3M Skin & Wound Care    Case-Series – Use of a Foam Adhesive Dressing*    on Chronic Wounds    Marie Brown-Etris, RN, CWOC...
3M Skin & Wound Care    Case Series Summary     Background: Case series studies are an important element in      understa...
3M Skin & Wound Care    Baseline Demographics     Facility: 29% Home Care, 33% Long-Term Care, 38%      Wound Clinic    ...
3M Skin & Wound Care    Overall Dressing Assessments     72% of the 140 dressing applications were rated as having good o...
3M Skin & Wound Care    Baseline Wound Area and Change     Nine out of the 24 (38%) subjects had their wounds heal      d...
3M Skin & Wound Care    Case Study 1    Patient History:     75 year-old female     Venous ulcer (right medial malleolus...
3M Skin & Wound Care    Case Study 1 Wound Size7    © 3M 2010. All Rights Reserved.
3M Skin & Wound Care    Case Study 1 Patient Outcome with Test Dressing*     Wound assessed healed after 4 weeks with use...
3M Skin & Wound Care    Case Study 1 Summary     Results of this case study demonstrate utility of the test dressing* on ...
3M Skin & Wound Care     Case Study 1 Photographs10     © 3M 2010. All Rights Reserved.
3M Skin & Wound Care     Case Study 2     Patient History:      63 year-old female      Abdominal surgical wound with hy...
3M Skin & Wound Care     Case Study 2 Wound Size12     © 3M 2010. All Rights Reserved.
3M Skin & Wound Care     Case Study 2 Patient Outcome with Test Dressing*      Wound improved significantly and was nearl...
3M Skin & Wound Care     Case Study 2 Summary      Results of this case study demonstrate utility of the test dressing* o...
3M Skin & Wound Care     Case Study 2 Photographs15     © 3M 2010. All Rights Reserved.
3M Skin & Wound Care     Case Study 3     Patient History:      19 year-old male      Stage III pressure ulcer on heel  ...
3M Skin & Wound Care     Case Study 3 Wound Size17     © 3M 2010. All Rights Reserved.
3M Skin & Wound Care     Case Study 3 Patient Outcome with Test Dressing*      Wound assessed healed after 2 weeks with u...
3M Skin & Wound Care     Case Study 3 Summary      Results of this case study demonstrate utility of the test       dress...
3M Skin & Wound Care     Case Study 3 Photographs20     © 3M 2010. All Rights Reserved.
3M Skin & Wound Care     Conclusions      Clinicians involved in this study found the test       dressing* to be easy to ...
3M Skin & Wound Care     Dressing Footnotes      * 3M™ Tegaderm™ High Performance Foam Adhesive       Dressing      ** M...
3M Skin & Wound Care      Learn More at www.3M.com/Tegaderm-FoamSS23     © 3M 2010. All Rights Reserved.
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3M™ Tegaderm™ High Performance Foam Adhesive Dressing | Case Study Poster SAWC 2011

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Presented at the 2011 SAWC show, this study features an adhesive foam dressing with a demonstrated high in vitro MVTR and a high in vivo fluid handling capacity. It was studied on a variety of wound types and in a variety of clinical settings.

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3M™ Tegaderm™ High Performance Foam Adhesive Dressing | Case Study Poster SAWC 2011

  1. 1. 3M Skin & Wound Care Case-Series – Use of a Foam Adhesive Dressing* on Chronic Wounds Marie Brown-Etris, RN, CWOCN, † Cathy Milne, MSN, APRN, BC, CWOCN, ‡ Darlene Saucier, APRN, FNP-BC, ‡ Lisa Van Watermulen, FNP, CWOCN § William Lindroos, ǁ Shelley-Ann Walters, MS ǁ† Etris Associates, Inc., Philadelphia, PA, USA, ‡ Connecticut Clinical Nursing Associates, Bristol, CT,USA, § Mankato Clinic, Mankato, MN, USA, ǁ 3M Health Care, St. Paul, MN, USA © 3M 2010. All Rights Reserved.
