A comparative study of the skin protectant performance of eight barrier films
Summary
Authors
Reuter H, Maene B, Stephens C, Andreas C, 3M Clinical Study; 2009.
Study Type
RCT, n=10
Objective
Compare the skin protectant performance of barrier films (3M™ Cavilon™ No Sting Barrier Film,Dermagard,™ Menalind,® Peri-Prep,® Ceridal,® Silesse™ Sting Free Skin Barrier, Tiritas® and Convacare®Wipes) using a dye retention method on healthy adult volunteers.
Key Findings
3M™ Cavilon™ No Sting Barrier Film provides significantly superior skin protection between one and seven days after application compared to most other skin barrier films in this study. 3M™ Cavilon™ NoSting Barrier Film is the only tested product that can maintain a significant protection over a seven daytime period. Six of the eight barrier products tested did not protect the site significantly compared to no covering at all.
Innovative strategy to prevent incontinence dermatitis
Summary
Authors
Hune S, Jyu A, Johansen K, Dubidat W, Stanesic A, et al., Poster presentation at the World Union of Wound Healing Societies(WUWHS) in Toronto; 2008
Study Type
Non-randomized, comparative, n=25
Objective
Compare the effect of a three-option system and evidence-based skin care protocol to standard care in preventing skin breakdown caused by incontinence dermatitis.
Key Findings
Application of a three-option system (3M™ Cavilon™ No-Rinse Skin Cleanser, 3M™ Cavilon™ DurableBarrier Cream and 3M™ Cavilon™ No Sting Barrier Film) helped to maintain skin integrity in this elderly population. The barriers used did not interfere with absorbency of the patient briefs. A custom designed caddy system was an effective organizer to store products at the residents' bedside. It helped reduce the risk of cross infection, control costs by eliminating excess product use and provided a convenient reliable source of product.
An economic evaluation of four skin damage prevention regimens in nursing home residents with incontinence:economics of skin damage prevention
Summary
Authors
Bliss DZ, Zehrer C, Savik K, Smith G, Hedblom E, Journal of Wound Ostomy Continence Nursing 2007;34(2):143-52;discussion 152.
Study Type
Non-randomized, comparative, n=981
Objective
Determine the cost and efficacy of four different regimens of incontinence-associated dermatitis (IAD)prevention in nursing home residents. The four protocols of care included 3M™ Cavilon™ No StingBarrier Film, ConvaTec Aloe Vesta® 2-n-1 Protective Ointment, Smith & Nephew Secura® Protective Ointment, and Coloplast Baza® Protect Moisture Barrier Cream.
Key Findings
Compared to the three regimens in which a barrier was applied after each episode of incontinence,the use of a regimen in which 3M™ Cavilon™ No Sting Barrier Film was applied three times weekly had significantly lower costs for the barrier product, labor associated with barrier application, and total cost, which included products, labor, and supplies. Use of 3M™ Cavilon™ No Sting Barrier Film three times weekly was effective for preventing incontinence-associated skin breakdown and can provide significant cost savings.
Incontinence-associated skin damage in nursing home residents:a secondary analysis of a prospective, multi-center study
Summary
Authors
Zimmaro Bliss D, Zehrer C, Savik K, Thayer D, Smith G, Ostomy Wound Management 2006;52(12):46-55.
Study Type
Non-randomized, comparative, n=981
Objective
Perform a secondary analysis of data collected from a multi-site, open-label, quasi-experimental study of cost and efficacy of four regimens for preventing incontinence-associated dermatitis (IAD) in nursing homes residents to determine the occurrence and severity of skin damage in nursing home residents.
Key Findings
IAD developed in 33 (3.4 percent) of 981 incontinent nursing home residents. Study results suggest that the rate and severity of IAD are low with close monitoring and use of a defined skin care regimen that includes a pH-balanced cleanser and moisture barrier.
Tail and perineal wounds
Summary
Authors
Bellah JR, Veterinary Clinics of North America: Small Animal Practice 2006;36(4):913-929.
Study Type
Expert opinion
Objective
Describe the use of 3M™ Cavilon™ No Sting Barrier Film for dogs or cats that are incontinent after surgery.
Key Findings
Dogs or cats with traumatic tail and tail-perineal injuries may be incontinent after surgery. To prevent irritation, 3M™ Cavilon™ No Sting Barrier Film can be sprayed or swabbed on the area.
Comparing cost per use of 3M™ Cavilon™ No Sting Barrier Film with zinc oxide oil in incontinent patients
Summary
Authors
Baatenburg de Jong H, Admiraal H, Journal of Wound Care 2004;13(9):398- 400.
Study Type
RCT, n=40
Objective
Compare the total cost of treatment, skin condition, and efficacy of prevention of perianal/buttock skin breakdown in incontinent patients receiving 3M™ Cavilon™ No Sting Barrier Film and zinc oxide oil.
Key Findings
Both products resulted in improved skin condition after 14 days, but 3M™ Cavilon™ No Sting BarrierFilm was found to be more effective. 3M™ Cavilon™ No Sting Barrier Film was also found to be significantly more cost-effective than zinc oxide oil, primarily because of the lower product application frequency and reduced nursing time.
The benefits of implementing a new skin care protocol in nursing homes
Summary
Authors
Bale S, Tebble N, Jones V, Price P, Journal of Tissue Viability 2004;14(2):44-50.
Study Type
Non-randomized, comparative study n=164
Objective
To evaluate the effect of a new skin care protocol on patient skin condition, staff time and associated costs in a nursing home. The new skin care protocol consisted of a gentle no-rinse skin cleanser(3M™ Cavilon™ No-Rinse Skin Cleanser) in combination with 3M™ Cavilon™ No Sting Barrier Film on patients with moderate or severe incontinence-associated dermatitis (IAD), and a dimethicone-based barrier cream (3M™ Cavilon™ Durable Barrier Cream) on patients with intact skin/mild IAD.
