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Dermabond & steristrips

I have done probabably 200-300 dermabonds and I always use steri-strips. Yes
it is true, DO NOT put steristrips on a FRESHLY applied dermabond. If one is
inexperienced,

Have someone squeeze the wound together
BLOT OFF all liquids. It has to be dry
Apply thin layer of dermabond, wait until dry, apply another layer, wait
until dry, and do it again.
Be sure to periodically lift your latex glove off of the skin. ALso have
your MA or nurse hold a piece of gauze in hand to blot off run off of
dermabond. It can drip fast!

When completely dry, you'll know, touch it and it is nice and hard, then
applie steristrip.

WHy steristrip... kids pick at wounds and pick and pick, especially the
Superglue stuff.

I don't even tell them to take off the tape, the steristrip will fall off on
its own as the dermabond comes off on its own in 10 days

One dermabond nightmare I recall in clinic one am...it was applied to a 3
year old's eyebrow lac and the kid was crying and sweating...of course
dermabond and water don't mix and it leaked into his eyes. When I saw him,
he had 1/2 cm of palpebral fissure left open. Dad was POed as was the
Ophthmalogist!

Scott

Dermabond & steristrips

It is tough to get a weeping wound to stop oozing. I have had good results
with a cotton ball soaked in epi held against the wound for a while prior
use of Dermabond. I like it.
-gb
----- Original Message -----
From:
To:
Sent: Thursday, August 01, 2002 1:58 AM
Subject: Re: Dermabond & steristrips

> I have done probabably 200-300 dermabonds and I always use steri-strips.
Yes
> it is true, DO NOT put steristrips on a FRESHLY applied dermabond. If one
is
> inexperienced,
>
> Have someone squeeze the wound together
> BLOT OFF all liquids. It has to be dry
> Apply thin layer of dermabond, wait until dry, apply another layer, wait
> until dry, and do it again.
> Be sure to periodically lift your latex glove off of the skin. ALso have
> your MA or nurse hold a piece of gauze in hand to blot off run off of
> dermabond. It can drip fast!
>
> When completely dry, you'll know, touch it and it is nice and hard, then
> applie steristrip.
>
> WHy steristrip... kids pick at wounds and pick and pick, especially the
> Superglue stuff.
>
> I don't even tell them to take off the tape, the steristrip will fall off
on
> its own as the dermabond comes off on its own in 10 days
>
> One dermabond nightmare I recall in clinic one am...it was applied to a 3
> year old's eyebrow lac and the kid was crying and sweating...of course
> dermabond and water don't mix and it leaked into his eyes. When I saw
him,
> he had 1/2 cm of palpebral fissure left open. Dad was POed as was the
> Ophthmalogist!
>
> Scott
>

> This message is from PEDTALK - a Pediatric Focused email discussion
group.