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Cheatography

Wound Dressing Products Cheat Sheet (DRAFT) by [deleted]

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Films: Opsite IV3000, Tegaderm, Mepore

Advantages
• Allows some moisture vapor to be evaporated from wound
• Imperm­eable to liquids and bacteria
• Reduces pain by keeping nerve endings moist
• Allows inspection of wound through dressing
Disadv­antages
• Non-ab­sorbent – exudate may pool at wound site causing maceration
• Not suitable for moderate to high exuding wounds
• If not correctly removed, then may be traumatic to wound tissue

Hydrogels: SoloSite, Solugel, Intrasite

Advantages
• Provides a moist wound enviro­nment for cell migration
• Absorbs exudate
• Rehydrates eschar and acts as an autolytic debriding or deslou­ghing agent whilst not harming granul­ating or epithe­liating cells
• Reduces pain by keeping nerve endings moist
• Fills dead space in deep wounds and conforms to cavity
• Easily irrigated from the cavity
Disadv­antages
• Should not be used in blind sinuses where the extent of the tracking cannot be identified
• Will require a secondary dressing
• Maceration of the surrou­nding skin may occur with the liberal use of gel
• Some people may experience a sensit­ivity to the preser­vative agents used in these products

Hydrofibre Dressings: Aquacel

Advantages
• Maintains a moist wound healing enviro­nment as fibers convert to a firm gel on contact with exudate
• Vertical and controlled lateral wicking of exudate reduces maceration of peri-wound skin
• Can be used on infected wounds (Aquacel Ag)
• More absorbent then alginate dressings
• Promotes non-tr­aumatic dressing removal
Disadv­antages
• Similar in appearance to alginate dressings which may lead to confusion as it does not have the haemos­tatic properties of calcium alginate
• Requires a secondary dressing
 

Hydroc­oll­oids: Comfeel, Duoderm, Cutinova Hydro

Advantages
• Hydroa­ctive particles absorb wound exudate
• Gel formation at wound surface provides moist wound enviro­nment
• Water repellent
• Conforms well to wound and body surfaces
• Reduces pain by keeping nerve endings moist
• Hydroc­olloid intera­ctions clean and debrides the wound by autolysis
• Safe debrid­ement, granul­ation and epithe­lia­liz­ation can occur in wound at the same time
Disadv­antages
• Not recomm­ended on wounds clinically infected with anaerobic bacteria
• Use with caution on fragile or compro­mised skin surrou­nding wound as adhesive may damage fragile skin
• Gel may be mistaken for wound infection
• Deep wounds require cavity filling paste, powder or dressing
• May be difficult to keep in place in areas affected by friction eg. Heels
• Edges may roll ( can tape to prevent this)

Calcium Alginate Dressing: Kaltostat

Advantages
• Provides a moist wound enviro­nment
• Keeps nerve endings moist so reduces pain
• Low allergenic
• Biodeg­radable in wounds
• Absorbent and therefore useful in exuding wounds
• Promotes haemos­tasis in bleeding wounds
Disadv­antages
• Will require secondary dressing
• Gel may be confused for pus or slough in wound
• Not suitable on dry wounds or in the presence of hardened eschar
• Not suitable with an occlusive dressing when wound is infected with anaerobic bacteria

Foams

Allevyn – Adhesive and Non-Ad­hesive, Biatain – Adhesive and Non-Ad­hesive, Aquacel Foam
Advantages
• Available as adherent or non-ad­herent
• Facili­tates a moist wound enviro­nment
• Highly absorbent
• Provides protection
• Conforms to uneven body surfaces
Disadv­antages
• Moist wound enviro­nment may not be sufficient to allow autolysis to occur

Tulle Gras Dressings: Jelonet, Adaptic

Advantages
• Reduced adhesions and allows non-tr­aumatic removal
• Provides a moist wound enviro­nment that facili­tates epithelial cell migration
Disadv­antages
• Does not absorb exudate
• Will require secondary dressing
• Cotton products can shed fibres into wound
• Can be difficult to remove from deep cavity wounds
• Can cause allergic reactions in sensitive people

Island Dressings: Primapore, Opsite, Mepore

Advantages
• Suitable for wounds healing by primary intention and/or low exudating wounds
• Non-ad­herence contact layer so no wound trauma on removal
• Some have a occlusive, waterproof or water resistant outer layer
Disadv­antages
• Not suitable for highly exudating wounds
• Some are not waterproof (Prima­pore)
• Not recomm­ended for clients with allergies to adhesive agents