Key Findings
Skin condition was maintained or improved and there was a significantly lower incidence of incontinence dermatitis after introducing the new skin care protocol. There was also a significant reduction in time to deliver the skin care post-intervention. Staff adherence to the new skin care protocol was good. This study demonstrated that the new skin care protocol with an educational program, maintained or improved patients' skin condition and significantly reduced the resources used in delivering nursing care.
A comparison of cost and efficacy of three incontinence skin barrier products
Summary
Authors
Zehrer CL, Lutz JB, Hedblom EC, Ding L, Ostomy Wound Management 2004;50(12):51-8.
Study Type
Descriptive study, n=250
Objective
Examine the cost-effectiveness of four perineal skin barriers (3M™ Cavilon™ No Sting Barrier Film,ConvaTec Aloe Vesta® 2-n-1 Protective Ointment, Smith & Nephew Secura® Protective Ointment and Coloplast Baza® Protect Moisture Barrier Cream) used to prevent incontinence dermatitis.
Key Findings
The occurrence of incontinence dermatitis was not significantly different between the different protocols of care. Economic analysis showed that daily barrier application costs ranged from $0.17 for the barrier film to $0.76 for the ointments. With labor included in the analysis, costs were also lower for3M™ Cavilon™ No Sting Barrier Film. Results of this study suggest that the daily or three times weekly use of 3M™ Cavilon™ No Sting Barrier Film protocols are affordable alternatives to using petrolatumointments in the prevention of incontinence dermatitis.
Evaluation of routine use of an alcohol-free barrier film on patients with urinary and/or fecal incontinence
Summary
Authors
Murray K, Brown P, Poster presentation at the Wound Ostomy and Continence Nurses (WOCN) Conference; 2003.
Study Type
Case series, n=5
Objective
Demonstrate the clinical and cost-effective value of routine use of an alcohol-free barrier (3M™ Cavilon™ No Sting Barrier Film) for incontinence skin care.
Key Findings
After five days, skin remained intact without signs of breakdown. Patient and family satisfaction was positive. Better compliance from the nursing staff was noted. Material and labor costs were reduced. Study findings demonstrated that 3M™ Cavilon™ No Sting Barrier Film could be clinically and economically effective when used as part of a preventative protocol.
No ifs, ands, or butts: use of a protective, waterproof, liquid alcohol-free barrier on an infant
Summary
Authors
Faller N, Hebert J, 3M Case Study; 2002.
Study Type
Case study, n=1
Objective
Describe experience in using 3M™ Cavilon™ No Sting Barrier Film to preserve skin integrity due to constant fecal oozing in an infant.
Key Findings
3M™ Cavilon™ No Sting Barrier Film was applied over the affected skin with each diaper change. Skin damage resolved within a few days of initiating 3M™ Cavilon™ No Sting Barrier Film. 3M™ Cavilon™ NoSting Barrier Film allowed complete healing of the skin damage, caused no adverse reaction and has prevented further recurrence of the skin damage.
The use of a liquid film to treat severe incontinent dermatitis:case reports
Summary
Authors
Campbell KE, Keast DH, Woodbury MG, Houghton PE, Lemesurier A, Poster presentation at the Canadian Association ofWound Care (CAWC) Annual Meeting and Conference; 2001.
Study Type
Case series, n=22
Objective
Assess the effectiveness of 3M™ Cavilon™ No Sting Barrier Film on the skin condition in patients with severe incontinent dermatitis and assess time required for application.
Key Findings
In phase one of this two phase study, overall skin condition improved. In phase two, results indicate significant time savings when using 3M™ Cavilon™ No Sting Barrier Film. Use of 3M™ Cavilon™ No StingBarrier Film was a simple treatment effective in improving skin condition and reducing the time involved in providing care to patients with severe incontinent dermatitis.
Comparison of the effectiveness of five different skin protective products
Summary
Authors
LaVoie K, Poster presentation at the Wound Ostomy and Continence Nurses (WOCN) Conference; 2000.
Study Type
Randomized, comparative, n=18
Objective
Measure and compare moisture barrier effectiveness and wash-off resistance of five skin protectant products (3M™ Cavilon™ No Sting Barrier Film, Smith & Nephew No-Sting Skin-Prep,® ConvaTec IlexSkin Protectant Paste, Smith & Nephew Triple Care® Extra Protective Cream, and a developmental skin barrier) on healthy volunteers.
Key Findings
3M™ Cavilon™ No Sting Barrier Film provided significant moisture barrier effectiveness initially and through four simulated normal washes. Smith & Nephew No-Sting Skin-Prep® failed to provide any significant moisture barrier effectiveness. ConvaTec Ilex Skin Protectant provided significant moisture barrier effectiveness initially and through two simulated normal washes. Smith & Nephew Triple Care®Extra Protective Cream provided significant moisture barrier effectiveness initially and through four simulated washes. 3M™ Cavilon™ No Sting Barrier Film provided a significantly better moisture barrier than the competitive products.
The use of 3M™ Cavilon™ No Sting Barrier Film in the management of incontinence dermatitis
Summary
Authors
Hagelstein S, Bale S, Harding KG, Oral presentation at the European Wound Management Association (EWMA)/JMCConference in Harrogate, UK; 1998.
Study Type
Case series, n=10
Objective
Describe experience of using 3M™ Cavilon™ No Sting Barrier Film on patients with incontinence dermatitis.
Key Findings
These cases demonstrate that 3M™ Cavilon™ No Sting Barrier Film provides an excellent barrier against urine and feces. Improvement of skin condition after application was noted in the majority of patients.
Incontinence skin care
Summary
Authors
Lutz J, Poster presentation at the Symposium for Advances in Skin and Wound Care (SAWC); 1998.
Study Type
Case study, n=1
Objective
Describe experience of using 3M™ Cavilon™ No Sting Barrier Film in conjunction with hydrocolloid dressings in a patient with incontinence and Stage 2 sacral pressure ulcers.
