What do you call the bandage-like stuff that they put on wounds in places where band-aids don't fit. It's like translucent rubber, sticks tightly to the skin and moreso to hair, and the doctor called it by name twice but he talked too fast for me.
I was hoping to google and find advice for removing it, 'cause as much as I pull, some places it won't free up.
My first guess was liquid suture but my google search found this - derma bond -
Skin Shield" maybe ?
Thanks a lot, but I don't think that's it . "Dermabond (2-octyl-cyanoacrylate) is one of the only [few] surgical glues..." so it's superglue or similar. I don't know if he used anything to close the hole he made for the needle (into the femoral artery). I think he just useed gauze, but I'm still trying to get the "bandage" off.
I think it's something like that, but 10 times as tough, 10 times as hard to get off, and probly 2 or 3 times as thick.
Thanks a lot. I don't have any fresh product. The nurse told me to go around the edges and be careful pulling lest I pull some of my skin off!!
And using your and hub's leads, I found this
Proper tape removal is critical in reducing the occurrence of traumatic skin injuries. [So it only reduces them. Even proper tape removal doesn't eliminate them. :-( I don't have tape, but the rest sounds similar.]
3M? Tegaderm? Transparent Film Dressing. Stretch method Rub piece of tape onto one corner of the Tegaderm dressing. [I either don't understand this line, or it was stuck too tight for tape to lift it. But I managed to get my fingers underneath most of it.] Gently lift edge. With other hand, place fingers on top of dressing to support skin. Gently stretch the Tegaderm dressing straight out and parallel to skin. This will release the adhesion of the dressing to the skin. As the Tegaderm dressing is loosened, you may either (1) alternately stretch and relax the dressing or (2) ?walk? your fingers under the dressing to continue stretching it. With both approaches, one hand continually supports the skin adhered to the Tegaderm dressing. [I think I used number 1 mostly, but I'm not done yet.]Tape peel method This procedure is similar to the method described for removing tape strips [above, not quoted here] Stabilise skin next to the Tegaderm dressing. With other hand, grasp one edge of the dressing. Slowly peel dressing back over itself, ?low and slow,? in direction of hair growth. [I don't know what direction the hair grows there. Does anyone keep track of that? She shaved the area but the bandage is now bigger than the shaved area.] Removing dressing at an angle will pull at the epidermis, increasing risk of mechanical trauma. As dressing is removed, continue moving finger as necessary, supporting newly exposed skin.
BTW, I have noticed with other tape on things, that pulling back at 180^ is more likely to get tape off nicely, without damaging the surface. I'm sure most of you have noticed that too, and apparently it applies here too. "back over itself, not at an angle".
So now I've got most of it loosened, except at the center. Right where I think the wound was, a bunch of gauze is explosed, with all the vinyl dangling around it.
This is definitely the hardest part of a cardiac catheterization (I passed. Was told the stress tess in the PET scan was a false positive.)
The other interesting part was at the end after he'd taken out the catheter and everything and was, I guess, trying to keep it from bleeding. He leaned on my body with some of his weight, 20 or 30 pounds, over and over for 3, 4, maybe 5 minutes. I don't know when he "poured" or however he applied this bandage, (before or after all this pressing) but the "bandage" goes about 1" top to bottom but 6" left to right, just where my body bends. At the end near the centerline, I hadn't been shaved. Ouch. (I thought it would be 2 or 3 inches farther down my leg but I suppose that varies, just like the places for blood tests vary depending on where they find a vessel.)
I wish they'd included more and better instructions in the discharge papers they gave me. The nurse spent 2 or 3 minutes on it but the papers just say "Remove dressing in 24 hours". None of the details she gave, let alone the added ones I would like. No url. And I was sedated for the procedure. Not much and I was wide awake afterwards but surely some people are still groggy. After all, they tell you not to drive and she waited with me at the front door until a taxi came.
She also told me I could shower the next day but had to wait a week to take a bath (because water could sneak into the wound). The papers they gave me said I could do either the next day.
They sent me a form to review their procedures and I'll work from this post and tell them all this.
That is just super glue. Vietnam medics figured out that trick.
Googled this up:
Further reading says it is for small cuts and should not go into the wound itself which should be pinched shut, I guess.
You GO girl !
They'll all be thrilled with your report !
... as we will be.
John T.
So you don't think the nurses will be acting like teenagers at a rock concert??
This is Dermabond. "Dermabond has become the surgical glue of choice in the United States." So it's meant to be used by doctors or very skilled DIYers.
For a while I thought you were saying this was the same thing as the first one above.
This might be basically the same thing that was used on me. He used a bunch of gauze at the wound so I don't think any of the bandage stuff went ino the "wound".
Just a hole where he put in a catheter so small it could go through my artery all the way up to my heart. Diameter of the artery: "Reference values of vascular diameters decreased from proximal to distal arteries: common iliac = 1.18cm; internal iliac = 0.75cm; external iliac = 1.03cm; proximal femoral = 1.02cm; distal femoral = 0.77cm; popliteal = 0.69cm; anterior tibial = 0.42cm; posterior tibial = 0.38cm; fibular = 0.40cm"
I don't understand much of this but it seems like it's between 1 and
0.77 cm in diameter. Internal or external I don't know but either way it's pretty big and that's why it's hard to stop it from bleeding later. They warned me that it might spurt!! My wrist once spurted 2 to 3 inches and this would put out a much greater amount of blood.
Well, I got an email with the medical report, and it said what he used, angioseal. When he talked to me beforehand, he'd used the word twice, but I couldn't rememeber it.
No more driving to the doctor, especially when you're not feeling well, no more long waits in the waiting room, no more exposure to all those corona-sick people, no more labor charges, only the cost of the VCD. And no more return trips to the doctor, because Angio-seal dissolves by itself.
One of the first things I read about it was "The device creates a mechanical seal by sandwiching the arteriotomy between a bioabsorbable anchor and collagen sponge, which DISSOLVE IN 60 to 90 DAYS." Huh, so why did I have to work so hard to get it off?***
It took me 5 tries over 24 hours. And most of those hurt, not to mention worrying about ripping my skin off. ***Because he was talking about sealing the artery, not covering the wound.
If you're curious, watch ANGIO-SEAL VIP DEPLOYMENT ANIMATION, half-way down. Very interesting, unexpected, all animated, but it's still a little scary if you're at all squeamish. The last part explains why he was pushing on me so hard at the end**, and the middle part explains why they were wiping me off a lot, far from the "insertion point". His report said I lost less than 30cc of blood. Just 2 tablespoons, not much but enough to get all over the place.
**I like being awake for these things.
More likely something like NewSkin - or possibly NexCare or Curad FlexSeal
On Fri, 04 Dec 2020 18:03:26 -0500, micky posted for all of us to digest...
Tegaderm
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