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    DT0317

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    victor rodriguez
    This document provides a decision tree and information about different types of wound dressings. It lists various wound dressings including semi-permeable films, non-adherent dressings, fixation sheets, calcium alginate, foam dressings, hydrocolloid dressings, and paper tapes. It provides details on the advantages and disadvantages as well as indications and contraindications for each dressing type.

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    DT0317

    Uploaded by

    victor rodriguez
    49 views1 page
    This document provides a decision tree and information about different types of wound dressings. It lists various wound dressings including semi-permeable films, non-adherent dressings, fixation sheets, calcium alginate, foam dressings, hydrocolloid dressings, and paper tapes. It provides details on the advantages and disadvantages as well as indications and contraindications for each dressing type.

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    This document provides a decision tree and information about different types of wound dressings. It lists various wound dressings including semi-permeable films, non-adherent dressings, fixation sheets, calcium alginate, foam dressings, hydrocolloid dressings, and paper tapes. It provides details on the advantages and disadvantages as well as indications and contraindications for each dressing type.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    49 views1 page

    DT0317

    Uploaded by

    victor rodriguez
    This document provides a decision tree and information about different types of wound dressings. It lists various wound dressings including semi-permeable films, non-adherent dressings, fixation sheets, calcium alginate, foam dressings, hydrocolloid dressings, and paper tapes. It provides details on the advantages and disadvantages as well as indications and contraindications for each dressing type.

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    © All Rights Reserved
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    of 1

    DermatologyTimes ®

    MARCH 2017
    table of the month 99
    DOWNLOAD AT BIT.LY/DERMATOLOGYPRACTICERESOURCES

    Decision Tree - Types of wounds and dressing options


    Wound
    Dressings
    WOUND TYPE DRESSING OPTIONS REVIEW TIMES
    Dry necrotic wound Moisture retention eg hydrocolloid, 3-4 days
    semi-permeable
    Slough - covered wounds Moisture retention and fluid absorption 3-4 days
    eg hydrocolloid, alginate
    Infected wound Avoid semi-occlusive dressings. Consider 1-2 days
    alginate or hydrocolloid if high exudate
    Graze, abrasions - clean Film, tulle, fixation sheet or dry 2 days
    Graze, abrasions - soiled Dry or tulle 2 days
    Puncture wounds or bites Open or dry 2 days
    Laceration - sutured Open or dry, consider paper tape 3-7 days
    lacerations support after suture removal
    Burn-minor burns Film, medicated tulle, fixation sheet 4-5 days visual review, leave
    dressing on if healing
    Burn-major or requiring admis- Plastic wrap prior to surgical review, Inpatient review
    sion eg special areasBurns medicated tulle
    Chronic wounds eg ulcers, Hydrocolloid, alginate, foam 5 days
    PEG sites, etc

    DRESSING CHOICES

    Photo: Shutterstock / BERNATSKAYA OXANA


    DRESSING TYPES EXAMPLES ADVANTAGES DISADVANTAGES INDICATIONS CONTRAINDICATIONS

    Semi-permeable - thin, OpSite, Some moisture evaporation. Reduces Exudate may pool, Superficial Highly exudative
    adhesive, transparent Tegaderm pain. Barrier to external contamination. may be traumatic to remove. wounds. As a sec- wounds.
    polyurethane film Allows inspection. ondary dressing.

    Non adherent - moist (Tulle Jelonet, Reduces adhesion to wound. Does not absorb exudate. Burns. Wounds Allergy
    Gras Dressing) - gauze Unitulle Moist environment aids healing. Requires secondary dressing. healing by sec-
    impregnated with paraffin or Bactigras, May induce allergy or delay heal- ondary intention.
    similar. May be impregnated Sofra-Tulle ing when impregnated.
    with antiseptics or antibiotics

    Non adherent -dry - thin per- Melolin, Low wound adherence. Not suitable in high exudate. Can Wounds with Dry wounds
    forated plastic film coating Melolite, May absorb light exudate. dry out and stick to wound. May moderate exu- (may cause tissue
    attached to absorbent pad Tricose require secondary dressing. date. dehydration)

    Fixation sheet - porous poly- Fixomull, Can be used directly on wound site. Dressing needs washing with Wounds with Infected wounds
    ester fabric with adhesive Hypafix, Conforms to body contours, good pain soap and water, pat-dried twice mild exudate, allergy to adhesives
    backing Mefix relief and controls edema, Remains per- daily. Requires application of oil not needing
    meable allowing exudate to escape and prior to removal - ideally soaked frequent review.
    be washed and dried off wound.Dressing in oil and wrapped in cling film
    changes can be left for 5-7 days. overnight.

    Calcium Alginate, Natural Kaltostat Forms gel on wound and hence moist May require secondary dressing. Moderately or Dry wounds
    polysaccharide from sea- environment. Reduces pain. Can pack Not recommended in anaerobic highly exudative or hard eschar
    weed cavities.Absorbent in exudative wounds. infections. Gel can be confused wounds. Need
    Promotes hemostasis. Low allergenic. with slough or pus in wound. for hemostasis

    Foam dressings - polyure- PolyMem Moist, highly absorbent and protective. Set size of foam may be limited Wounds with mild Dry wounds, wounds
    thane foam dressing with by wound size. to moderate that need frequent
    adhesive layer incorporated exudate. review

    Hydrocolloid dressings - poly- Duoderm Retains moisture, painless removal. Avoid on high exudate wounds Burns (small), Dry wounds, infection
    urethane film coated with Abrasions
    adhesive mass

    Paper adhesive tapes - adhe- Micropore Non allergenic. Provides wound support. Non absorbent Small wounds Exudative or large
    sive tape may be applied wounds
    directly to healing laceration

    Republished, with permission from resources at The Royal Children’s Hospital, Melbourne, Australia www.rch.org.au/clinicalguide

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