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An occlusive dressing is an air- and water-tight trauma
medical dressing A dressing is a sterile pad or compress applied to a wound to promote healing and protect the wound from further harm. A dressing is designed to be in direct contact with the wound, as distinguished from a bandage, which is most often used to hold ...
used in
first aid First aid is the first and immediate assistance given to any person with either a minor or serious illness or injury, with care provided to preserve life, prevent the condition from worsening, or to promote recovery. It includes initial in ...
. These dressings are generally made with a waxy coating so as to provide a total seal, and as a result do not have the absorbent properties of
gauze Gauze is a thin, translucent fabric with a loose open weave. In technical terms "gauze" is a weave structure in which the weft yarns are arranged in pairs and are crossed before and after each warp yarn keeping the weft firmly in place. ...
pads. They are typically used to treat open, or "sucking," chest wounds (
open pneumothorax A pneumothorax is an abnormal collection of air in the pleural space between the lung and the chest wall. Symptoms typically include sudden onset of sharp, one-sided chest pain and shortness of breath. In a minority of cases, a one-way valve is ...
) to alleviate or prevent a
tension pneumothorax A pneumothorax is an abnormal collection of air in the pleural space between the lung and the chest wall. Symptoms typically include sudden onset of sharp, one-sided chest pain and shortness of breath. In a minority of cases, a one-way valve is ...
(a serious complication of a simple pneumothorax). They are also used in conjunction with a moist sterile dressing for intestinal evisceration. Occlusive dressings come in various forms, including
petrolatum Petroleum jelly, petrolatum, white petrolatum, soft paraffin, or multi-hydrocarbon, CAS number 8009-03-8, is a semi-solid mixture of hydrocarbons (with carbon numbers mainly higher than 25), originally promoted as a topical ointment for its he ...
gauze Gauze is a thin, translucent fabric with a loose open weave. In technical terms "gauze" is a weave structure in which the weft yarns are arranged in pairs and are crossed before and after each warp yarn keeping the weft firmly in place. ...
, which sticks to the skin surrounding the wound using petrolatum. They can also be used to enhance the penetration and absorption of topically-applied medications, such as
ointment A topical medication is a medication that is applied to a particular place on or in the body. Most often topical medication means application to body surfaces such as the skin or mucous membranes to treat ailments via a large range of classes ...
s and creams. Furthermore, they may be used as part of
in vivo Studies that are ''in vivo'' (Latin for "within the living"; often not italicized in English) are those in which the effects of various biological entities are tested on whole, living organisms or cells, usually animals, including humans, and ...
acute toxicity tests of dermal irritation and sensitization. The test animal is shaved and the test material is applied to the skin and wrapped in an occlusive material. The skin is then exposed after 23 hours and an assessment for redness and
edema Edema, also spelled oedema, and also known as fluid retention, dropsy, hydropsy and swelling, is the build-up of fluid in the body's Tissue (biology), tissue. Most commonly, the legs or arms are affected. Symptoms may include skin which feels t ...
is made. This assessment is repeated 48 hours later. On the loss of a fingernail or thumbnail, the area under the
eponychium In human anatomy, the eponychium is the thickened layer of skin at the base of the fingernails and toenails. It can also be called the medial or proximal nail fold. The eponychium differs from the cuticle; the eponychium comprises live skin cells ...
(cuticle) can be packed with this type of dressing to act as a
stent In medicine, a stent is a metal or plastic tube inserted into the lumen of an anatomic vessel or duct to keep the passageway open, and stenting is the placement of a stent. A wide variety of stents are used for different purposes, from expandab ...
. This helps prevent the cuticle from fusing to the exposed nail bed; otherwise, such fusion can prevent regrowth of a new nail.


References

{{DEFAULTSORT:Occlusive Dressing Medical dressings