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Wound Dressings
Dr. C. Chung MBBS MMED (Gen Surg)
Introduction
• Wound dressings have the main objective of optimizing local wound
healing
• The dressing in contact with the wound is known as the primary
wound dressing.
• Dressings used to absorb leakage or secure primary dressings is
termed secondary dressings
• There are varying wound types that require different dressing
methods to ensure appropriate healing
What is a wound?
• A disruption of the continuity of epithelial lining of skin or mucosa.
Classification of wounds
• Based on Origin:
• Mechanical
• Chemical
• Radiation
• Thermal
• Special
• Based on Bacterial
Contamination:
• Clean
• Clean contaminated
• Contaminated
• Dirty
Classification of wounds
• Based on Depth of injury:
• Superficial
• Partial thickness
• Full thickness
• Deep
Purpose of wound dressings
• To promote healing by primary intention
• To prevent infection
• To protect the wound from mechanical trauma
• To absorb drainage
• To prevent contamination from bodily discharge
Dressing Selection
• This should be based on:
• Condition of wound bed
• Exudate
• Presence of infection
Types of Dressings
• Dry to dry-used primarily for small wounds closing by primary
intention
• Wet to dry-Used for infected wounds with moderate exudate
• Wet to wet-used for infected wounds with the primary layer
saturated with antibacterial solution
• Wet to damp-variation of wet to dry dressing
Examples of Wound care products
• Alginates-haemostatic properties, promotes debridement of slough,
Highly absorbent
• Film dressings-impermeable to fluids and bacteria, promotes moist
wounds
• Foams-useful for moderate exudates, high probability of causing
contact dermatitis
• Hydrocolloids-promotes debridement and granulation, occlusive and
waterproof
• Hydrofibre-similar to alginates
Examples of Wound care products
• Hydrogels-Contains high water content, promotes debridement of
eschar and slough
Examples of Antimicrobials
• Iodine
• Silver containing creams and solution
• PHMB
• Honey
• Chlorhexidine
The End

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Wound dressings BSH.pptx

  • 1. Wound Dressings Dr. C. Chung MBBS MMED (Gen Surg)
  • 2. Introduction • Wound dressings have the main objective of optimizing local wound healing • The dressing in contact with the wound is known as the primary wound dressing. • Dressings used to absorb leakage or secure primary dressings is termed secondary dressings • There are varying wound types that require different dressing methods to ensure appropriate healing
  • 3. What is a wound? • A disruption of the continuity of epithelial lining of skin or mucosa.
  • 4. Classification of wounds • Based on Origin: • Mechanical • Chemical • Radiation • Thermal • Special • Based on Bacterial Contamination: • Clean • Clean contaminated • Contaminated • Dirty
  • 5. Classification of wounds • Based on Depth of injury: • Superficial • Partial thickness • Full thickness • Deep
  • 6. Purpose of wound dressings • To promote healing by primary intention • To prevent infection • To protect the wound from mechanical trauma • To absorb drainage • To prevent contamination from bodily discharge
  • 7. Dressing Selection • This should be based on: • Condition of wound bed • Exudate • Presence of infection
  • 8. Types of Dressings • Dry to dry-used primarily for small wounds closing by primary intention • Wet to dry-Used for infected wounds with moderate exudate • Wet to wet-used for infected wounds with the primary layer saturated with antibacterial solution • Wet to damp-variation of wet to dry dressing
  • 9. Examples of Wound care products • Alginates-haemostatic properties, promotes debridement of slough, Highly absorbent • Film dressings-impermeable to fluids and bacteria, promotes moist wounds • Foams-useful for moderate exudates, high probability of causing contact dermatitis • Hydrocolloids-promotes debridement and granulation, occlusive and waterproof • Hydrofibre-similar to alginates
  • 10. Examples of Wound care products • Hydrogels-Contains high water content, promotes debridement of eschar and slough
  • 11. Examples of Antimicrobials • Iodine • Silver containing creams and solution • PHMB • Honey • Chlorhexidine