3
Metas de Enfermería

Metas de Enfermería

FEBRERO 2011 N° 1 Volumen 14

Experience regarding a silver absorbent foam dressing for a complicated diabetic foot

Section: Estudios del Sector

How to quote

Quintana Marrero Y et al. Experiencia de un apósito de espuma absorbente con plata en el pie diabético complicado. Metas de Enferm feb 2011; 14(1): 18-25

Authors

1Yurena Quintana Marrero, 2Javier Aragón Sánchez

Position

1Enfermera de la Unidad del Pie Diabético, Hospital La Paloma, Las Palmas de Gran Canaria, España.2Médico. Jefe de Cirugía y Unidad Pie Diabético. Hospital La Paloma, Las Palmas de Gran Canaria.

Contact address

Yurena Quintana Marrero. Hospital La Paloma. C/ Maestro Valle, 20. 35005 Las Palmas de Gran Canaria.

Contact email: draragon@piediabetico.net

Abstract

In the last decade of the XX century, great advances were made in the treatment of diabetic foot in all areas: prevention, systemic treatment, multidisciplinary approach and new forms of local treatment. The selection of a suitable dressing is a very important factor for the management of diabetic foot ulcers and even though a dressing on its own will not cure the laceration in the absence of other therapeutic measures, the selection and correct management of the type of dressing is of outmost importance, with very negative effects on the affected foot if a non-suitable dressing is used. Following the studies by Winter, Hinman and Maibach, a moist wound environment has been accepted as the optimal environment to achieve cicatrisation and healing of the wound and thus the dressing to be chosen for the local treatment of any ulcer, including diabetic foot ulcers, must take this premise into account. Furthermore, the dressing must allow control of the exudate to avoid maceration of periulcer tissues allowing the exchange of gases, isolating the wound, being comfortable for the patient, allowing the ulcer to exudate, and to alleviate and not worsen the pain. It must also be an adjuvant to the treatment of the infection, by being easily removable in order not to damage granulation tissues and perilesional skin, apart from also being cost-effective. Based on the accumulated experience, the Mepilex Ag® dressing with exclusive technology Safetac® meets all of these requirements.

Keywords:

cicatrisation; Diabetic foot ulcers; Mepilex Ag®; moist environmentsilver absorbent foam dressing

Versión en Español

Título:

Experiencia de un apósito de espuma absorbente con plata en el pie diabético complicado