Wound Dressing Materials

Hydrocolloids
• Action
– – – – Occlusive, adhesive wafers Provides a moist environment For clean wound to granulate For necrotic wound- promote autolytic debridement

• Indications
– Superficial, partial thickness wounds – Light to moderate exudate – Wounds with slough or necrotic tissue

• Method of Use
– 2 cm margin of the dried surrounding skin is needed for good adhesion

• Change frequency
– Usually 3- 7 days, depends on the wound condition and exudate

Alginates
• Actions
– – – – Derived from seaweed soft., non-woven fibres Absorb exudates up to 20 times of their weight Form a soft gel, maintain a moist environment for healing Partial to full thickness wounds Moderate to heavy exudate Cavity or sinus wound Infected wounds

Indications
– – – –

• •

Method of Use
– Light exudate- soak with normal saline solution – Heavy exudate- put directly

Change frequency
– Usually 12 hours to 4 days, depends.

Film Dressing
• Actions
– – – – Adhesive, semi permeable membrane Allow oxygen and water vapour to cross the barrier Impermeable to fluid and bacteria Moist environment to promote granulation

• Indications
– Superficial wounds – Light or no exudate – Necrotic or sloughy wounds

• Change frequency
– 24 or 72 hours, depends

Hydrogels
• Actions
– Hydrogels are water or glycerin-based amorphous gel or sheet dressings – Unable to absorb large amounts of exudate

• Indications
– – – – Partial to full thickness wounds Necrotic or sloughy wounds Light to moderate exudate Burns and tissue damage by radiation

• Change frequency
– Usually 12 to 48 hours, depends

Hydrofibre (Aquacel)
• Actions
– – – – – Soft, non-woven pad composed of hydrocolloid fibres Hydrophillic action Absorbing exudate vertically and entrapping it in the fibres It forms gel when it interacts with wound exudate Provide moist environment

• Indications
– Light to heavy exudate – Dehisced wounds and sinuses – Partial thickness burn wound

• Change frequency
– When saturated – Infected wound- daily – Non-infected wounds, not more than 7 days

Tulle Gras
• Actions
– As a wound contact layer to reduce the adherence of the dressing to granulating wounds

• Indications
– Minor traumatic injuries, ulcers, burns and skin grafts

• Change frequency
– Every 12 to 24 hours, depends

Non-adherent dressings (melolin)
• Actions
– Have a plastic film or other non-sticking materials on their contact surface to prevent them from adhering to the wound – Plastic film can be perforated to allow the passage of exudate

• Indications
– Dry sutured wounds – Superficial cuts – Abrasions and lightly exudating lesions

• Change frequency
– Usually every 2 to 3 days – Dry sutured wound – for 7 to 10 days

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