  2. 2. 3M Skin & Wound Care Case Series Summary  Background: Case series studies are an important element in understanding the clinical use of dressings on a variety of wounds to which they are normally exposed. In this study an adhesive foam dressing with a demonstrated high in vitro MVTR and a high in vivo fluid handling capacity was studied on a variety of wound types and in a variety of clinical settings.  Methods: The wounds selected were low- to high-exuding, partial- and full-thickness dermal wounds that were currently being treated with a foam dressing and were expected to use the study foam dressing for four weeks. Weekly dressing changes were recommended if possible, but more frequent changes were not restricted. A total of 24 patients were enrolled into the study.2 © 3M 2010. All Rights Reserved.
  3. 3. 3M Skin & Wound Care Baseline Demographics  Facility: 29% Home Care, 33% Long-Term Care, 38% Wound Clinic  Gender: 54% Female, 46% Male  Mean age = 68.2 (19-91) Years  Mean weight = 212.1 (102-596) lbs.  Wound Type: 50% Pressure, 17% Venous, 29% Surgical, 4% Trauma  Wound Location: 38% Sacrum/Coccyx/Buttock, 21% Foot/Heel, 17% Abdomen, 17% Lower Leg/Knee, 8% Other (Flank/Spine)  Wide range of wound age and pre-study foam use3 © 3M 2010. All Rights Reserved.
  4. 4. 3M Skin & Wound Care Overall Dressing Assessments  72% of the 140 dressing applications were rated as having good or very good Ease of Application  Of the 116 dressing changes, 76% were rated as having good or very good Ease of Removal  73% rated the dressing as very comfortable or comfortable  66% rated the dressing as maintaining a moist wound environment  89% of dressing changes were due to routine care, 3% due to leakage, 3% due to soiled dressing  Wear Time: Mean (SD) = 4.8 (2.4) days (n=115 dressing applications) with the investigators stating that 51% of the dressings could have remained on longer, and at the end of the study they indicated that for all 24 subjects, the dressing met their wear time expectations4 © 3M 2010. All Rights Reserved.
  5. 5. 3M Skin & Wound Care Baseline Wound Area and Change  Nine out of the 24 (38%) subjects had their wounds heal during the study  Baseline wound area ranged from 0.29 cm2 to 111.6 cm2 with a mean of 10.92 cm2 (median 3.9 cm2); At last visit the mean area was 6.4 cm2 (median 0.17 cm2) with a mean area reduction of 70.8% (median 93.2%) and a mean absolute area reduction of 4.5 cm2 (median 2.08 cm2). The last visit occurred between 5 and 35 days of the first dressing application (mean of 22.4 days and median 23 days of test dressing use5 © 3M 2010. All Rights Reserved.
  6. 6. 3M Skin & Wound Care Case Study 1 Patient History:  75 year-old female  Venous ulcer (right medial malleolus)  Wound duration: 12-13 weeks  Prior treatment included a silver/foam dressing (~4 weeks),** a foam dressing (~2 weeks), †† and then gentle adhesive foam dressing until study enrollment (about ~5 weeks). ‡‡ Two-layer compression maintained throughout the pre-study and study period  Punch biopsy 4 weeks pre-study suggestive of stasis dermatitis6 © 3M 2010. All Rights Reserved.
  7. 7. 3M Skin & Wound Care Case Study 1 Wound Size7 © 3M 2010. All Rights Reserved.
  8. 8. 3M Skin & Wound Care Case Study 1 Patient Outcome with Test Dressing*  Wound assessed healed after 4 weeks with use of the test dressing* and continued compression therapy  Mild maceration at baseline but none after switching to the test dressing*  Mild erythema at baseline and at week 2, decreasing to none at week 3 and 4  Moderate exudate (serous) at baseline, decreasing to mild at weeks 1, 2, & 3,with none present at week 4 (healed)  No adverse events reported during treatment period8 © 3M 2010. All Rights Reserved.
  9. 9. 3M Skin & Wound Care Case Study 1 Summary  Results of this case study demonstrate utility of the test dressing* on a longstanding venous ulcer undergoing compression therapy  After switching to the test dressing,* the wound healed rapidly within 4 weeks of treatment  The clinicians involved assessed that the test dressing was better able to handle the amount of exudate produced by the wound and thus promoted better healing than the prior dressings in use  Wear time for the test dressing* averaged 7 days with no unscheduled dressing changes needed9 © 3M 2010. All Rights Reserved.
  10. 10. 3M Skin & Wound Care Case Study 1 Photographs10 © 3M 2010. All Rights Reserved.
