• Wound Care

    December 7, 2021 admin

    Pain Management and Wound Dressing Solutions by IMAEC Medntek

    The term Kavalika means a bandage in Sanskrit. Not only bandages were used in India during ancient times but ancient Indian physicians had mastered their use thousands of years ago. Details of such use can be found in ancient Ayurvedic texts of Sushruta and Charaka. (1) Team IMAEC took its inspiration from our ancestors and we are now about to launch a family of Pain Management and Wound Dressing Solutions with the name “Kavalika”. Made with modern technology and comfortable state-of-the-art materials they are intended to reduce pain, suffering and aid the healing process.

    Epidemic of Pain:

    Around 30 % of the global population suffers from pain. Pain can be caused by several reasons. As per the World Health Organization (WHO), one out of every six people and one out of every three families suffer from arthritis in India. Which means that about 15-17% of the Indian population comes under this category alone. (2) One study suggests that the chronic pain affects 30% of our adult population, approximately 20-25% suffer from musculoskeletal disorders, (MSD) (3) affecting muscles, joints, muscles, ligaments, tendons as well as nerves. Back pain is another important factor which accounts for around 25-30%. There are several other factors from fractures, ligament injury and post-surgical pain. Overall, the epidemic of pain is the biggest health problem facing India today, larger than even the burden of heart disease, diabetes and cancer combined.

    Analgesic patches: Efficient way of pain management:

    Topical analgesic patches are a lesser known ways of pain management. OTC topical analgesic patches offer both convenience and consistent drug administration. Among the active ingredients available in these products are Ketoprofen and diclofenac. Pain often results in uncontrolled use of oral over the counter medications by patients. There are several advantages that analgesic patches provide against an oral medication. They deliver medication directly to the inflamed site resulting in higher local concentration They offer sustained release and controlled absorption. Skin has lower metabolic activity compared to gastro-intestinal track. So these active compounds avoid, enzymes, extreme pH and other metabolic factors which can result their deactivation. Which mean higher portion of drug is available for reducing inflammation. Other advantages include: 1) They are easy to administer 2) They provide an ability stop the drug supply by simply removing the patch 3) Can be used by patients who are unable to swallow oral medication 4) Unlike ointments possibility of them getting washed out or wiped is negligible 5) They avoid gastrointestinal medication related side effects Which is why analgesic patches are generally associated with minimal adverse effects and higher pain management capability. In the past there were few adverse effects to these patches they included skin irritation or skin sensitization, but new products are being developed with better, skin compatible material.

    IMAEC MEDNTEK’s analgesic patches for pain management:

    Imaec Medntek has launched analgesic patches which are Easy to use, easy to remove and provide quick Action. Made out of a skin suitable fabric, they are evenly coated with self-adhesive mass containing analgesic active pharmaceutical ingredient. Users can choose either Ketoprofen or diclofenac as per recommendations from their physicians. It is effective in the treatment of variety of acute and chronic joint and muscular pains. They can be used for pain induced by inflammation of joints, arthritis, strains, sprains. It is used to relieve all type of pains, strains and muscular spasm along with sprains. Can be applied on any body part with intact skin.

    Wound Healing Bandages:

    Skin is the largest organ of the human body which performs numerous functions which are essential for our survival. Its primary function is to form as a protective barrier against the outside environment. It protects us from harmful chemicals, adverse environment, ultraviolet radiation, and up to certain extent, from infections as well. It serves as our primary source of vitamin D and it regulates body temperature and moisture loss.

    Treatment of a skin injury is a unique challenge, as wound healing is an intricate and complex process. Acute wounds can potentially become chronic wounds, requiring the physician to have a thorough understanding of outside interventions to bring these wounds back into the healing cascade. Several complex and delicate interactions take place when wound successfully transforms from an acute inflammatory phase into the subsequent proliferation followed by remodeling phases. Which makes wound dressing an important factor in this process.

    A wound dressing should ideally promote granulation tissue formation and reduce the risk of infection. Antiseptics are defined as pharmaceutical ingredients which are used to either inhibit or eliminate infections present within a wound or on intact skin and have long been utilized to prevent or treat wound infections.

