24.00
Hdl Handle:
http://hdl.handle.net/10755/162740
Type:
Presentation
Title:
Wound Glue: A Comparative Study of Tissue Adhesives
Abstract:
Wound Glue: A Comparative Study of Tissue Adhesives
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:Charters, Alan, Rgn, Rscn, BSc (Hons), PGD Ed, EnbHA
P.I. Institution Name:Sheffield Children's Hospital & The University of Sheffield
Contact Address:Western Bank, Sheffield, Yorkshire, S37NO, United Kingdom
Co-Authors:Susan Rolniak, Pamela Cockley, Gregory L. Larkin, Michael Turturro, and Chris Connor
Purpose: In the UK, nurses working in emergency departments routinely have the autonomy to make decisions how minor lacerations should be closed. The purpose of this study was to determine which of the three single application wound adhesive used routinely in the department was the most appropriate and effective in terms of ease of use, minimal degree of pain on application, and wound closure. The three wound adhesives examined were Indermil (n-butyl cynoacrylate), Liquiband (n-butyl cynoacrylate) and Dermabond (octycynoacrylate).

Sample and Setting: The study was conducted in an urban pediatric emergency department treating over 39,000 patients annually. The sample was taken from the client population presenting with minor lacerations requiring tissue adhesive closure, within the limitations of the study (n= 63). The age of the children involved in the study ranged from 2 to 15 yrs with the overall average being 5.2 years.

Design/Methodology: A non-blinded comparative study was performed. Children (n=63) presenting with an appropriate laceration were consecutively assigned to receive either Indermil, Dermabond or Liquiband. The nurses administering the tissue adhesive were asked to describe the ease of closure, bonding times, effectiveness and pain on application using verbal descriptors, and the pain observational scale.

Results: The most common wounds closed with the tissue adhesive were scalp wounds which accounted for 79% (n= 50) of all the lacerations. None of the glues were reported to be completely pain free. However Liquiband only produced a pain score of 0.1 whereas Dermabond scored the highest at 0.97 (p=.007). Dermabond on three occasions produced a pain score of 3. Liquiband was reported by the nurses to be the best tissue adhesive in terms of wound closure, ease of use and bonding times.

Conclusion: All of the tissue adhesives examined produced satisfactory results in terms of wound closure and ease of use. However, Liquiband produced the most consistent results scoring higher in most of the categories, when compared with the other tissue adhesives. The advantages regarding the use of tissue adhesives over suturing has been universally accepted. This study will enable nurses to make an informed decision regarding the type of tissue adhesive they select and its implications in practice regarding minor wound repair. [Research Paper Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleWound Glue: A Comparative Study of Tissue Adhesivesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162740-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Wound Glue: A Comparative Study of Tissue Adhesives</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Charters, Alan, Rgn, Rscn, BSc (Hons), PGD Ed, EnbHA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Sheffield Children's Hospital &amp; The University of Sheffield</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Western Bank, Sheffield, Yorkshire, S37NO, United Kingdom</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">a.charters@sheffield.ac.uk</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Susan Rolniak, Pamela Cockley, Gregory L. Larkin, Michael Turturro, and Chris Connor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: In the UK, nurses working in emergency departments routinely have the autonomy to make decisions how minor lacerations should be closed. The purpose of this study was to determine which of the three single application wound adhesive used routinely in the department was the most appropriate and effective in terms of ease of use, minimal degree of pain on application, and wound closure. The three wound adhesives examined were Indermil (n-butyl cynoacrylate), Liquiband (n-butyl cynoacrylate) and Dermabond (octycynoacrylate).<br/><br/>Sample and Setting: The study was conducted in an urban pediatric emergency department treating over 39,000 patients annually. The sample was taken from the client population presenting with minor lacerations requiring tissue adhesive closure, within the limitations of the study (n= 63). The age of the children involved in the study ranged from 2 to 15 yrs with the overall average being 5.2 years.<br/><br/>Design/Methodology: A non-blinded comparative study was performed. Children (n=63) presenting with an appropriate laceration were consecutively assigned to receive either Indermil, Dermabond or Liquiband. The nurses administering the tissue adhesive were asked to describe the ease of closure, bonding times, effectiveness and pain on application using verbal descriptors, and the pain observational scale.<br/><br/>Results: The most common wounds closed with the tissue adhesive were scalp wounds which accounted for 79% (n= 50) of all the lacerations. None of the glues were reported to be completely pain free. However Liquiband only produced a pain score of 0.1 whereas Dermabond scored the highest at 0.97 (p=.007). Dermabond on three occasions produced a pain score of 3. Liquiband was reported by the nurses to be the best tissue adhesive in terms of wound closure, ease of use and bonding times.<br/><br/>Conclusion: All of the tissue adhesives examined produced satisfactory results in terms of wound closure and ease of use. However, Liquiband produced the most consistent results scoring higher in most of the categories, when compared with the other tissue adhesives. The advantages regarding the use of tissue adhesives over suturing has been universally accepted. This study will enable nurses to make an informed decision regarding the type of tissue adhesive they select and its implications in practice regarding minor wound repair. [Research Paper Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:21Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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