Tissue adhesives in wound care by James V., M.D. Quinn

By James V., M.D. Quinn

In November 1997, the united states meals and Drug management authorized a brand new classification of adhesives to be used in repairing wounds. those new items, often called cyanoacrylates, are a marked development from the older kind adhesives brought in North the USA 25 years in the past. the writer is the relevant investigator on polymers to be used in those new adhesives. This new great glue is utilized at once over the approximated margins of a wound and dries in seconds. Importantly, those adhesives show an antibacterial estate. As a quick and competitively priced approach to closure, those new adhesives signify a major boost. due to the fact that those fabrics are fairly new, there was no complete ebook at the topic before. This paintings presents, in a single within your budget package deal, every thing had to comprehend and correctly use those adhesives.

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Tissue adhesives in wound care

In November 1997, the U.S. nutrition and Drug management licensed a brand new classification of adhesives to be used in repairing wounds. those new items, often called cyanoacrylates, are a marked development from the older variety adhesives brought in North the US 25 years in the past. the writer is the crucial investigator on polymers to be used in those new adhesives.

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Extra resources for Tissue adhesives in wound care

Example text

A literature search revealed that tissue adhesives had been tried in various forms for more than 25 years, and were very popular in several European countries and in certain areas of Canada. I was able to try tissue adhesives and quickly became an advocate. Research led me to believe that the early cyanoacrylate adhesives were appropriate wound closure devices for small superficial lacerations and incisions, and although limited by their physical properties, they clearly had a role in the management of superficial lacerations and incisions.

Research led me to believe that the early cyanoacrylate adhesives were appropriate wound closure devices for small superficial lacerations and incisions, and although limited by their physical properties, they clearly had a role in the management of superficial lacerations and incisions. In fact, they became the standard of care for such wounds at the hospitals where I worked, with three or four daily uses in the Emergency Department alone. The lack of widespread use at other centers was puzzling, as was the failure of any manufacturer to seek Food and Drug Administration (FDA) approval in the United States.

After having to restrain and eventually sedate a 3-year-old for suturing a simple superficial facial laceration, it seemed there must be a better way. After all, modern medicine was full of new advances, and suturing was ancient (oldest suture dates back to 1100 BC). The use of sharp needles to traumatize the skin and using foreign bodies to close wounds also seemed crude. An ideal method of wound closure should be fast, atraumatic, pain-less, and produce excellent cosmetic results. So, why not glue?

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