Orthopedic Dressing Materials
1. Opsite - semi-permeable-thin, adhesive transparent polyurethrane film
• Indications: Superficial wounds as secondary dressing
• Contraindications: Highly exudative wounds
• Advantages: Some moisture evaporation, reduce pain, barrier to external contamination, allows inspection
• Disadvantages: Exudate may pool, maybe traumatic to remove
2. Jelonet Bactigras PARAFFIN - non-adherent moist (Tulle Gras dressing) gauze impregnated with paraffin or maybe with antiseptics or antibiotics
• Indications: Burn wounds healing by secondary intention
• Contraindications: Allergy
• Advantages: Reduces adhesion to wound, moist environment aids healing
• Disadvantages: Requires secondary dressing, allergy, may delay healing when impregnated
3. Kaltostat CALCIUM ALGINATE - Calcium alginate natural polysaccharide from seaweed
• Indications: Moderately/highly exudative wounds, need for hemostasis
• Contraindications: Dry wound, hard eschar
• Advantages: forms gel on wound & hence moist, environment, reduces pain, can pack cavities, absorbent in exudative wounds, promotes hemostasis, low allergenic
• Disadvantages: May require secondary dressing, not recommended in anearobic infections, gel can be confused with slough or pus in wound
4. Duoderm E HYDROCOLLOID - hydrocolloid dressing-hydrophilic colloid bound to polyurethrane film coated with adhesive mass
• Indications: Burn (small) abrasions, mildly exudating ulcers donate moisture & absorb exudates
• Contraindications: Dry wound, infection, full thickness wound
• Advantages: Retains moisture, painless removal, facilitate autolytic debridement, thermal insulation, worn for 3-5 days-fewer dressing changes
• Disadvantages: Avoid on high exudate wounds, sinus tracts, fragile skin
5. Duoderm - Hydroactive HYDOGEL - hydogel - water or glycerin-based 80-99% water on a nonadherent, cross-linked polymer
• Indications: Pressure ulcer stage II-IV, partial & full thickness wound dermabrasion, painful wound dermal ulcer, radiation burn donor sites necrotic wounds
• Contraindications: Heavily draining wound
• Advantages: Rehydrate the wound bed, reduce pain, used on infected wound with, topical medication, promote autolytic debridement
• Disadvantages: Need 2ndary dressing, avoid heavily draining wound, absorptive properties may macerate, periwound skin
5. Aquacel HYDROFIBER SODIUM CARBOXYMETHYLCELLULOSE - soft, sterile, nonwoven pad or
ribbon with sodium carboxymethylcellulose
• Indications: Moderate to heavily draining wound partial & fully thickness wound pressure ulcer (stage III & IV) surgical wound, donor site dehisced wound, cavity wound wounds with sinus tracts or tunnels
• Contraindications: Dry eschar non-exudating wound 3rd degree burn heavy bleeding
• Advantages: Retains moisture, absorb & retain exudate & harmful components, do not damage tissues surrounding, exudating wound when dressing changes, removal trauma free, reduce dead space, no frequent change
• Disadvantages: Dressing non-adherent, need 2ndary dressing to secure it
6. Aquacel Ag SILVER - ionic silver for immediate and controlled release
• Indications: Infected/highly colonized wound partial thickness (2nd degree) burn DFU, leg ulcers traumatic wound wounds prone to bleeding, oncology wounds with exudate
• Contraindications: Stage I pressure ulcers, 3rd degree burn, non-exudating wounds
• Advantages: Inhibit pathogen growth, especially antibiotic-resistant strains, effective antimicrobial action up to 7 days
• Disadvantages: 2ndary dressing to secure silver dressing, allergy, not to use with topical medication, silver turns black when oxidizes, may stain or discolor periwound tissue
7. Elase FIBRINOLYSIN DESOXYRIBONUCLEASE - fibrinolysin desoxyribonuclease
• Indications: Enzymatic debridement of necrotic tissue in wound & liquefaction & dissolution of exudates of injured skin & mucous membrane
• Contraindications: Allergic to bovine compound
• Disadvantages: Allergy
#Orthopedics #Dressings #Materials #management #wound #comparison #table