Key Findings
3M™ Cavilon™ No Sting Barrier Film was applied to the entire area affected by the incontinence.Tegasorb hydrocolloid dressings were placed over the primary ulcerated areas. Dressings remained in place five days and the barrier film was renewed daily to the surrounding erythematous areas. On the fifth postoperative day, the ulcerated areas were re-epithelialized and the areas of erythema had resolved.
Barrier film protects skin of incontinent rats
Summary
Authors
St. Claire SL, St. Claire MB, Davis JA, Chang L, Miller GF, Contemporary Topics in Laboratory Animal Science 1997;36(5):46-8.
Study Type
Animal study
Objective
Examine the effectiveness of 3M™ Cavilon™ No Sting Barrier Film as a means of preventing urine skinscalding in rats used in a spinal cord injury study.
Key Findings
Rats that were treated with 3M™ Cavilon™ No Sting Barrier Film showed no evidence of urine scalding or adverse events for three weeks postoperatively. Results indicate that 3M™ Cavilon™ No Sting BarrierFilm provides an excellent means of protecting valuable research animals from skin damage secondary to experimental procedures such as induced spinal cord lesions.
Comparison of the efficacy and cost-effectiveness of three skin protectants in the management of incontinence dermatitis
Summary
Authors
Lutz JB, Leighton B, Kennedy KL, Proceedings of the 6th European Conference on Advances in Wound Management, 1996Oct 1-4; Amsterdam, The Netherlands. Macmillian Magazines Ltd.; 1997.
Study Type
Two phase RCT, n=40
Objective
Determine optimum re-application schedule of 3M™ Cavilon™ No Sting Barrier Film and compare the cost-effectiveness of 3M™ Cavilon™ No Sting Barrier Film when used on that schedule with that of a petrolatum ointment (Coloplast Sween® Peri-Care Moisture Barrier Ointment) and a zinc oxide cream(Sween® Baza®).
Key Findings
All five treatment groups showed significant improvement in skin condition at the end of the 12 day study. Data support a re-application schedule for 3M™ Cavilon™ No Sting Barrier Film of up to 72hours when used for the treatment of incontinence dermatitis. The daily cost of 3M™ Cavilon™ No StingBarrier Film (when applied every 72 hours) was less than zinc oxide cream and approximately equal to the cost of the petrolatum ointment.
Use of a non-alcohol incontinence barrier film on patients with severely compromised skin
Summary
Authors
Mooney RA, Wallace J, Newman DK, Smith D, 3M Case Studies; 1993.
Study Type
Case studies, n=2
Objective
Describe experience in using 3M™ Cavilon™ No Sting Barrier Film.
Key Findings
Results show that treatment with 3M™ Cavilon™ No Sting Barrier Film was not only clinically efficacious but compatible with even the most denuded skin.
Instrumental evaluation of the protective effects of a barrier film on surrounding skin in chronic wounds
Summary
Authors
Dini V, Salibra F, Brilli C, Romanelli M, Wounds 2008;20(9):254-57.
Study Type
Non randomized, comparative study, n=40
Objective
Investigate the effect of 3M™ Cavilon™ No Sting Barrier Film on skin surrounding chronic wounds by monitoring transepidermal water loss (TEWL) as a marker of skin health.
Key Findings
Twenty patients with pressure ulcers and 20 patients with venous leg ulcers were evaluated. Statistical evaluation showed an overall reduction of 45 percent in TEWL values in both groups by the conclusion of the study period when compared to baseline values. The study objectively demonstrated that 3M™ Cavilon™ No Sting Barrier Film can help in the management of skin surrounding chronic wounds. An additional benefit was that the skin could be observed through the film. 3M™ Cavilon™ No Sting Barrier Film application was a quick and simple process and removal was not necessary.
In vivo evaluation using confocal microscopy of protective effect of No Sting Barrier Film 3M™ Cavilon™ on periwound skin
Summary
Authors
Gómez T, Morán J, González S, Gerokomas 2008;19(1):41-46.
Study Type
Comparative, paired design at wound level, n=2
Objective
Evaluate the protective properties of 3M™ Cavilon™ No Sting Barrier Film on the periwound skin of venous ulcers, and assess changes in the periwound skin of venous ulcers after use of 3M™ Cavilon™ No Sting Barrier Film using confocal microscopy.
Key Findings
After one week of treatment, there was general improvement of periwound skin but in the areas treated with 3M™ Cavilon™ No Sting Barrier Film, necrosis nearly disappeared and there was a significant reduction of exocytosis, spongiosis and a better structured epidermis and also an improvement in inflammation. The 3M™ Cavilon™ No Sting Barrier Film group showed greater histological improvements compared to areas not treated with the barrier film. 3M™ Cavilon™ No Sting Barrier Film is an effective treatment for periwound skin in high exudative chronic ulcers.
A liquid film-forming acrylate for periwound protection: a systematic review and meta-analysis (3M™ Cavilon™ No Sting Barrier Film)
Summary
Authors
Schuren J, Becker A, Sibbald RG, International Wound Journal 2005;2(3):230-8.
Study Type
Periwound review meta-analysis
Objective
Undertake a systematic review of all reliable evaluations of the clinical performance and cost effectiveness of 3M™ Cavilon™ No Sting Barrier Film in the protection of periwound skin in chronic ulcers.
Key Findings
A total of 49 papers were identified and considered. Possible data from eleven controlled trials were considered and a total of nine eligible studies were included in this analysis. The authors concluded that 3M™ Cavilon™ No Sting Barrier Film is a safe and effective barrier to protect the periwound skin of chronic ulcers. Its benefits include: visibility of wound margins, reduction of erythema, pain control, patient comfort and reduced staff time.
Comparison of two periwound skin protectants in venous leg ulcers: a randomised controlled trial
Summary
Authors
Cameron J, Hoffman D, Wilson J, Cherry G, Journal of Wound Care 2005;14(5):233-6.
