The EWMA delegates who attended the Mölnlycke Health Care seminar on pressure ulcers were given a better understanding on the protective mechanisms offered by soft silicone multilayered dressings, and how these mechanisms can help prevent pressure ulcers in acute settings.
Until recently, there was no guidance for wound care professionals to follow regarding prophylactic use of dressings on intact skin in order to reduce the incidence of pressure ulcers. However, a recent intensive review of used protocols identified some desirable performance characteristics, and from this recommendations for use or avoidance have been made.
The first symposium speaker was Mr. Evan Call. He described what these performance characteristics are, and how the Mölnlycke multilayered soft silicone foam dressings address the factors that cause pressure ulcer formation.
Next to speak was Dr. Peggy Kalowes. She discussed the findings of her 10 month trial, where the Mepilex Border Sacrum dressing effectively prevented pressure ulcers in 98% of patients in her intervention group.
She concluded that if the five other risk factors that correlate with pressure ulcer development are better understood, then the application of a silicone foam dressing will be effective in the prevention of pressure ulcer formation.
Professor Nick Santamaria then gave his perspective on a randomised controlled trial he conducted that investigated the effectiveness of multilayered soft silicone foam dressings in trauma and emergency settings.
He concluded that the multilayered soft silicone foam dressings are effective when first applied in the emergency department prior to intensive care unit transfer. Interestingly, Professor Santamaria also discovered that it cost 3.6 times less to treat his trial patients than to treat his control group.
Mr Paulo Alves was the final speaker, and he presented how the initial study group reviewed the pressure ulcer prevention literature, and how they came to their conclusion - that there is adequate evidence to recommend the use of multi-layered soft silicone dressings for pressure ulcer prevention on the sacrum, buttocks and heels of high-risk patients in emergency departments, intensive care units and operating room settings.
Delegates were then able to discuss the major points made during the symposium with all three speakers back at the Mölnlycke Health Care Booth, and feedback they gave regarding the symposium indicated that what had been discussed was both interesting and relevant.