressing: in-vitro evaluations. Poster presented at the 3rd Congress of the WUWHS, Toronto, Canada, 2008.
- Meaume S. et al. A study to compare a new self adherent soft silicone dressing with a self adherent polymer dressing in stage II pressure ulcers. Ostomy Wound Management, 2003.
- Feili F et al. Retention capacity. Poster presentation at the EWMA conference, Lisbon, Portugal 2008.
- External in vitro lab report : SMTL 20090625-002
- Palomar F, Treatment and Care of chronic wounds and perilesional skin using a selfadhesive silicone and foam dressing. Spanish Congress of Dermatology nursing in Benalmádena (Málaga) March 2007.
- Young MJ, Robbie J Management of the diabetic foot: A guide to the assessment and management of diabetic foot ulcers, The Diabetic Foot, 2002 5(3)
- Upton D et al. The Impact of Atraumatic Vs Conventional Dressings on Pain and Stress in Patients with Chronic Wounds. Journal of Wound Care, 2012.
- Gee Kee EL, et al. Randomized controlled trial of three burns dressings for partial thickness burns in children. Burns. 2015;41(5):946-955.
- David F. et al. A randomised, controlled, non-inferiority trial comparing the performance of a soft silicone-coated wound contact layer (Mepitel One) with a lipidocolloid wound contact layer (UrgoTul) in the treatment of acute wounds. International Wound Journal, 2018.
- Van Overschelde P, et al. A randomised controlled trial comparing two wound dressings used after elective hip and knee arthroplasty. Poster presentation at the 5th Congress of WUWHS, Florence, Italy, 25-29 Sep, 2016.
- Bredow J, et al. Randomized clinical trial to evaluate the performance of a flexible self-adherent absorbent dressing coated with a soft silicone layer after hip, knee or spinal surgery in comparison to standard wound dressing. Poster presentation at the 5th Congress of WUWHS, Florence, Italy, 25-29 Sep 2016.
- Upton, D., Solowiej, K. The impact of atraumatic vs conventional dressings on pain and stress. Journal of Wound Care 201221(5):209-215.
- Meuleneire F and Fostier A. Local treatment of heel pressure ulcers with a silicone foam dressing. Poster presentation. WUWHS, 2008
- Franks PJ, Moody M, Moffatt CJ, Hiskett G, Gatto P, Davies C, et. al. Randomised trial of two foam dressings in th management of chronic venous ulceration. Wound repair and regeneration: official publication of the Wound Healing Society (and) the Eurpean Tissue Repair Society. 2007; 15(2): 197-202
- Schumann H, Beljan G, Hoping D, and Bruckner-Tuderman L. Atraumatic dressings in fragile skin conditions: use of the soft silicone dressing (Mepilex) in hereditary and acquired bullous skin disease. Poster presentation. EWMA, 2005
- Mölnlycke Health Care. Data on file. 2016
- Mölnlycke Health Care. Data on file. 2017
- Weaver G, Crawford K. The use of Mepilex on dehisced amputation wounds. Wounds UK 2007; 3(1): 70-74