Izdelki za oskrbo rane
Poliuretanske pene z mehkim silikonom Safetac
Mepilex EM
Obloga Mepilex EM ima enake lastnosti kot obloga Mepilex, le da je tanjša in primerna za akutne in kronične rane z manj ali brez izločka. Zahvaljujoč tehnologiji Safetac obloga Mepilex EM zmanjša bolečino1,10,13,19–23 in poškodbe rane, okolne kože in novonastalega tkiva1,2,3,12,17,18,20, na vlažno rano se ne prime16,17. Manj bolečin pomeni nižjo raven stresa pri pacientih10, kar posledično pozitivno vpliva tudi na proces celjenja rane. Poleg tega zaščiti okolico rane tako, da zatesni njene robove in zagotavlja dodatno zaščito pred maceracijo7–9,17,18. Mepilex EM je edina obloga, ki klinično dokazano zdravi ali celo preprečuje pojav kožnih reakcij na zdravljenje z radioterapijo6,12,24-28. Prav zato je idealna za oskrbo težavnih mest, kot so pazduhe in predeli pod dojkami, in kot preventiva za nastanek razjed zaradi pritiska v povezavi z uporabo medicinskih pripomočkov14,15. Obloga je mehka, udobna4,5,11-13 in zelo prilagodljiva. Zlahka se jo razreže in prilagodi obliki posamezne rane13.
Področja uporabe
Obloga Mepilex EM je idealna izbira za vse vrste ran, ki ne izločajo ali izločajo malo, kot so diabetično stopalo, razdražena koža po radiološkem obsevanju, razjede na stopalu, razjede na nogi, razjede zaradi pritiska, opekline 2. stopnje, Epidermolysis Bullosa (EB), rane s poškodovano okolno kožo.
Mepilex EM potrebuje dodatno fiksacijo. Priporočamo uporabo v kombinaciji s fiksirnim trakom Mepitac ali s cevastim povojem Tubifast. Za rane z večjo količino izločka uporabite oblogo Mepilex ali Mepilex XT.
Mepilex EM se lahko uporablja kot preventiva pri uporabi medicinskih pripomočkov, ki lahko povzročijo poškodbe kože zaradi pritiska.
Mepilex Lite/EM zmanjšuje obremenitve mehkih tkiv in s tem tudi tveganje za poškodbe kože na delih, kjer se uporabljajo medicinski pripomočki. Njegova učinkovitost v preventivne namene je podprta s kliničnimi14 in znanstvenimi dokazi15.
Na zaščitni foliji obloge je šablona, ki kaže kako lahko oblogo režemo in uporabimo za zaščito specifičnih anatomskih predelov, kot so čelo, nos, brada in predel za ušesi. Z zgibanjem obloge in rezanjem po šabloni na vijolični ali beli strani je možno ustvariti različne oblike.
Poškodbe kože zaradi pritiska, ki so posledica uporabe medicinskih naprav, so tretje najpogostejše. Prizadenejo do 41% pacientov29 na intenzivni negi, saj so ti običajno, zaradi svojega zdravstvenega stanja in zdravljenja, veliko bolj ogroženi. Do 68% teh poškodb so rane na obrazu, ki nastanejo zaradi dihalnih naprav30, kot so neinvazivne dihalne maske in cevke za dovod kisika.
Izjava o omejitvi odgovornosti: Preventivna uporaba oblog za zmanjšanje tveganja poškodbe kože zaradi pritiska medicinskih pripomočkov je dobro dokumentirana, vendar njihova uporaba pod osebno zaščitno opremo (OZO), v smislu ohranjanja tesnitve in potencialnega vpliva na prenos virusov, po našem vedenju ni bila testirana niti s strani podjetja Mölnlycke niti drugih.
Nabor oblog Mepilex EM (sterilno pakiranje)
| Koda artikla | Naziv artikla | Pakiranje kos/zavitek | NENSI šifra |
|---|---|---|---|
| 284022 | Mepilex EM 7,5 x 8,5 cm | 5 | |
| 284122 | Mepilex EM 12,5 x 12,5 cm | 5 | 1014331 |
| 284322 | Mepilex EM 17,5 x 17,5 cm | 5 |
Reference
- White R. A Multinational survey of the assessment of pain when removing dressings. Wounds UK, 2008.
