The Gap Challenge
With conventional foam dressings, a gap can form between the wound bed and the dressing. This allows exudate pooling, which may lead to the risk of infection, and to a delay in wound healing.6,7,8 Biatain Silicone is a conforming dressing with 3DFit® Technology that fills the gap and reduces exudate pooling to promote optimal healing conditions.
Evidence suggest that the use of Biatain Silicone in wounds up to 2cm in depth instead of a filler and secondary dressing can reduce unit cost spend by 49-51% 9,10
- Grothier, L., (2013). Reflections on the implementation of a Web based non-prescription ordering system. Wounds UK 9(2):51-5
- Griffin, J., (2015) Driving efficiencies in the wound care expenditure through service redesign utilising an online non –prescription ordering service. Wounds UK 11(3):1-6
- Jones. L., Using an online non-prescription ordering service to drive efficiency and reduce unwarranted variation in wound care product use and spend. JCN 2020, Vol 34, N0.1
- Young, J., McGrath, AA., Milne, J.(2018). Case study report of the effective use of a conforming foam dressing with 3DFit Technology on wounds up to 2cms in depth without the need for a filler dressing. Wounds UK Harrogate
- Markey, P., Barrett, S., (2017) The benefits of using an online ordering service to improve efficiency in wound care services. Br J Healthcare Manage 23(11): 1-7
- Mouës, CM et al. Five Millenia of Wound Care Products – What is new? A Literature review. Ostomy Wound Management 2009 Mar;55(3):16-22
- Sibbald, RG et al. Preparing the Wound Bed – Debridement, Bacterial Balance, and Moisture Balance. Ostomy Wound Management 2000;46(11):14-35
- Adderley,UJ. Managing wound exudate and promoting healing. British Journal of Community Nursing 2010 Mar;15(3):S15-20
- Wilson, P., Strapp, H., Concannon, F., Skerritt, L., Nash Greally, K., Warwick, K., Markey, P., Bianchi, J. A case series to consider the clinical effectiveness, patient satisfaction and potential health economic benefits of a silicone foam with 3DFit Technology in the management of wounds. Wounds UK, Vol 15, No.3, 2019.
- McDonald, A., Transforming Care, Transforming Lives with new technology. EWMA 2020 poster presentation
- McDonald, M., Bailey, R., Birth, E., Improving wound care services through a shared care pathway. JCN 2020, Vol 34, No.5
The role of ‘the gap’ in wound healing
Understanding exudate and the gap.
How to assess 'the gap'
Knowing how to conduct an accurate wound assessment is absolutely key to wound healing
How to manage 'the gap'
One of the best ways to help a chronic wound heal is to manage the gap between the wound bed and the dressing.
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