Study Type
RCT, n=35
Objective
Compare the efficacy and cost-effectiveness of two skin protectants, 3M™ Cavilon™ No Sting Barrier Film and zinc paste compound, in the management of maceration and irritation of the periwound area of venous leg ulcers.
Key Findings
There was a significant difference in time required to remove and re-apply the skin protectants: an average of 0.19 (±0.17) minutes in the 3M™ Cavilon™ No Sting Barrier Film group and 5.53 (±2.10) minutes in the zinc paste group. 3M™ Cavilon™ No Sting Barrier Film was easier to apply and transparent—hence not requiring removal for assessment. The zinc paste was messy to apply and difficult to remove, and thus took up considerably more nursing time than 3M™ Cavilon™ No Sting Barrier Film.
Periwound protection with 3M™ Cavilon™ No Sting Barrier Film for patients with chronic venous leg ulcers, a randomized multi-centre trial
Summary
Authors
Bonnetblanc J, Vin F, Poster presentation at the World Union of Wound Healing Societies (WUWHS) in Paris; 2004.
Study Type
RCT, n=40
Objective
Compare the effect of 3M™ Cavilon™ No Sting Barrier Film to no treatment on periwound skin in patients with venous leg ulcers receiving compression therapy.
Key Findings
Results from this study indicate significantly better periwound skin protection for patients in the 3M™ Cavilon™ No Sting Barrier Film group.
The protective effects of a new preparation on wound edges
Summary
Authors
Neander KD, Hesse F, Journal of Wound Care 2003;12(10):369-71.
Study Type
Comparative, paired design at wound level, n=227
Objective
Investigate the effects of 3M™ Cavilon™ No Sting Barrier Film on erythema on the edges of highly exuding wounds in patients with venous stasis ulcers.
Key Findings
In the 3M™ Cavilon™ No Sting Barrier Film group, erythema disappeared in 88.1 percent of patients within three days of treatment, and in the remaining 11.9 percent, it had completely disappeared after four days. In the control group, the erythema intensity remained essentially unchanged throughout the study observation period. 3M™ Cavilon™ No Sting Barrier Film helped to control erythema in all patients.
Periwound skin protection: a comparison of a new skin barrier vs. traditional therapies in wound management
Summary
Authors
Coutts P, Queen D, Sibbald RG, Wound Care Canada 2003;1(1).
Study Type
Prospective case series, split wound design, n=30
Objective
Compare the periwound protection performance of 3M™ Cavilon™ No Sting Barrier Film to two routinely used barrier products. Wound types included: diabetic foot ulcers, pressure ulcers and venous ulcers.
Key Findings
Significant differences were found favoring 3M™ Cavilon™ No Sting Barrier Film with regard to application time. Results indicate that all treatments were similar in clinical efficacy with no differences noted for change in wound size, drainage or periwound condition. The authors concluded that 3M™ Cavilon™ No Sting Barrier Film was more caregiver/patient friendly, allowed for better visualization of the wound edges, and was quicker to apply in the clinical setting.
The use of 3M™ Cavilon™ No Sting Barrier Film to prevent maceration in pressure ulcers treated with an adhesive hydrocolloid dressing
Summary
Authors
González G, Soriano V, Fornells G, Lopez R, Gómez S, et al., Poster presentation at the European Wound Management Association (EWMA) Conference in Granada, Spain; 2002.
Study Type
RCT, n=60
Objective
Compare the effect of 3M™ Cavilon™ No Sting Barrier Film to no treatment in the control of maceration associated with use of hydrocolloid dressings on ulcers with moderate to large amount of exudate.
Key Findings
Results confirm that the use of 3M™ Cavilon™ No Sting Barrier Film reduces the periwound maceration caused by hydrocolloid dressings. Periwound maceration was not dependent on the degree of severity of pressure ulcers.
Ulcer edge protection with a polymer protective film
Summary
Authors
Bär M, Vanscheidt W, Zeitschrift fur Wundheiling 2001;22(1):16-20.
Study Type
RCT, n=20
Objective
Compare the efficacy and tolerability of 3M™ Cavilon™ No Sting Barrier Film to a zinc oxide paste for use in protecting macerated wound margins in lower extremity ulcers.
Key Findings
3M™ Cavilon™ No Sting Barrier Film provided a rapid improvement of maceration at the wound's margins, patient tolerability was regarded as very good, therapeutic steps were not disturbed, transparency of the film made it possible to observe underlying tissue, and the film could be used as an ideal base for wound dressings. The use of 3M™ Cavilon™ No Sting Barrier Film for indolent leg ulcers with macerated wound margins proved to be effective, well tolerated and cost-effective.
3M™ Cavilon™ No Sting Barrier Film: an evaluation of periwounds prone to maceration
Summary
Authors
Garcia RF, Gago M, Adame S, Romero J, Jimenez A, et al., Poster presentation at the European Pressure Ulcer Advisory Panel (EPUAP) Conference; 2000.
Study Type
Comparative, paired design at wound level, n=26
Objective
Evaluate the use of 3M™ Cavilon™ No Sting Barrier Film on periwounds prone to macerated skin when treated with moist wound healing dressings.
Key Findings
Eighty-eight percent of patients' maceration of the periwound areas disappeared or decreased at sites where 3M™ Cavilon™ No Sting Barrier Film was applied in the first 48-96 hours. In all cases, the use of 3M™ Cavilon™ No Sting Barrier Film allowed adhesion and removal of the dressing without affecting the periwound skin. 3M™ Cavilon™ No Sting Barrier Film protected the periwound area of chronic wounds and did not cause discomfort. The foam applicator presentation was more appropriate for small specific areas with periwound maceration.
Film subjects win the day
Summary
Authors
Hampton S, Nursing Times 1998;94(24):80-2.
Study Type
Paired design at wound level, n=62
Objective
Determine if clinical use of 3M™ Cavilon™ No Sting Barrier Film would reduce maceration and excoriation in at-risk patients and to see if protection could be afforded to those who had erythema or skin damage as a result of tape being applied to the skin.
