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Wound dressing options for exudate and moisture management: demystifying cyanoacrylate

02 January 2018
Review
02 January 2018
Volume 2 · Issue 1

Abstract

Maintaining skin integrity is a benchmark for patient safety and quality of care. While various measures are imperative to maintain and improve the integrity of skin, such as optimal nutrition and hydration, continence management, skin hygiene, and regular moisturisers, this article highlights the potential benefit of innovative skin barriers, such as cyanoacrylates, against moisture-associated skin damage. Peer-reviewed clinical evidence, using cyanoacrylate liquid skin protectant to treat and prevent moisture damage, has demonstrated the ability of these products to reduce discomfort, improve healing outcomes and patient satisfaction, and reduce healthcare expenditure.

Maintaining skin integrity is espoused by several international authorities as a benchmark for patient safety and quality of care. The purpose of this article is to outline the intricate, exquisite structure of the skin as a barrier and the importance of optimal skin hydration to promote skin health. A plethora of topical agents are available to enhance skin protection, we aim to demystify the properties of cyanoacrylate.

The skin is the human body's largest organ and occupies an area of 1.5m2 to 2m2, representing 15% of the body's weight.1 It consists of the outermost epidermis, the dermis, and the underlying subcutaneous tissue. The epidermis is very thin, at approximately 0.1mm in most areas of the body, and only on the palms of the hand and soles of the feet is the layer thicker at 1–2mm. The epidermis is also avascular and divided into four main layers corresponding to the progressive stages of cellular differentiation: stratum corneum, stratum granulosum, stratum spinosum and stratum basale, at the base.1,2

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cyanoacrylates
incontinence-associated dermatitis
moisture-associated skin damage
skin integrity