A next generation foam AQUACEL® Foam Dressing

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A next generation foam AQUACEL® Foam Dressing

Supported by ConvaTec
Pauline Beldon
26 February 2012

Role of foam dressings

Foam dressings have been commercially available for over 30 years for the management of exuding wounds. However, the composition and mode of action of different foam dressings varies (Sussman, 2010), with different products claiming different methods of absorption and physical performance characteristics (Thomas, 2010). 

Developments in foam dressing technology have focused on:

  • increasing dressing moisture vapour transmission rate and absorbency to provide higher fluid handling capacities 
  • improving foam dressing adhesive characteristics, primarily by moving from acrylic based adhesives to atraumatic silicone based adhesives.

More recently, there has been significant debate regarding the use of foam dressings in clinical practice and there is still considerable confusion about their role and value in wound management (White et al, 2012). With a range of alternative dressings now available to clinicians, some may argue that we can manage wounds effectively without foam dressings, while others state that a foam dressing should always be included in formularies as they can manage exudate effectively when used appropriately (White et al, 2012). However, there is often a lack of high-quality evidence to support decision making and strategies are needed to support and educate nurses in measuring clinical outcomes and monitoring spend to help assess the effectiveness of foam dressings (White et al, 2012).

This debate, coupled with the identified potential to further enhance the performance capabilities of foam dressings, has driven the development of a new foam dressing incorporating Hydrofiber® Technology aimed at extending the use of foam dressings across a wide range of wound types.

Introducing a new foam technology 

The new AQUACEL® Foam dressing comprises a protective top layer, an upper polyurethane absorbent foam pad and an integral Hydrofiber® wound contact layer with a silicone adhesive border.

Disclaimer: The views expressed are those of the authors and do not necessarily reflect those of ConvaTec
References

Anderson I (2012) Encouraging compliance and concordance in leg ulcer patients. Wounds UK Supplement 8(1): S6-S8

Armstrong SH, Brown DA, Hill E, Ruckley CV (1995) A randomized trial of a new Hydrofiber dressing, AQUACEL, and an alginate in the treatment of exuding leg ulcers. Presented at  5th European Conference on Advances in Wound Management, Harrogate, UK

Barnea Y, Amir A, Leshem D, et al (2004) Clinical comparative study of AQUACEL and paraffin gauze dressing for split-skin donor site treatment. Ann Plast Surg 53(2): 132-6

Beldon P (2006) Avoiding allergic contact dermatitis in patients with venous leg ulcers. Br J Community Nurs Suppl 11(3): S6,8,10-12

Bishop SM, Walker M,  Rogers  AA,  Chen  WY (2003)  Importance  of  moisture balance  at  the  wound-dressing  interface. J  Wound  Care 12(4): 125-8

Caruso DM, Foster KN, Blome-Eberwein SA, et al (2006) Randomized clinical study of Hydrofiber dressing with silver or silver sulfadiazine in the management of partial-thickness burns. J Burn Care Res 27(3): 298-309

Data on File. ConvaTec 2012.

Gardner S (2012) How to guide: managing high exudate wounds. Wound Essentials Supplement. 7:1. Available from: http://www.wounds-uk.com/pdf/content_10474.pdf

Hilton JR, Williams DT, Beuker B, et al (2004) Wound dressings in diabetic foot disease. Clin Infect Dis Suppl 39: S100-3

International Consensus (2012) Optimising wellbeing in people living with a wound. London: Wounds International. Available from: www.woundsinternational.com

Johnstone E (2007) The role of nutrition in tissue viability. Wound Essentials 2:10-21

Pritchard D, Jones, L, Brewer C, Martin J, Shaw H, Cochrane C (2012) Performance characterisation of a new foam dressing. Poster presentation at European Wound Management Association (EWMA); May 23-25, Vienna, Austria

Queen D, Walker M, Parsons D, Rondas A. AQUACEL Ag dressings made easy. Wounds International 2(2). Available from: http://www.woundsinternational.com/pdf/content_9845.pdf

Robinson BJ (2000) The use of a Hydrofiber dressing in wound management. J Wound Care 2000; 9(1): 32-4

Romanelli M, Vowden K, Weir D (2010) Exudate management made easy. Wounds International 1(2). Available from: http://www.woundsinternational.com/pdf/content_8812.pdf

Sussman G (2010) Technology Update: Understanding foam dressings. Wounds International 1(2). Available at: http://www.woundsinternational.com/product-reviews/technology-update-understanding-foam-dressings/page-110/12

Thomas S (2010) Laboratory findings on the exudate-handling capabilities of cavity foam and foam-film dressings.  J Wound Care 19(5):192-9

White R, Gardner S, Cutting K, Waring M (2012) Wounds UK debate: What is the current status of foam dressings? Wounds UK 8 (3): 21-4

World Union Wound Healing Societies (WUWHS) Principles of best practice: Wound exudate and the role of dressings. A consensus document. London: MEP Ltd 2007. Available from: http://www.woundsinternational.com/pdf/content_42.pdf

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