Key Findings
Patients were categorized into six main types: cellulitis around a stoma, macerated periwound areas, excoriated periwound areas, sensitivity to tapes/dressings, baby eczema/nappy rash, and adherence to dressings. Sixty-one patients showed improvement after treatment with 3M™ Cavilon™ No Sting Barrier Film, and 53 went on to heal completely when 3M™ Cavilon™ No Sting Barrier Film was applied to the entire wound. The author concluded that 3M™ Cavilon™ No Sting Barrier Film would be a useful addition to a wound care formulary for use as protection, to secure dressings that are difficult to hold in place. The study suggests that the use of film can improve the outcome for excoriated and macerated tissues.
Improvement in patient comfort and compliance through the use of 3M™ Cavilon™ No Sting Barrier Film
Summary
Authors
Jones J, Poster presentation at the Wound Care Conference in Harrogate, UK; 1998.
Study Type
Case studies, n=2
Objective
Describe experience of using 3M™ Cavilon™ No Sting Barrier Film on the surrounding skin of leg ulcers of different etiology.
Key Findings
In the first case study, patient comfort was increased and there was an improvement in the surrounding skin. The patient had considerable improvement in quality of life, plus compliance with the dressing regimen. In the second case study, patient comfort was increased with an improvement in surrounding skin in a once a week dressing regimen.
A comparison of an alcohol-based and a siloxane-based periwound skin protectant
Summary
Authors
Rolstad B, Borchert K, Magnan S, Scheel N, Journal of Wound Care 1994;3(8):367-368.
Study Type
Observational, comparative study, n=19
Objective
Compare the clinical effectiveness of a siloxane-based liquid polymer skin protectant (3M™ Cavilon™ No Sting Barrier Film) to an alcohol-based liquid polymer skin protectant (Smith & Nephew Skin- Prep™). Patients with intact or compromised skin adjacent to wounds, tubes or stomas using frequently removed adhesives were included in the study.
Key Findings
The condition of periwound skin improved in all cases with no significant difference between study groups. All applications of 3M™ Cavilon™ No Sting Barrier Film were rated as pain-free, whereas, only 57 percent of the Skin Prep allocations were rated as pain-free. There was a preference for the wand applicator (3M™ Cavilon™ No Sting Barrier Film). Because of the painless characteristic of the siloxane-based skin protectant, expanded indications for the use of this type of skin protectant may be considered.
A motorized sliding sled apparatus for measuring the coefficient of friction of human skin in vivo
Summary
Authors
Grove GL, Grigoryan A, Houser T, Damia J, Poster presentation at the Clinical Symposium for Advances in Skin and Wound Care(CSASWC) in Orlando; 2010.
Study Type
Non-randomized, comparative, pilot study, n=9
Objective
Investigate the effects of two barrier films on the frictional properties on the skin.
Key Findings
3M™ Cavilon™ No Sting Barrier Film dried quickly to a relatively smooth, lower friction surface compared to Medline Sureprep® No-Sting Barrier Film. Medline Sureprep™ No-Sting Barrier Film remained tackytwo minutes after application, resulting in a jerky motion of the sled as it traversed the skin, and a257 percent higher coefficient of friction compared to 3M™ Cavilon™ No Sting Barrier Film. In this pilot study, 3M™ Cavilon™ No Sting Barrier Film demonstrated a significantly lower coefficient of friction than Medline Sureprep™ No-Sting Barrier Film.
Management of skin toxicity during radiation therapy: a review of the evidence
Summary
Authors
Kumar S, Juresic E, Marton M, Shafiq J, Journal of Medical Imaging and Radiation Oncology, 2010;54(3);264-279.
Study Type
Review
Objective
A meta-analysis was performed to systematically review evidence on acute skin toxicity management(grade 2 or greater) for patients undergoing radiotherapy. A review of the literature was conducted on studies published between 1980 and 2008.
Key Findings
Twenty-nine articles were reviewed for this meta-analysis. Only seven articles demonstrated statistically significant results for prophylactic management of the side effect of acute skin toxicity.Topical products included in these citations were: corticosteroids, hyaluronic acid, sucralfate, calendula,3M™ Cavilon™ No Sting Barrier Film and silver leaf dressing. Results demonstrated that the rate of moist desquamation was significantly reduced with 3M™ Cavilon™ No Sting Barrier Film and that the pruritis score was significantly reduced in the barrier film area.
A case of... managing radiotherapy-induced skin reactions
Summary
Authors
Mann L, Quinton M, Ford A, Soomal R, Graham K, Synergy 2010; 8-10.
Study Type
Case studies, n=2
Objective
Compare 3M™ Cavilon™ No Sting Barrier Film to usual skin care treatment on ease of application, weartime/durability, pain on application and patient comfort in patients receiving both pelvic radiotherapy and adjuvant chemotherapy for carcinoma of the anus.
Key Findings
The use of 3M™ Cavilon™ No Sting Barrier Film was safe and the patient found it soothing and comfortable when applied. There appeared to be a slight delay in the onset of the inevitable normal radiotherapy skin reaction.
Randomized control trial of 3M™ Cavilon™ No Sting BarrierFilm for the prevention of radiation dermatitis in patients with nasopharyngeal carcinoma
Summary
Authors
Chang L, Oral presentation at the World Union of Wound Healing Societies (WUWHS) in Toronto; 2008.
Study Type
RCT, n=42
Objective
Investigate the effectiveness of 3M™ Cavilon™ No Sting Barrier Film for the prevention or reduction of acute radiation-induced dermatitis of grade 2 or higher during radiation therapy for nasopharyngeal cancer patients, compared to no treatment.
Key Findings
Skin reaction area and RTOG scores were significantly different between experimental and control sites towards the end of radiotherapy. Preliminary results of this study demonstrate the advantage for the use of 3M™ Cavilon™ No Sting Barrier Film in preventing skin breakdown during radiation therapy and consequently reducing the incidence of radiation dermatitis of grade 2 or higher.
