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TIPS, FAQ & COMMON MISTAKES

 

SUPRATHEL® may “swim off”

Insufficient debridement: consider surgical (sharp) debridement in deeper wounds.
Suprathel applied too early after trauma: wait for 24 hours after trauma in case of deeper wounds. Consider Lavasept® dressing after debridement.
Insufficient hemostasis: Use 1% adrenaline and warm towels.
Consider light compression dressing during the first 1-3 days.
Some users utilize stripes or staples around the edges to fixate Suprathel.


Double or even triple overlay of SUPRATHEL®

Overlap of membranes should be 2,5 inches
(the fatty gauze must be clearly larger than SUPRATHEL®).


Too much tension when applying

Avoid stretching the membrane when applying.


Insufficient secondary dressing (fatty gauze)

1-2 layers of fatty gauze should do.


Removal too early or removal of fatty gauze

Be patient! Leave on wound. SUPRATHEL® will peel off
after epithelialization. Just change outer dressing.


SUPRATHEL® gets wet before or during application

Change to dry gloves before application.


SUPRATHEL® gets hot before or during application

Avoid any heat sources (e.g. lamps) before application.
The thin membrane gets warm quickly.


Outer dressing too thick (humidity cannot escape)

Avoid too thick outer dresssing, so the wound can “breathe“.


Slow down! Give the wound time and rest to heal!

 

Avoid

  • Infected wounds
  • Exposed tendon / bone / cartilage / muscle
  • Necrotic wound area
  • Old burn wounds
  • Heavily exuding wounds
  • Tumors

 

FAQ

What treatment is recommended for a contaminated wound?

At first, thorough disinfection and debridement. Administration of local or systemic antibiotics. Local application of a disinfectant on SUPRATHEL® and monitoring of the inflammatory process secured by transparency of SUPRATHEL®and fatty gauze.

Can infections occur under SUPRATHEL®?

After thorough debridement SUPRATHEL® forms a physical barrier against microorganisms. It also reduces the pH-value of the wound, thus inhibiting growth of bacteria and viruses.

What disinfectant should be used for debridement?

Octenisept®
Lavasept®
Betadine® (colouring!)
Lavanid®Acetic acid 3%
Polyhexanide

Which are recommended fatty gauzes on top of SUPRATHEL®?

Paraffinated gauzes such as
Adaptic®
Bactigras®
Cuticerin®
Grassolind®
Jelonet® (most commonly used)

What if SUPRATHEL® dislocates?

Insufficient debridement: consider surgical (sharp) debridement in deeper wounds.
Suprathel applied too early after trauma: wait for 24 hours after trauma in case of deeper wounds. Consider Lavasept®dressing after debridement.
Insufficient hemostasis: Use 1% adrenaline and warm towels.
Consider light compression dressing during the first 1-3 days.
Some users utilize stripes or staples around the edges to fixate Suprathel.

Can I use SUPRATHEL® on 3° burn wounds?

Smaller 3° areas heal under SUPRATHEL®. Healing may take longer than 2b°. Advantages: Reduction or avoidance of split skin graft. Time-saving, in case split skin grafting is not possible or temporarily not available. In general: If no healing or wound closure after 14 days, area must be transplanted with split thickness skin graft.

What are the storage temperatures?

SUPRATHEL® should be stored in a fridge between 8°C and 22°C SUPRATHEL® is delivered in a cooling box keeping the temperature within range.

When the membrane is white and non-transparent, it is in proper condition.

What is SUPRATHEL® composed of?

Lacto-capromer, main constituent: Polyactic acid

Degradation 4 weeks (hydrolytically)

Plasticity > 200% elongation at break

Permeability to water vapour 40-70ml/m2 (hour) Approx 1,000 to 1,700 ml per day

pH 5.5 initially to pH4.0 in vitro