Product Review: Is a New Self-Adaptive Wound Dressing the Ultimate in Product Standardization? Protection Status
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by Sue Hull MSN, RN, CWOCN

After I wrote the short series on wound care and wound product standardization, I received an email that said this:

"In your blog of June 3rd you've wrote that using dressing assortment supply from only one vendor brought significant economic benefits.

Can you imagine what benefits would be if a clinician or nurse would be able to use only one dressing type for all wounds?"

My first thought was, "Riiiiiiight." After all, we are taught and we experience the need for different types of dressings for different types of wounds. How could this gentleman who contacted me think he might convince me he is selling me a dressing for all wounds? Did he think I was an idiot?

So I emailed him back and found out that maybe I am an idiot!

First of all, he wasn't a salesman. He was the inventor of the dressing. Secondly, he had good answers to my questions.

So, what is this wonder dressing? It is called Enluxtra™, and it is made of a proprietary material called Humifiber™. Let me say right now, I have not had the opportunity to use this dressing. I have samples I have played with, but I haven’t actually used any on a patient.

One of the important questions I asked about Enluxtra was, why would I want to use an eight dollar dressing on a wound when I could use four dollar foam dressing instead. Here are the answers to that in a nutshell:

  • You would not need many of the supplemental products often used with foam dressings, such as non-adherent contact layers, strike-through barriers, skin protection ointment or prep (because Enluxtra sequesters the fluid), or an antimicrobial topical.
  • Enluxtra has a 25-50% higher absorption capacity than any other dressing on the market — especially under compression — so the dressing needs to be changed less often. In home health, that means less frequent nurse visits.
  • Foam dressings on heavily draining wounds often allow the exudate to be in contact with the peri-wound skin, leading to further deterioration. Sometimes this happens with patient movement or pressure on the dressing, causing exudate to be squeezed out. Enluxtra locks the exudate in the dressing.
  • Not all parts of the wound act in the same way. There can be heavy drainage with non-draining areas in the same wound. Using foam can cause the non-draining areas to become desiccated (dried out). This would be the areas where a dressing sticks when you remove it. This desiccation can impede wound healing, increasing the overall cost of care. Enluxtra is suitable for treating every tissue type within the wound, absorbing drainage in the wet areas, and donating moisture to the dry areas. This is why Enluxtra is called a self-adapting dressing.

I received samples of this product, and I am waiting for a wound care patient that is appropriate (by definition of the product, wouldn’t that be ALL wound care patients?) I am sure you must have more questions about this new and unique wound dressing.

For more information on Enluxtra, click here for contact details.

About The Author
Sue Hull MSN, RN, CWOCN has been a home health nurse since 1992 and a CWOCN since 2003. She currently works for Peace Health Home Medical Group in Alaska. Sue is an educator and author. In addition to nursing in home health and hospital settings, she is also the editor of two wound care education websites.

The views and opinions expressed in this blog are solely those of the author, and do not represent the views of WoundSource, Kestrel Health Information, Inc., its affiliates, or subsidiary companies.

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I have been using the Enluxtra dressing for about a month now on a patient that has heavy drainage to BLE venous ulcers. He also complains of strong odor. He has tried apligraf, autalogous skin grafts, multiple dressings, diapers, maxi pads, etc with poor results. Since using the Enluxtra dressings odor has almost disappeared, which makes him happy. Healing has improved and drainage has slowed and the 6 x 6 dressings literally holds up to 3 lbs of exudate, which is amazing. also, the fluid is not in contact with the wound bed. I find this to be an exceptional product.