Randomized, paired comparison of 3M™ Cavilon™ No StingBarrier Film versus sorbolene cream (10% glycerine) skin care during post mastectomy irradiation
Summary
Authors
Fox C, Graham J, Graham P, Browne L, Capp A, et al., International Journal of Radiation Oncology Biology Physics2004;58(1):241-6.
Study Type
Randomized paired comparison, n=61
Objective
Test the effect of prophylactic use of 3M™ Cavilon™ No Sting Barrier Film on the rates of radiation treatment-induced moist desquamation among post-mastectomy patients compared with Sorbolene Cream (containing 10% glycerin).
Key Findings
There was significantly less moist desquamation in the 3M™ Cavilon™ No Sting Barrier Film group compared to the Sorbolene group. Pruritis was also significantly reduced in the 3M™ Cavilon™ No StingBarrier Film group. Pain levels were generally low and were not significantly different between the treatment groups. 3M™ Cavilon™ No Sting Barrier Film reduced the duration and frequency of radiation induced moist desquamation.
Some uses of 3M™ Cavilon™ No Sting Barrier Film for the prevention of post radiation dermatitis in the head and neck region
Summary
Authors
Peskova Z, Straubova K. VyuZiti., Sestra 2004;2:34-36.
Study Type
Non-randomized, comparative, n=8
Objective
Evaluate the effect of skin protection with 3M™ Cavilon™ No Sting Barrier Film compared to conventional therapy in patients with tracheostomies receiving radiation therapy.
Key Findings
3M™ Cavilon™ No Sting Barrier Film offered two considerable advantages: easy and sparing application and a relatively long-lasting integrity of the film. 3M™ Cavilon™ No Sting Barrier Film helped to prolong the period of tolerance to radiation therapy considerably.
Protection of wound edges with 3M™ Cavilon™ No Sting BarrierFilm during vacuum-assisted closure therapy: results of a clinical investigation in patients with chronic leg ulcers
Summary
Authors
Körber A, Hölzle K, Grabbe S, Dissemond J, Zeitschrift for Wundheilung 2007;12(1):6-11.
Study Type
Prospective, non-randomized, n=20
Objective
Evaluate the effect of 3M™ Cavilon™ No Sting Barrier Film on wound edge alterations in patients undergoing vacuum-assisted closure therapies.
Key Findings
3M™ Cavilon™ No Sting Barrier Film was applied once during vacuum-assisted closure therapy for a time period of 48-96 hours. About 75 percent of the patients showed no alterations of the wound edges.During 3M™ Cavilon™ No Sting Barrier Film treatment, the condition of the wound edge improved in20 percent of the patients and no therapy-limiting adverse effects were observed. The clinical use of3M™ Cavilon™ No Sting Barrier Film in vacuum-assisted closure therapy is a simple method for practical and economic protection of wound edges.
A prospective randomized trial of the effect of a soluble adhesive on the ease of dressing removal following hypospadias repair
Summary
Authors
Sanders C, Young A, McAndrew HF, Kenny SE, Journal of Pediatric Urology 2007;3(3):209-13.
Study Type
RCT, n=53
Objective
Determine if the use of 3M™ Cavilon™ No Sting Barrier Film as part of a novel dressing removal technique resulted in shorter removal times, reduced the child's experience of pain and/or reduced parental anxiety when compared to a standard approach.
Key Findings
The dressing with 3M™ Cavilon™ No Sting Barrier Film was significantly quicker to remove than the dressing with standard removal procedure, averaging 30 minutes (5-86 minutes) compared to 40minutes (17-105 minutes), respectively. There were no significant differences in child's pain or parental anxiety score between the two approaches. The novel dressing removal approach incorporating3M™ Cavilon™ No Sting Barrier Film resulted in a significantly shorter dressing removal time than the standard procedure.
In search of a better central line dressing protocol in the autologous bone marrow reinfusion patient
Summary
Authors
Link D, Cutler C, 3M Clinical Study; 1998.
Study Type
RCT, n=50
Objective
Compare the effect of 3M™ Cavilon™ No Sting Barrier Film to 3M™ Tegasorb™ THIN HydrocolloidDressing on skin protection, skin colonization, laboratory confirmed bloodstream infection, nurse and patient satisfaction, and nursing time when used over subcutaneous cuffed central catheter sites.
Key Findings
The 3M™ Cavilon™ No Sting Barrier Film protocol proved to be superior in both patient and nurse satisfaction as well as cost analysis. There was no significant difference in skin integrity, skin colonization or laboratory-confirmed bloodstream infection. Authors recommend the use of3M™ Cavilon™ No Sting Barrier Film under transparent dressings, changed twice weekly, and this regimen was adopted as their standard of practice.
Comparison of the skin protection properties of various film forming skin protectants
Summary
Authors
Grove GL, Leyden JJ, Lutz JB, Seifert CM, Poster presentation at the Wound Ostomy and Continence Nurses
Study Type
RCT, n=12
Objective
Compare four different film-forming skin protectants (barrier films) in an adhesive trauma skin model.
Key Findings
3M's alcohol-free barrier film significantly reduced the degree of skin damage caused by repeated application and removal of two commonly used dressing tapes. No significant differences were found between the alcohol-containing barrier films and the “no protectant but taped sites” suggesting that these products provide little if any protective value against skin stripping.
Don't neglect skin care in the treatment of chronic wounds
Summary
Authors
Hallern BV, Lilienkamp M, Die Schwester I Der Pfleger 2001;40(7):596-598.
Study Type
Case studies, n=2
Objective
Present two case studies to evaluate the ability of 3M™ Cavilon™ No Sting Barrier Film to provide skin protection from moisture.
Key Findings
The first case study is a diabetic patient with a large ulcer on the forefoot. Maceration of the toes and especially the web spaces was successfully treated with 3M™ Cavilon™ No Sting Barrier Film.The second case study is a patient with a large wound in the groin area with copious drainage.Maceration of the periwound skin was successfully prevented with the use of 3M™ Cavilon™ No StingBarrier Film. The two case studies presented indicate the successful use of 3M™ Cavilon™ No StingBarrier Film to protect the skin.