Non-Ad­herent Dry Dressing

Melonin, Exu-Dry, Telfa, Mesorb
Advantages
• Suitable for epidermal wounds
• Low adherence film therefore prevents shredding of fibres into wound
• Non traumatic removal if exudate is minimal
Disadv­antages
• If large amounts of exudate, dressing may stick and dry out, therefore can be traumatic removal
• Needs a secondary dressing

Dry Dressings: Gauze, combine, cotton wool

Advantages
• Absorbent and protective
• Provides a dry wound healing enviro­nment where approp­riate
Disadv­antages
• Creates a dry wound
• Not the ‘ideal’ dressing
• Can shed fibres in the wound which act as foreign bodies
• Granul­ation tissue can grow into the mesh of the dressing
• When strike through occurs it can allow a pathway for pathogens into the wound

Odour Absorbing Dressings: Carbonet, Lyofoam

Advantages
• Absorbs bacteria and eliminates odour
• Absorbs exudate
• May be used as primary dressings
Disadv­antages
• May need a secondary dressing
• Do not cut as carbon particles may leak into wound and if sealed edges, the integrity of the dressing will be compro­mised

Hypertonic Saline Impreg­nated Dressings

Curasalt, Mesalt
Advantages
• Recomm­ended for moist, necrotic, draining and infected wounds
• Promotes a cleansing effect on exudating and malodo­urous wounds,
• Reduces odour
• Maintains a moist wound healing enviro­nment
• Promotes autolysis of loos slough or eschar
• Absorbs exudate and bacteria
• Will reduce wound oedema
• May be effective in reducing hyperg­ran­ulation tissue
Disadv­antages
• Can cause discomfort or stinging sensations
• The dry formul­ations are not recomm­ended for dry wounds or hardened eschar
• Not recomm­ended for wounds with actual or potential bleeding
• Not recomm­ended on exposed tendon, bone or muscle
• Should be discon­tinued in healthy granul­ating or epithe­lizing wounds
• For optimal effects, the dressing will require changing 2-3 times per day
• Will require a secondary dressing

Cadexomer Iodine Medicated Dressings: Iodosorb

Advantages
• Conform to wound bed
• Absorbs exudate 6-7 times its weight
• Converts to a gel and promotes moist wound healing
• Iodine is progre­ssively released at the wound surface
Disadv­antages
• Contra­ind­icated for clients with sensit­ivity to iodine products or in clients with Hashim­oto’s thyroi­ditis, Graves disease or very large wounds
• Not recomm­ended in pregnant women, lactating mothers or children aged 2 years or younger
• The maximum single applic­ation is 50g and weekly maximum must not exceed 150g
• Treatment duration should not exceed 3 months in any single course of treatment
• Will require a secondary dressing

Silicone Dressings: Mepitel, Mepilex

Advantages
• Minimizes wound trauma on removal
• Conforms to different anatomical shapes
Disadv­antages
• Not recomm­ended for persons with allergies to silicone products

Silver Dressings: Aquacel Ag

Advantages
• Silver is a broad spectrum antimi­crobial and is effective against MRSA and VRE
Disadv­antages
• Should be used prudently as there is some concern that inappr­opriate use will lead to increased resistance

Wound Honey: Medihoney

Advantages
• Promotes moist wound healing
• Promotes autolytic and osmotic debrid­ement
• Has an antimi­crobial activity and is especially effective against Pseudo­monas and Stapha­ureus bacteria
• Controls malodour
Disadv­antages
• To be avoided in persons with known allergies to bee products
• Best stored at <30 degrees C and not exposed to light
• Can cause some stinging sensations
• Can lead to maceration
• Requires a secondary dressing

Negative Pressure Therapy Devices

V.A.C. dressings
Advantages
• Provides a moist wound enviro­nment
• Reduces bacterial coloni­zation
• Promotes localized blood flow
• Reduces localized oedema
• Reduced dead space in the wound as foam is cut to the shape of the wound
• Promotes granul­ation and epithe­liz­ation
• Facili­tates collection of wound exudate
• Reduces the need for frequent dressing changes
Disadv­antages
• Contra­ind­icated when necrotic eschar is present, untreated osteom­yelitis and malignant wounds. Do not place VAC dressing on exposed blood vessels, organs, non-en­teric or unexplored fistulae, use with caution on enteric fistula
• Caution is required for bleeding wounds or potential bleeding due to antico­agulant medication
• Requires a power source
• Requires specia­lized dressing and canister attach­ments