Made EasyCavilon skin care products Made Easy

Cavilon skin care products Made Easy

Products | Bianchi J, Hardy D

Safety and tolerability of cavilon products
The durability of Cavilon no sting barrier film and three other barrier film products was assessed over a 72-hour period. Activated carbon powder was used as a marker of the efficacy of the barrier films at preventing wash-off and wear-off. The study indicated that Cavilon no sting barrier film was more than twice as effective at preventing wash-off and wear-off of a marker substance than the other barrier films tested (Houser et al, 2010).

In a further study by Lutz and LaVoie (1999) comparing the efficacy of four moisture barrier creams, Cavilon durable barrier cream was found to provide superior protection, while two of the four products tested did not provide a moisture barrier when first applied to the skin.

The sting potential of Cavilon no sting barrier film was assessed along with four other film-forming protectants (Schwartzmiller et al, 1994). The researchers found that alcohol-based barrier films caused severe pain when applied to freshly stripped wounds. In the group treated with the alcohol-free Cavilon no sting barrier film, results were statistically equivalent to the saline negative control, and the product did not cause pain when applied.

Evidence for Cavilon products
Cavilon no sting barrier film and Cavilon durable barrier cream are established skin protectants that have been investigated in a number of key clinical studies over the years (Table 3). These studies have confirmed that Cavilon no sting barrier film and Cavilon durable barrier cream are at least as effective as traditional skin protectants in preventing IAD and periwound skin breakdown, and may have a role in the prevention of pressure ulcers (Guest et al, 2011; Schuren et al, 2005; Bale et al, 2004; Parnum, 2011).

Availability in the uk
Cavilon products are available through the NHS Supply Chain. For community use, the products can be found in Part IXC (Skin Fillers and Protectives) of the Drug Tariff.   

Cost benefits of a skin care protocol
A number of studies have reviewed the cost-effectiveness of using periwound skin protectants in patients with venous leg ulcers (Cameron et al, 2005) and in incontinent patients in nursing homes (Bale et al, 2004). A study by Bliss et al (2007) on the implementation of a skin care regimen that included a cleanser and a moisture barrier for preventing IAD resulted in significant cost savings for nursing homes in the USA. A recent review found Cavilon no sting barrier film was at least as clinically effective and potentially more cost-effective in IAD prophylaxis and periwound skin protection than petroleum ointments or zinc oxide formulations (Guest et al, 2011).

Large (2011) describes the introduction of a pressure ulcer prevention strategy at a 78-bed nursing home in the UK. Cavilon durable barrier cream was chosen for incontinent patients and an aqueous cream was used as a soap substitute. Dermal pads were used for patients at risk of pressure ulcers. Only small changes were made to daily practice, yet the outcome was significant - the incidence of pressure ulcers was eliminated during the study period. This also led to a reduction in the costs for ongoing wound care. These results, and those by Parnum et al (2011), have important implications for meeting the QIPP/CQUIN challenge for pressure ulcer reduction in the UK.