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Wound Dressings
Dressing | Features | Problems | Uses |
---|---|---|---|
Gauze | absorbs moisture, fills dead space, safe for infection, inexpensive | non-selective debridement, non-occlusive | secondary Dressing, heavy exudate, infection |
Transparent Films | occlusive, autolytic debridement, retain moisture | macerative, not safe for infection, peri-wound damage | wound visualization |
Hydrogels | autolytic debridement, add moisture, fills dead space, safe with infection | maceration, peri-wound damage, non-occlusive, must use secondary dressing, limited absorption | full and partial thickness, pressure ulcers, vascular ulcers, minor and radiation burns |
Foams | non-adherent, autolytic debridement, adds moisture, abosorptive | maceration, not effective on dry eschar or no exudate, non-occlusive | primary and secondary, partial or full thickness, minimal to heavy exudate |
Alginates | highly absorptive, non-adherent, autolytic debridement, fills dead space, safe with infection | non-occlusive, may dehydrate wound, not safe for dry eschar, 3rd degree burns, surgical implantation, and heavy bleeding, require secondary dressing | infection, tunneling and undermining, partial and full thickness wounds |
Hydrocolloids | autolytic debridement, adds moisture, absorbs moisture, occlusive, impermeable to gases | not safe for infection, not safe for arteriol ulcers, odor and yellow drainage | primary and secondary dressing, partial and full thickness, necrosis, light to moderate exudate |