Wound protection for delicate baby and children's skin
Summary
Authors
Gerber V, Kinderkrankenschwester 2001;20(12):517-8.
Study Type
Case studies, n=2
Objective
Describe experiences with 3M™ Cavilon™ No Sting Barrier Film for children for a variety of indications such as periwound care, maceration on the chin and diaper dermatitis.
Key Findings
Two case studies are presented. The first case study is on a non-healing ulcer in the groin area of a14-week old baby. Healing was documented after five days. The second case study is on the care of a gastrostomy in a seriously disabled child. In this case, 3M™ Cavilon™ No Sting Barrier Film helped to prevent skin damage.
A clinical evaluation of 3M™ Cavilon™ No Sting Barrier Film
Summary
Authors
Campbell K, Woodbury MG, Whittle H, Labate T, Hoskin A, Ostomy Wound Management 2000;46(1):24-30.
Study Type
Observational, non-comparative, n=33
Objective
Determine if 3M™ Cavilon™ No Sting Barrier Film reduced redness, assisted in the adhesion of dressing and condom catheters, prevented or reduced maceration, prevented or reduced skin stripping, and had any adverse effects on patients.
Key Findings
Geriatric and spinal cord patients were enrolled in this study. Redness was reduced in 96 percent of patients who were at risk. Maceration was prevented in 94 percent of patients, and skin stripping was prevented in 100 percent of patients. Dressing adhesion improved significantly in 90 percent of subjects. For all patients, barrier film was easy to apply and there were no adverse events.3M™ Cavilon™ No Sting Barrier Film was an effective liquid skin sealant and protectant.
Barrier for effective wound care
Summary
Authors
Butcher M, Poster presentation at the European Conference on Advances in Wound Management, Harrogate, UK; 1999.
Study Type
Review and expert opinion
Objective
Discuss the use of 3M™ Cavilon™ No Sting Barrier Film in a variety of clinical situations including:excoriation following severe diarrhea, peri-gastrotomy, tracheostomy wounds, leg ulcers and wound drains.
Key Findings
Clinical use of 3M™ Cavilon™ No Sting Barrier Film supported the research outcomes identified by the various trials of the product and as a result, this product was added to a wound care formulary.
Clinical experience with an alcohol-free skin protectant3M™ Cavilon™ No Sting Barrier Film
Summary
Authors
Bracelert V, Ribal A, Poster presentation; 2005.
Study Type
Case studies, n=6
Objective
Present benefits for patients and staff of using 3M™ Cavilon™ No Sting Barrier Film in a stoma therapy clinic.
Key Findings
3M™ Cavilon™ No Sting Barrier Film was used for: apparatus adhesion, peristomal irritation and prevention of irritation of the perineum in incontinent patients. 3M™ Cavilon™ No Sting Barrier Film was easy to apply, dried rapidly and allowed skin monitoring. It was well accepted by patients because of pain-free application. The cost-benefit ratio was positive and allowed 72 hours of protection. Very good results were also obtained when 3M™ Cavilon™ No Sting Barrier Film was used in skin folds, around a tracheotomy site, on periwound skin during Negative Pressure Wound Therapy (NPWT) and for peritube protection.
3M™ Cavilon™ No Sting Barrier Film: an effective barrier against the ravages of proteolytic enzymes on peristomal and perianal skin
Summary
Authors
Jones D, Powell G, Marshall J, Edwards A, Poster presentation at the Annual Conference for the Centre for CommunityNursing, University of Hull; 1999.
Study Type
Case studies, n=3
Objective
Describe experience of using 3M™ Cavilon™ No Sting Barrier Film for excoriated skin and sore perianal skin following the formation of ileo-anal pouch.
Key Findings
In one patient with pyoderma gangrenosum and a second patient with a leg ulcer of mixed etiology,3M™ Cavilon™ No Sting Barrier Film was found to be extremely versatile and easy to apply. It provided a pain-free, long-lasting protective interface between the skin and gastrointestinal fluids. 3M™ Cavilon™No Sting Barrier Film was found to be more effective than the traditional methods of skin protection like creams and hydrocolloid preparations.
Non-alcohol barrier film providing a success with stomaltherapy patients
Summary
Authors
Thompson J, Jack L, Bush L, 3M Case Studies; 1997.
Study Type
Case studies, n=3
Objective
Describe experiences using 3M™ Cavilon™ No Sting Barrier Film.
Key Findings
3M™ Cavilon™ No Sting Barrier Film was successfully used on two patients with excoriated skin in the peristomal and perianal area. In the third case, 3M™ Cavilon™ No Sting Barrier Film was used on several skin tears on an elderly, malnourished woman. In all cases, improvement was noted within 24hours after application of 3M™ Cavilon™ No Sting Barrier Film with continued improvement at 48 hours.
Effectiveness of 3M™ Cavilon™ No Sting Barrier Film for preventing skin damage: a systematic review
Summary
Authors
García-Fernández F, Pancorbo-Hidalgo P, Verdú-Soriano J, Gerokomos 2009;20(1):29- 40.
Study Type
Review, n=30 studies
Objective
Review the available evidence on clinical efficacy and cost-effectiveness for 3M™ Cavilon™ No StingBarrier Film for protecting skin against irritating agents.
Key Findings
Use of 3M™ Cavilon™ No Sting Barrier Film significantly reduced the erythema in edges of exudative venous ulcers (evidence: high), with an overall clinical effectiveness similar to zinc oxide creams(moderate). 3M™ Cavilon™ No Sting Barrier Film was easier to apply and remove than zinc oxide creams(moderate). In patients with incontinence, the use of 3M™ Cavilon™ No Sting Barrier Film reduced the extent of dermatitis better than moisturizing creams (moderate) and had equal effectiveness in ermatitis prevention as zinc oxide creams or petrolatum (high), but with better effect in decreasing redness and denudation (high). In radiotherapy patients, the 3M™ Cavilon™ No Sting Barrier Film reduced both the area and severity of radio dermitis (moderate). The cost of 3M™ Cavilon™ No Sting Barrier Film in both product and nursing time was significantly lower than zinc oxide creams (high).