I understand why one would hesitate to believe one product does it all. I have had the opportunity to use Enluxtra dressing and found great results such as wound improvement, patient comfort, and patient decrease cost of wound supplies with use. If the simple instructions of application are followed you also eliminate need for sharp debridement this is a plus when working on painful VLU wounds, the compression bandage applies the right amount of contact with wound to dressing contact. It does not stick to wound bed and keeps the peri-wound area from breaking down. Eliminates large amount of biofilm from surface of wound and this made for less debridement or no need for debridement. I have used on DFU great benefit as well able to handle large amount of exudate and preserves the peri-wound area. The benefit I see especially for unfunded patients is the dressing on new wounds with heavy bio-burden the frequency of dressing change can be decreased very quickly. What I have observed one can start the patient with daily dressing for two days, than they can go every other day for a few dressing changes and usually have then out to once a week dressing in a less than two weeks. Most people have no problem buying a 6 or 8 dollar dressing a week. Advance Tissue carries the Enluxtra and in our clinic it makes for easy access for patients they have quick delivery and bill their insurance. You can limit the number of dressing helps with patient’s 20% for those patient with insurance. You cannot say that’s all you need though you still need compression wraps, or some type of tape for securing. Please feel free to ask more question I have used on many patients and getting to the point where more of our patient are using the product but have not completely transitions over …yet. The LTAC we see patients in are in a buying group and not easy to get them to change contractual obligation …however, well see how that goes, I keep bringing it up when they go complaining of cost of wound supplies. Also in hot summer weather and with our obese and morbidly obese patients wounds and especially the peri-wound area skin rash and fungal/yeast reaction are prevented. It will not dry out the wound bed and protected the peri-wound area from dryness. We were able to granulate over tendon, which I can only attribute to the well balance moisture in wound bed. If you have a difficult wound try it or a patient with high sensitivity I think you might be very pleased with the results. We have a burn unit in town and do not see burns often I would really like to see results on burn wounds so if anyone is using please post findings. I would think the ease of removal and moisture balance would be ideal.

There's your answer. In your own words, "waiting for a wound care patient that is appropriate."

If it is the dressing for all wounds, you would be out of samples.

Or, I live in a town of 1300 people on an island in Alaska and don't have any wound patients at the time.

PolyMem has been providing all of this and more for decades, and it has been tested extensively on real patients. With gylcerin and super-absorbent starch to balance moisture, and surfactant to work with these ingredients synergistically to create a built in continuous wound cleansing system, PolyMem also decreases pain and inflammation. All of this is shown in multiple independent studies, not manufacturer-sponsored research that is subject to publication bias. Why isn't there an article about PolyMem in this newsletter? I am not a sales person either, but I know a truly good wound dressing when I use one.

I wonder why you would not choose to first try the Aquacel Foam. Aquacel proven for over 14 years to: absorb vertical, lock in the drainage between the hydrofibers away from the wound bed - preventing maceration...gels as gets wet - allowing moist wound environment, not too wet, gel also prevents need for layer between wound and dressing -; micro-contours to wound bed - preventing pooling of drainage or desiccation of tissue; and studies show lock in of fluid under compression....
Aquacel Foam has all the benefits of Aquacel, plus has a foam pad to draw extra moisture away with high moisture vapor permeability. The Aquacel Foam is bacterial/viral proof and waterproof - patient can shower in dressing and leave on for 7 days.

This dressing I understand is comparable or less cost than other foams on the market - costing less than you mention above. Comes in gentle silicone boarder adhesive or no adhesive boarder. Great dressing as I have seen it in action.

I would like to get samples if possible.

Sue, I don't understand - if you have never used the dressing on a patient, nor have no studies to quote, why would you write an article that is so in favor of the dressing and promote it?

First, new products come onto (or are repackaged and reintorduced by a new owner to) the market all the time claiming to be the all-in-one dressing-of-all-dressings, only then to be tested and deemed - unsuprisingly - more suitable for some wound types or drainage amounts than others. "If it's too good to be true, it probably isn't"

Second, the inventor (owner?) of the product is sure to be not just a saleseman, but the product's MOST DEVOUT salesman. Surely the fact that he invented it doesn't mean he has escaped being biased? Or that he won't financially benefit from boosted sales of it?? Surely it didn't escape him that an article written by you would give him free press to those who look to you for education, as a wound specialist and editor of two wound care websites. Why do you think he called you: To promote his product!

I honestly have no opinion about this product, nor have I heard of it until now. If it is the best thing since sliced bread, as a fellow wound care specialist I will be THRILLED. But, watching healthcare settings every day that are struggling to make ends meet and still care for patients with wounds, it makes me sad to see articles from fellow professionals that promote products that are untested, because professionals in the trenches of wound healing who don't know as much about wounds as you will jump on this bandwagon and spend much-needed dollars on this dressing. Isn't it up to us as wound specialists to give solid advice, based on fact and research, to help those less experienced to avoid the flavor-of-the-month products that will waste their time and money?

Best regards,

you raise some good points. It is up to us as wound specialists to "give solid advice". Therefore, it is our responsibility to do the research deriving "sound" information from legitimate and credible journals to investigate whether there is any validity to this product. As wound scientists we should always investigate further looking to scholarly journals and resources before we immediately take the position that a product is or is not credible. Thanks Lydia

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