Professional Documents
Culture Documents
Product selection
Wound aetiology
Wound location
Wound exudate
Product life span
Cost factors
Availability
Sharp Debridement
Sharp Debridement
Intra-operative
Pre-operative
Mechanical debridement
Clare Fenwick Griffith University Gold
Coast 2010
Enzymatic Debridement
Autolytic Debridement
Biodebridement
Cleansing techniques
Clean versus sterile technique
Normal saline and tap water are OK
Hand washing is essential to reduce infection
Dirty hand & clean hand
Wound field concept
Dressing
Equipment
clean
dirty
Dressing
Equipment
Films
Hydrogels
Low Mod
Hydrocolloid
Mod Heavy
Alginates
Hydrofibre
Foams
Wound products
Application:
Bactigras)
Clean wound base
Non-paraffin,
non-tulle,
woven products,
Place
shiny side of dressing
to wound.
May(eg
require
soaking if Inadine)
exudate strikethrough has
Adaptic,
occurred.
Film dressings
Primary and secondary dressing
Low exudating wounds, protective dressing.
Film dressings
Film Dressing
Foam dressings
Primary and secondary dressing
Product names
available
Light/mod/highly
exudating
wounds, protective dressing, cavity
wounds
Allevyn
Application:
Allevyn
Adhesive
Clean wound base
Read
packagedCavity
for insertion side (patterned or shiny side up)
Allevyn
Sheet foam left insitu up to 7 days (24 hours if infected)
Cavi-Care
Cavity
foams left insitu up to 14 days (daily washing of foam
if infected)
Contraindications/ Possible Side effects:
Avoid covering with occlusive dressings.
Clare
Fenwick
Griffith University Gold
Avoid wounds dressed
with
antibacterial
solutions.
Coast 2010
Foam dressings
Primary and secondary dressing
Product names
available
Light/mod/highly
exudating
wounds, protective dressing, cavity
wounds
Allevyn
Application:
Allevyn
Adhesive
Clean wound base
Read
packagedCavity
for insertion side (patterned or shiny side up)
Allevyn
Sheet foam left insitu up to 7 days (24 hours if infected)
Cavi-Care
Cavity
foams left insitu up to 14 days (daily washing of foam
if infected)
Foam Dressing
Contraindications/ Possible Side effects:
Avoid covering with occlusive dressings.
Clare
Fenwick
Griffith University Gold
Avoid wounds dressed
with
antibacterial
solutions.
Coast 2010
Hydrogel dressings
Primary dressing
Product
names
available
Sloughy
or necrotic
wounds
requiring chemical debridement.
Lightly exudating wounds, hydrate dry wounds. .
Solugel
Application:
Intra
site
Clean
wound
base Gel
Coat
wound base with at least 5 mm gel.
Solosite
Gel
Apply sheet directly to
wound base.
Can
remain insitu up to 3 days
Clear-Site
Requires a secondary dressing
Duoderm Gel
Contraindications/ Possible Side effects:
Remove
if patient complains of burning or discomfort.
Aquaflo
Can cause maceration if too much is applied.
Dont use on highly exudating
wounds
or blind
Clare Fenwick
Griffith University
Gold sinuses
Coast 2010
Hydrogel dressings
Hydrogel Dressing
Primary dressing
Product
names
available
Sloughy
or necrotic
wounds
requiring chemical debridement.
Lightly exudating wounds, hydrate dry wounds. .
Solugel
Application:
Intra
site
Clean
wound
base Gel
Coat
wound base with at least 5 mm gel.
Solosite
Gel
Apply sheet directly to
wound base.
Can
remain insitu up to 3 days
Clear-Site
Requires a secondary dressing
Duoderm Gel
Contraindications/ Possible Side effects:
Remove
if patient complains of burning or discomfort.
Aquaflo
Can cause maceration if too much is applied.
Dont use on highly exudating
wounds
or blind
Clare Fenwick
Griffith University
Gold sinuses
Coast 2010
Hydrocolloid dressings
Primary and secondary dressing
Product
names
available
Sloughy
wounds
requiring
autolytic debridement, low/moderate
exudating
wounds.
Duoderm
Extra Thin
Duoderm CGF
Application:
Duoderm
Pastewipe periwound with barrier wipe
Clean
wound base,
Comfeel
Warm
productPlus
in hands
to activate adhesive
Transparent
Place
adhesive
side to
wound.Dressing
Comfeel
Plus
Contour
Leave at least 2 cm border around wound.
Plus
Pressure
Relieving Dressing
CanComfeel
be left insitu
up to
7 days, dependant
on exudate level.