The nursing care of common raw and bleeding conditions
Summary
Authors
Hampton S, British Journal of Nursing 2004;13(10):618-620.
Study Type
Expert opinion
Objective
Describe benefits of 3M™ Cavilon™ No Sting Barrier Film.
Key Findings
The author reviews benefits described in two 3M™ Cavilon™ No Sting Barrier Film studies by Campbellet al (2000) and Williams (1998).
3M™ Cavilon™ No Sting Barrier Film in the protection of vulnerable skin
Summary
Authors
Williams C, British Journal of Nursing 1998;7(10):613-5.
Study Type
Expert opinion
Objective
Review features and benefits of 3M™ Cavilon™ No Sting Barrier Film including directions for use and research.
Key Findings
Studies discussed include: Rolstad (1994), Lutz and White (1997), Grove (1993) and Hampton (1997).3M™ Cavilon™ No Sting Barrier Film appears to meet the requirements of providing an easy-to-use,cost-effective, and pain-free product. 3M™ Cavilon™ No Sting Barrier Film can reduce skin irritation and also increase the wear time and waterproof seal of some adhesive dressings.
Clinical review of a new non-alcohol film forming skin protectant
Summary
Authors
Lutz JB, 3M Review Paper; 1993.
Study Type
Review
Objective
Present an overview of pre-clinical and clinical testing on performance attributes of 3M™ Cavilon™ NoSting Barrier Film. Performance attributes included cytotoxicity, patient comfort, protection from skin stripping, moisture barrier effectiveness and protection from urine and stool. Comparisons were made to four other skin protectants: ConvaTec AllKare® Protective Barrier Wipe, Bard® Protective Barrier Film,Mentor Shield Skin,™ Smith & Nephew United Skin-Prep.™
Key Findings
3M™ Cavilon™ No Sting Barrier Film was non-cytotoxic and pain free during application when used on compromised skin. It was highly effective in protecting skin from adhesive tape trauma, and provided significant moisture barrier protection four days after application. It is clinically proven and cost-effective in incontinence protection. 3M™ Cavilon™ No Sting Barrier Film compared favorably in these attributes to the other four other skin protectants (barrier films).
A comparison of the durability of four barrier film products over a 72 hour period on human volunteers
Summary
Authors
Houser T, Grove GL, Zerweck C, Poster presentation at the Clinical Symposium for Advances in Skin and Wound Care (CSASWC); 2010.
Study Type
RCT, n=18
Objective
Compare the durability of four barrier film products over a 72 hour period using activated carbon powder (ACP) as a marker substance for efficacy of the barrier film at providing a physical barrier to wash-off and wear-off.
Key Findings
After 72 hours of wear, 3M™ Cavilon™ No Sting Barrier Film was more than twice as effective at preventing wash-off and wear-off of a marker substance from the skin compared to Medline Sureprep™ No-Sting Barrier Film. Smith & Nephew Skin-Prep™ and No-Sting Skin-Prep® appear to provide little barrier effectiveness even after 24 hours of wear. These films appear to quickly wash or wear off the skin. 3M™ Cavilon™ No Sting Barrier Film appears to have significantly less wash-off and wear-off than competitive barrier films.
Assessment of diaper-clogging potential of petrolatum moisture barriers
Summary
Authors
Zehrer CL, Newman DK, Grove GL, Lutz JB, Ostomy Wound Management 2005;51(12):54-8.
Study Type
Randomized, balanced-block design, n=16
Objective
Examine whether four commonly used moisture barriers for the treatment and prevention of incontinence associated dermatitis clog a commonly used adult absorbent brief under simulated normal
Key Findings
Results indicate significant differences between the four test products both in percent transfer and in mini brief fluid absorption. From 59 to 69 percent of the petrolatum-based products transferred from the skin to the mini briefs resulting in a 54 to 90 percent reduction in fluid uptake. 3M™ Cavilon™ No Sting Barrier Film did not transfer to the mini brief and fluid uptake (98 percent) was minimally affected.
Comparison of dressing removal following hypospadias repair
Summary
Authors
Sanders C, British Journal of Nursing 2003;12(15 Suppl):S21-8.
Study Type
RCT, n=20
Objective
Compare a standard method of dressing application to a dressing application incorporating 3M™ Cavilon™ No Sting Barrier Film on dressing removal time and pain in children with hypospadias repair.
Key Findings
Time savings were noted in the 3M™ Cavilon™ No Sting Barrier Film group. The mean time from start until the end of the procedures was 29.50 minutes for the control group and 9.33 minutes for the 3M™ Cavilon™ No Sting Barrier Film group. Children in the 3M™ Cavilon™ No Sting Barrier Film group had lower pain scores before dressing removal than the control group. Data from this small feasibility study indicates the need for a further, more detailed randomized controlled trial.
Measuring sting potential of various film forming skin protectants
Summary
Authors
Schwartzmiller DH, Lutz JB, Grove GL, Poster presentation at the Symposium for Advances in Skin and Wound Care (SAWC); 1994.
Study Type
RCT, n=15
Objective
Compare and quantify the perception of pain during application of various alcohol and non-alcohol based film forming skin protectants (barrier films): 3M™ Cavilon™ No Sting Barrier Film, ConvaTec AllKare® Protective Barrier Wipe, Mentor Shield Skin,™ Smith & Nephew Skin-Prep® and Bard® Protective Barrier Film.
Key Findings
The alcohol based barrier film caused severe pain when applied to freshly stripped wounds. In the non-alcohol based group (3M™ Cavilon™ No Sting Barrier Film) results were statistically equivalent to the saline negative control, and did not cause pain when applied.
