Wound Dressings

<Procedures>

<Index>

 

Definition

-  Cover placed over a wound: surgical, traumatic or pathological

-  Burns, Skin biopsy..

 

Rationale

-  Protect wound & surrounding tissue

-  Promote wound healing

-  Prevent infection

-  Reduce pain

-  Haemostasis via compression

-  Immobilisation

 

General Principles

-  Nonadherent dressing over wounds 1st 24-48hrs

-  Commonly waterproof dressing over top

-  Once dressing removed clean daily w NS

 

Types

-  Jelonet

-  Alginate

-  Kaltostat

-  Hydrogel (Aquagel)

-  Solosite

-  Intrasite

-  Mefix

-  Foam

-  Mepilex

-  Lyofoam

-  Allevyn

-  Film

-  Tegederm

-  Hydrocolloid

-  Duoderm

-  Acticoat 3 or 7

-  Vacuum Assisted Closure (VAC) Dressings

 

Selection

-  Dressing choice dependant on

-  Clinician

-  Exudate

-  Duration of dressing

-  Environment

-  Wound type (surgical, traumatic, pathological)

-  Repair type (if any)

-  Based on exudates

-  Nil to minimal: film dressing

-  Low to moderate: hydrocolloid

-  Moderate to high: alginate or foam

-  Dry or sloughy: hydrogel

-  If healing from secondary retention hydrocolloidal dressing up to 7/7

 

Wounds

-  Split Skin Graft (SSG) Dressing