Comfeel
Dressing
becomes
opaque when due for change
Paste
Comfeel Powder
Hydrocolloid dressings
Hydrocolloid
Dressing
Primary and
secondary dressing
Product
names
available
Sloughy
wounds
requiring
autolytic debridement, low/moderate
exudating
wounds.
Duoderm
Extra Thin
Duoderm CGF
Application:
Duoderm
Pastewipe periwound with barrier wipe
Clean
wound base,
Comfeel
Warm
productPlus
in hands
to activate adhesive
Transparent
Place
adhesive
side to
wound.Dressing
Comfeel
Plus
Contour
Leave at least 2 cm border around wound.
Plus
Pressure
Relieving Dressing
CanComfeel
be left insitu
up to
7 days, dependant
on exudate level.
Comfeel
Dressing
becomes
opaque when due for change
Paste
Comfeel Powder
Alginate dressings
Product names available
Kaltostat
Application:
Clean
wound base
Algoderm
Lightly pack or line the wound, product swells with exudate.
Sorbsan
Avoid
pre-moistening the product.
Discontinue use if the dressing remains dry.
Curasorb
Can
be left insitu up to 4 days, dependant on exudate level.
Requires a secondary dressing, do not use an occlusive dressing
Kaltocarb
Primary dressing
Medium to heavy exudating, bleeding, sloughy or infected wounds.
Alginate dressings
Product names available
Kaltostat
Application:
Clean
wound base
Algoderm
Lightly pack or line the wound, product swells with exudate.
Sorbsan
Avoid
pre-moistening the product.
Discontinue use if the dressing remains dry.
Curasorb
Can
be left insitu up to 4 days, dependant on exudate level.
Requires a secondary dressing, do notCalcium
use an occlusive
dressing
Alginate
Kaltocarb
Dressing
Primary dressing
Medium to heavy exudating, bleeding, sloughy or infected wounds.
Hydrofibre dressings
Product names available
Aquacel
Primary dressing:
Medium to heavy exudating or infected wounds
Application:
Clean wound base
Line the wound base with product
Cover with a secondary dressing.
Can be left insitu up to 7 days, dependant on exudate level.
Contraindications/ Possible Side effects:
Heavily infected wounds require Hydrofibre impregnated with
Silver.
Do not use in people allergic to hydrocolloids
Clare Fenwick Griffith University Gold
Coast 2010
Hydrofibre Dressing
Hydrofibre dressings
Primary dressing:
Medium to heavy exudating or infected wounds
Application:
Clean wound base
Line the wound base with product
Cover with a secondary dressing.
Can be left insitu up to 7 days, dependant on exudate level.
Contraindications/ Possible Side effects:
Heavily infected wounds require Hydrofibre impregnated with
Silver.
Do not use in people allergic to hydrocolloids
Clare Fenwick Griffith University Gold
Coast 2010
Acticoat
Application:
Aquacel
Ag
Clean wound base
Moisten
product plus
with sterile
water, daily if not enough exudate
Actisorb
(charcoal)
Cut to wound size and shape, apply blue side down
Cover with a secondary dressing.
Can be left insitu up to 7 days, dependant on exudate level.
Acticoat
Application:
Aquacel
Ag
Clean wound base
Moisten
product plus
with sterile
water, daily if not enough exudate
Actisorb
(charcoal)
Zinc dressings
Product
names available
Primary
dressing
Sloughy wounds, epithelialising wounds and to protect limbs
Steripaste
at risk
of skin tears or degloving.
Viscopaste
Application:
Cut
length as required, usually 3-4 times the size of the wound
Flexidress
Fold to make a patch and place over wound.
Gelocast
Requires
a secondary dressing.
Can be left insitu up to 7 days.
Contraindications/Possible Side effects:
Allergy to zinc
Clare Fenwick Griffith University Gold
Coast 2010
Zinc dressings
Product
names available
Primary
dressing
Sloughy wounds, epithelialising wounds and to protect limbs
Steripaste
at risk
of skin tears or degloving.
Viscopaste
Application:
Cut
length as required, usually 3-4 times the size of the wound
Flexidress
Fold to make a patch and place over wound.
Gelocast
Requires
a secondary dressing.
Can
be Paste
left insitu
up to 7 days.
Zinc
Dressings
Contraindications/Possible Side effects:
Allergy to zinc
Clare Fenwick Griffith University Gold
Coast 2010
Other Dressings
Wound Honey
Cadexomer Iodine
Vacum assisted closure (VAC) (see
lecture)
References
Carville, K. (2005). Wound Care Manual.