Page updated 30 April 2007
Wound Management Products Available
| TYPE OF DRESSING | BRANDS | FREQUENCY OF DRESSING CHANGE | GENERAL INDICATION OF USE |
|---|---|---|---|
| Absorbent | GAUZES, DRESSING PADS, TOPPER (J&J) | As required | Secondary coverage to provide absorbency and insulation. |
| Paraffin Gauze/Tulle Gras | Jelonet (S&N) | As required to prevent drying out | Clean, superficial wounds e.g. dermabrasion or partial thickness burns |
| Low (reduced adherence) | RELEASE (J&J) N-A Ultra (J&J) | As required. | Dry or very lightly exuding wounds e.g. ulcers and granulating wounds |
| Vapour- permeable film | BIOCLUSIVE (J&J) | As required | Clean, shallow low exudate wounds - especially where useful to see wound bed. Secondary dressing over gels, alginates. |
| Hydrogel | NU-GEL (Hydrogel with Alginate) (J&J) | Every 1-3 days | Dry, sloughy or necrotic wounds. Sloughy cavities. Lightly exuding or granulating wounds. Cool wound, reducing pain. USE WITH MEDICAL SUPERVISION ON WOUNDS WHERE ANAEROBIC INFECTION IS PRESENT. |
| Hydropolymer | TIELLE Lite or Classic (J&J) / TIELLE Plus | Daily initially, once exudate diminished leave up to 7 days | Light to medium exuding wounds, e.g. leg ulcers, pressure ulcers and for desloughing. NOT ON CLINICALLY INFECTED WOUNDS WITHOUT MEDICAL SUPERVISION. May adhere to dry, shallow wounds if left for extended periods. For moderate to heavy exudate. |
| Hydrogel + Hydropolymer | NU-GEL + TIELLE (J&J) | Daily if infected. Can be left up to 3 - 5 days according to wound type | Open, post-operative, granulating, cavity wounds (with no underlying tracts or sinuses) such as pilonidal sinus excision, dehisced surgical wounds, perineal wounds, pressure ulcers. |
| Alginate | KALTOSTAT
- sheets - packing (cavity dressing) (Conva Tec) |
Daily inspection. Change if reached maximum absorbency can reach twice-weekly changes quickly. | Bleeding and non-bleeding, heavily to moderately exuding wounds. Shallow or cavity wounds. (with a secondary dressing) |
| Dressings/ Products For prevention of Infection | INADINE (tulle impregnated with in Povidone-lodine10%) (J&J) FLAMAZINE CREAM (Silver sulphadiazine 10%) |
Change when distinctive orange-brown colour changes to white. Max 4 dressings at same time Daily, under absorbent dressing |
Superficial burns and skin loss injuries. Caution in patients with known sensitivity to iodine or thyroid patients who are not well controlled. Where infection may prevent healing e.g. burns |
| Prevention of infection. Absorption of odour | INADINE (tulle impregnated with in Povidone-lodine10%) (J&J) FLAMAZINE CREAM (Silver sulphadiazine 10%) |
Apply to wound 1-2 times dailyand cover USE TUBE ONCE ONLY | De-odourisation of fungating malodorous tumours. Flat wounds - apply liberally. Cavities - smear on unmedicated paraffin gauze and pack loosely |
- Sloughy - Infected |
ACTISORB SILVER 220 (J&J) | Use every 1-7 days at first then weekly by using on top of low adherent dressing if required. Daily if infected. Can leave up to 7 days. | Presence of bacterial contamination, infection or odour e.g. superficial burn (N-A Ultra in between if bleeding, dry), fungating carcinomas as contains charcoal and silver. DO NOT CUT. Exuding and infected wounds, pressure ulcers, and leg ulcers, with a secondary dressing. |
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