- O’Donovan D.A. et al. The role of Mepitel silicone net dressings in the management of fingertip injuries in children. Journal of Hand Surgery, 1999.
- 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
- 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): Supplement S1-S7
- Diggelmann KV, Zytkovicz AE, Tuaine JM, Bennett NC, Kelly LE, Herst PM. Mepilex Lite dressings for the management of radiation-induced erythema: a systematic inpatient controlled clinical trial. British Journal of Radiology. 2010;83(995):971-8.
- 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.
- 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.
- Perez, Y.P., Carmona, J.A., Perez, I.L., Garcia, C.M. Prevention and treatment of radiodermatitis using a non-adhesive foam dressing. Journal of Wound Care 2011;20 (3):130-135.
- Folestad A et al. An open non-randomised case study to evaluate a new soft silicone dressing, Mepilex Lite/EM®, for patients with Diabetic Foot Ulcers. Poster presentation. SAWC, 2004.
- Boesch RP, Myers C, Garrett T et al. Pediatrics. 2012;129: e792–e797.
- Cohen LP, Ovadia-Blechman Z, Hoffer O, Gefen A. Dressings cut to shape alleviate facial tissue loads while using an oxygen mask. Int Wound J. 2019; 1-14.
- Mölnlycke Health Care. Data on file. 2005.
- Khramilin V. Mepilex Lite/EM in the treatment of diabetic foot ulcer. Poster presentation. EWMA, 2006.
- Meuleneire, F., and Fostier, A. Local treatment of heel pressure ulcers with a silicone foam dressing. Poster presentation. WUWHS, 2008.
- Mölnlycke Health Care. Data on file. 2005.
- 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.
- Zheng XP, Huang GY, Chang F, Qian MY, Xia ZF, Xiao SC. Curative effect of soft silicone dressing combined with calcium alginate dressing in treating skin graft donor sites of burned patients. Academic Journal of Second Military Medical University. 2016;37(11):1321-4.
- Eytier C, Gazeau E, Beneteau G, Verfaillie G. Convenience and tolerance of the combination of a soft silicone foam dressing and a two-way stretch tubular bandage in the management of local wounds. Journal des plaies et cicatrisations 2013;18(88):38-44.
- Zhang Y, Xing SZ. Treatment of Diabetic Foot Ulcers using Mepilex Lite Dressings: A Pilot Study. Experimental and Clinical Endocrinology and Diabetes: official journal, German Society of Endocrinology [and] German Diabetes Association. 2014;122(4):227-30.
- Herst PM, Bennett NC, Sutherland AE, Peszynski RI, Paterson DB, Jasperse ML. Prophylactic use of Mepitel Film prevents radiation-induced moist desquamation in an intra-patient randomised controlled clinical trial of 78 breast cancer patients. Radiother Oncol. 2014;110(1):137-43.
- Zhong WH, Tang QF, Hu LY, Feng HX. Mepilex Lite dressings for managing acute radiation dermatitis in nasopharyngeal carcinoma patients: a systematic controlled clinical trial. Medical Oncology (Northwood, London, England). 2013;30(4):761.
- Poonam P. The Effect of Mepilex Lite Dressings on Acute Radiation-Induced Skin Reactions in Women Receiving Post-Mastectomy Chest wall Irradiation (Thesis, Bachelor of Radiation Therapy with Honours). University of Otago. 2013.
- Paterson DB, Poonam, P., Bennett, NC, Peszynski, RI, Van Beekhuizen, MJ, Jasperse, M, Herst, PM. Randomized intra-patient controlled trial of Mepilex Lite dressings versus aqueous cream in managing radiation-induced skin reactions post-mastectomy. Journal of Cancer Science and Therapy. 2012;4 (11):347-56.
- Sharp L et al. An open non-randomised case study to evaluate a new soft silicone dressing, Mepilex Lite/EM®, for patients with radiation skin reactions Poster presentation. SAWC, 2004.
- Barakat-Johnson M, Lai M, Wand T et al. e incidence and prevalence of medical device-related pressure ulcers in intensive care: systematic review. Journal of Wound Care 2019;28(8)512–521
- Barakat-Johnson M, Barnett C, Wand T et al. Medical device-related pressure injuries: An exploratory descriptive study in an acute tertiary hospital in Australia. J Tissue Viability 2017;26:246–53