  11. 11. 3M Skin & Wound Care Case Study 2 Patient History:  63 year-old female  Abdominal surgical wound with hypergranulation tissue  Wound duration: > 3 months  Treated for >4 weeks in nursing home  Previous foam dressing†† changed daily due to dressing edge lift11 © 3M 2010. All Rights Reserved.
  12. 12. 3M Skin & Wound Care Case Study 2 Wound Size12 © 3M 2010. All Rights Reserved.
  13. 13. 3M Skin & Wound Care Case Study 2 Patient Outcome with Test Dressing*  Wound improved significantly and was nearly closed after 4 weeks with use of the test dressing*  Mild maceration at baseline but none after switching to the test dressing*  Mild erythema at baseline and mild/no erythema with the test dressing*  Exudate (serous) rated as mild at baseline and continuing throughout the study. Exudate contained some liquefied necrotic tissue at week one due to silver nitrate treatment of hypergranulation tissue  No adverse events reported during treatment period13 © 3M 2010. All Rights Reserved.
  14. 14. 3M Skin & Wound Care Case Study 2 Summary  Results of this case study demonstrate utility of the test dressing* on slow healing dehisced surgical wound with hypergranulation tissue  Clinicians found it difficult to keep the previous foam dressing†† on for more than one day due to the challenging location and exudate present  After switching to the test dressing,* the wound improved rapidly within 4 weeks of treatment  The clinicians involved assessed that the test dressing was better able to handle the amount of exudate produced by the wound and thus promoted better healing than the prior dressings in use  Wear time for the test dressing* averaged 5.6 days which included one non- dressing related unscheduled dressing change14 © 3M 2010. All Rights Reserved.
  15. 15. 3M Skin & Wound Care Case Study 2 Photographs15 © 3M 2010. All Rights Reserved.
  16. 16. 3M Skin & Wound Care Case Study 3 Patient History:  19 year-old male  Stage III pressure ulcer on heel  Wound duration: > 1 year  Treated for >4 weeks in Home Care  Previous foam dressing §§ changed daily due to dressing edge lift16 © 3M 2010. All Rights Reserved.
  17. 17. 3M Skin & Wound Care Case Study 3 Wound Size17 © 3M 2010. All Rights Reserved.
  18. 18. 3M Skin & Wound Care Case Study 3 Patient Outcome with Test Dressing*  Wound assessed healed after 2 weeks with use of the test dressing*  No periwound maceration or erythema present at any time during the study  Exudate (serosanguinous) rated as mild at baseline and non present at week 2  No adverse events reported during treatment period18 © 3M 2010. All Rights Reserved.
  19. 19. 3M Skin & Wound Care Case Study 3 Summary  Results of this case study demonstrate utility of the test dressing* on a longstanding pressure ulcer  Clinicians found it difficult to keep the previous foam dressing** on for more than one day due to the challenging location of the wound  After switching to the test dressing,* the wound healed rapidly within 4 weeks of treatment  Wear time for the test dressing* averaged 7 days with no unscheduled dressing changes needed19 © 3M 2010. All Rights Reserved.
  20. 20. 3M Skin & Wound Care Case Study 3 Photographs20 © 3M 2010. All Rights Reserved.
  21. 21. 3M Skin & Wound Care Conclusions  Clinicians involved in this study found the test dressing* to be easy to apply and remove, highly conformable and comfortable for the patient, and able to maintain a moist wound healing environment  Mean (SD) wear time was 4.8 (2.4) days and in all cases met clinician wear time expectations  Results of this study corroborate in vitro MVTR and in vivo fluid handling studies, showing this uniquely designed dressing to have exceptional clinical performance21 © 3M 2010. All Rights Reserved.
  22. 22. 3M Skin & Wound Care Dressing Footnotes  * 3M™ Tegaderm™ High Performance Foam Adhesive Dressing  ** Mölnlycke Mepilex® Ag Foam Dressing  †† Mölnlycke Mepilex® Border Dressing  ‡‡ Smith & Nephew Allevyn™ Gentle Border Dressing  §§ Smith & Nephew Allevyn™ Adhesive Dressing22 © 3M 2010. All Rights Reserved.
  23. 23. 3M Skin & Wound Care Learn More at www.3M.com/Tegaderm-FoamSS23 © 3M 2010. All Rights Reserved.
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