    Importance of antiseptics:

    In wound care, topical antiseptics such as Povidone iodine and Chlorhexidine may limit the potential for antibiotic resistance. They are effective antiseptics that do not impede the process of wound healing. Both Povidone iodine and Chlorhexidine are bactericidal against both gram-positive and gram-negative infections. Their presence in bandages aids healing in a range of acute and chronic wounds.

    Kavalika family of wound dressing products:

    A wound dressing is a type of bandage used to cover a wound and stick to the surrounding skin by glue or wound dressing tape. Wound dressings help to prevent infection, they also encourage healing and to reduce pain. Imaec Medntek has created products name Kavalika -Chlorhexidine and Kavalika –Povidone iodine with an intent to provide wound dressing solutions which can protect wound during healing process and also speed-up the healing process by eliminating the threat of infections. Made from tulle gauze cloth or flat knitted fabric which has been impregnated with PEG base ointment containing 10% w/w Povidone Iodine, Gamma irradiated to Sterilize it.

    They are useful for Ulcers, Burns, Scalds, Bedsores and Skin Grafts. The dressing is designed to protect the wound, even if it is infected. It is useful for the management of ulcerative wounds and may also be used for the prevention of infection in minor burns and minor traumatic skin loss injuries. They are Non-Adherent and can be used in the presence of pus and debris.

    Most importantly they are ready to use dressing, which reduces time and efforts required in applying them. They can be handled by unskilled or semi-skilled person who is not trained in wound dressing. They also reduce the pain which might be caused during applying the antiseptic in ointment or liquid form.

    Kavalika -Tubular Elastic Net Bandage

    Kavalika -Tubular Elastic Net Bandage is a Highly elastic knitted fabric in tubular form and is used to hold the dressing at its place. Which means that there is no need to stick adhesive tape to hold the dressing in place. It is flexible both length wise and also width wise and is available in different sizes for fingers, wrist, elbow, head, chest, knee and ankle. It is highly elastic both in length and width wise. Therefore, it can be stretched more than three times its length and five times of its width.

    Immobilization of fractured bones and shortcomings of plaster of Paris:

    Immobilization devices, known simply as plasters are important tools for fast healing and recovery of bone fractures. Plaster of Paris (POP) is the most commonly used and the most economical material used material for this purpose. However, despite its popularity for this use, plaster of Paris bandage is known to have several shortcomings. Which include its slow setting time. POP also Heavy and restricts the mobility of the patient wearing it. It is sensitive to water and may lose its loadbearing capacity on becoming wet. Skin under the plaster becomes dry and scaly. Cutaneous complications including macerations, ulcerations, infections, rashes, burns, and allergic contact dermatitis may occur due to the presence of formaldehyde. POP makes skin Prone to staphylococcal infection which often targets hair follicles and sweat glands which can lead to a severe and painful dermatitis. It’s also impermeable to X rays.

    Kavalika – Polyurethane Casting Bandage

    Kavalika -P.U. Casting Bandage is a polyester based fabric coated with water curable polyurethane. P.U. Bandage is a significantly lighter substitute for Plaster of Paris Bandage. Used to fix the fractured bones, it is useful especially for legs where weight bearing walking plaster is required. Its most important advantage is a significant reduction in weight which makes it useful where light weight plaster is required. It is of variable setting time. It is made with knitted fabric which makes it much more conformable. elastic flexible fabric gives more strength, therefore less bandages are required. It is non fiberglass bandage, hence non-carcinogenic. It is light weight and porous and It is X-ray transparent. This P.U. Bandage is more pliable & softer made specially for tropical climates. In short, it overcomes most problems of traditional POP plasters. To keep it fresh it has been packed in two shells of aluminum foil one cardboard carton and it is Available in different colors.

    References:

    1)Sushruta-Samhita(https://www.wisdomlib.org/hinduism/book/sushruta-samhita-volume-1-sutrasthana/d/doc122911.html)

    2)https://www.hhs.gov/sites/default/files/pmtf-final-report-2019-05-23.pdf

    3)https://www.indiatoday.in/magazine/cover-story/story/20151026-pain-epidemic-820641-2015-10-15

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