Page 131 - APPENDIX B: Trials Investigating the Management of Acute Radiation-Induced Skin Reactions Reading Qualitative Research

131
WOUND CARE

APPENDIX A: Dosimetric Measurements Investigating the Effects of Radiating Through Various Wound Dressings

Reference Purpose Variables Results Comments

Dependent Independent Characteristics of Wound
Dressings

1)Mac Nally, C., & Quantifying the increase Increase of skin -Type of Allevyn◊ non-adhesive, No clinically significant effects The effects
Woodings,S. (2012) of dose on the skin and dose and shift wound Allevyn◊ Ag (dry and wet): at surface for electron beam measured become
Changes to dose at the change of dose of dose at depth dressing used. Allevyn◊ Gentle Border & energies and at depth with exaggerated when
surface and shifts of coverage at depth -Thickness of Allevyn◊ Gentle, Mepilex® photon or electron beam dressings are wet.
dose distribution at through different wound wound Border (dry and wet), energies. For photon beams, the Assess dressings
depth through dry and dressings. dressing used Mepilex® Lite (dry and wet), presence of a dressing caused with exudating
wet wound dressings -Beam Type Convatec Duoderm® (dry) & clinically significant effects at wounds prior to
for photon and and quality BSN Fixomull® stretch (dry the surface. treatment.
electron beam use and wet)
radiotherapy.
Australian College of
Physical Scientists
and Engineers in
Medicine.

2) Butson, M. J., Investigate variations in Skin dose Size of Mepitel® 5cmx5 cm to 40cmx Increases in skin dose produced No clinical trials
Cheung, T., Yu, K. skin dose caused by a variations Mepitel® 40 cm by Mepitel® range from 14% reported though
N. P., & Metcalfe, P. silicon-based burn dressing for 5 cm x 5cm field at surface they began in
(2002). Measurement dressing used in to 4 % of the maximum for a 2002.
of skin dose radiotherapy during 40 cm x 40cm field at 1 mm
variations produced treatment depth with a definite variation
by a silicon-based in delivered dose due to the
protectve dressing in mesh pattern of the silicon
radiotherapy. Physics dressing. Effective thickness of
in Medicine and the dressing was calculated to
Biology. be 0.5 mm water equivalence.