Page updated 30 April 2007
Selecting Wound Management Products for types of Wounds
| WOUND TYPE | DRESSING CHOICE | WOUND TYPE | DRESSING CHOICE |
|---|---|---|---|
| FLAT, DRY | Low-adherent-release: N-A Ultra Vapour permeable films: Bioclusive |
EPITHELIALISING | Vapour-permeable film-Bioclusive Hydropolymer- Tielle Lite Hydrogel - Nu-gel Low-adherent - NA Ultra, Mepitel |
| FLAT MOIST | Low-adherent-Release: N-A Ultra Vapour-Permeable film: Bioclusive Hydropolymer: Tielle Alginate: Kaltostat Non Medicated tulle: Jelonet Hydrogel: Nu-gel |
GRANULATING | Hydropolymer- Tielle Lite Alginate- Kaltostat Hydrogel-- Nu-gel Low-adherent-Release or N-A Ultra if dry, lightly exuding Vapour permeable Film-- Bioclusive |
EXUDING Low- moderateExudate |
Hydropolymer: Tielle Lite or Classic Alginate: Kaltostat, Hydrogel, Nu-gel |
EXUDING Moderate - heavy Exudate |
Alginate - Kaltostat Hydrofibre - Aquacel |
EXUDING Heavy Exudate |
Alginate: Kaltostat Hydropolymer: Tielle Classic or Plus |
EXUDING Deep wounds with a cavity |
Alginate-Kaltostat packing Hydrogel-- Nu-gel VAC (Vacuum Assisted Closure) |
SLOUGHY Sloughy Cavity |
Consider sodium chloride 0.9% cleansing and surgical debridement. Hydrogel: Nu-gel Hydropolymer: Tielle Alginate: Kaltostat Hydrogel: Nu-gel Alginate: Kaltostat |
INFECTED (Please refer to Infection Control Team for advice) |
Antibiotics e.g. systemic route Antibacterial e.g. Flamazine Antiseptics e.g. povidone iodine lnadine-cut into strips Actisorb Silver 220 - made into 'tea bag' |
| MAL- ODOROUS | Odour absorbing Actisorb Silver 220 Metrotop Gel: for fungating, malodorous tumours only | NECROTIC | Hydropolymer-Tielle Hydrogel- Nu-gel Varidase and Nu-gel Surgical debridement |
Morgan DA. Formulary of Wound Management Products - A Guide for Health Care Staff (Eighth edition) 2000 Euromed Communications Limited, Surrey.
Choice of Dressing / Product for Wounds / Wound Types
Discoloured, unbroken skin
Dry skin: simple bland moisturisers e.g. 50/50 cream, E45 cream, soft paraffin
Skin conditions associated with wounds: paste bandages
Skin subject to pressure or trauma: foam dressings; low adherent dressings; non-medicated tulles; vapour permeable films
Overgranulation tissue
Hydropolymer-Tielle
Terra-cortril (tetracycline and hydrocortisone) ointment
Lyofoam
Oedematous wounds
Compression bandages
Exercise, Elevation
Cavity wounds
If cavity present use Nu-gel (sloughy) or lnadine (infected)
Alternatively: foams, cavity wound dressings e.g. Allevyn, alginate ropes
Venous ulcers
Compression bandages elevation, exercise
Non/Low adherent dressing - Release or N-A Ultra
Paste bandages - to treat skin conditions
Arterial ulcers
Low Adherent dressing e.g. Release or N-A Ultra
Paste bandages to treat skin conditions
Exercise
Compression bandages are contraindicated
Venous/arterial ulcers
As for arterial ulcers except that light compression may be indicated
Pressure ulcers
Relief of pressure
Diabetic foot ulcer
Foot care, vascular assessment, pressure reducing management, callus removal, growth factors
Malignant, fungating wounds
Control bleeding, debride wound,treat odour
Reduce exudate and inflammation
Care for surrounding skin
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