The Wound Dressing Puzzle

WOUND

Treat the Cause

Local Wound

Patient Centered concerns

Tissue Debridement Surgical Autolytic Enzymatic Mechanical Biological

Moisture Balance Hydrofibers Hydrocolloids

Persistent Inflammation / Superficial Infection

Consider Ionized silver Hydrogels

Treat the Cause

Venous leg ulcers Compression therapy (high Compression)
Foot Ulcers Vascular supply especially in Persons Infection with Diabetes Pressure downloading Pressure Ulcers Pressure relief /reduction Nutrition /Incontinence Friction and shear mobility

Patient Centered Concerns

Pain and quality of
life.

Provide patient

education and support to increase adherence to treatment plan.

Local Wound Care

The key to
successful wound management is careful & accurate assessment of the wound

assessment of the wound

Tissue type:
Epithelialising ,granulating , sloughy, necrotic

Infection vs contamination.
Size:
length, width, depth ,area

Exudate:

low ,medium, heavy

Local Wound Care

Tissue Debridement -

Bacterial Reduction

Moisture Balance

Tissue Debridement
Why do We Want to Remove Necrotic Tissue

Necrotic tissue inhibits healing Necrotic tissue is a medium for infection Necrotic tissue (non-self) in a wound stimulates the inflammatory
response

Surgical Debridement
Patient has the ability to heal
Fast

Precautions May be painful (unless neuropathy) Expertise, facilities Anticoagulation

What would you do first?

Removal of Blisters and Hemorrhagic Areas

Ideal dressing for debrided wound,

Highly absorbent. Haemostatic agent

Trauma-free removal.

KALTOSTAT Alginate Dressing

KALTOSTAT
Soft, white dressing of calcium alginate fiber.
Highly absorbent absorb up to 15 times of its weight potent haemostatic effect

Local Wound Care

Tissue Debridement

Moisture Balance

Bacterial Reduction

Moist wound healing

It has long been
misunderstood that the best way to handle a wound was to allow it to dry out and even encourage a scab to form. advantages to keeping wounds moist and covered during the healing process.

there are many

Moisture Balance
presence of exudate in a wound will
provide an environment that stimulates healing. Exudate contains various components, including: lysosomal enzymes, WBC's, lymphokines and growth factors. advanced dressings are designed to keep the wound bed moist with exudate.

Dry healing environment

If wounds dry out epidermal cells wither
and die.

Delayed healing contributes to scar

formation

Hydrocolloids & Moist healing

Hydrocolloids are a type of dressing
containing gel-forming agents, such as sodium carboxymethylcellulose (NaCMC) and gelatin.

DuoDerm CGF DuoDerm CGF

DuoDerm CGF
DuoDerm CGF is
Hydrocolloid, occlusive dressing. Indicated for for:
clean, granulating wounds with low to moderate exudate.

DuoDerm CGF
clinical indication

pressure sores.

Venus leg ulcer along

with compression.

USES OF DUODERM THIN

DuoDerm CGF

provides such wounds with

In addition to moist healing environment :

promoting autolytic debridement due to high concentration of Develop acidic ph inside the wound wich stimulates new
blood vessels formation process.
autolytic enzyme

Bacterial barrier:

protection from secondary infection

Thermal insulation. 32.7 -35.2 degrees Allow removal without trauma& free from particles