Powerpoint Templates
Page 8
D
r
e
s
s
i
n
gmaterial:g
a
u
z
e
Moderateabsorbtion
Nonadhesive
Lighthydration
Superficialwounds
&
lightexudingwounds
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.Grabba
n
dSmith’splasticsurgery
.7edition.Philadelphia;2014
Powerpoint Templates
Page 9
D
r
e
s
s
i
n
gmaterial:T
u
l
l
e
s
L
o
wabsorbtion
Nonadhesive
Shallowwounds
&
lightexudingwounds
Powerpoint Templates
Page 10
D
r
e
s
s
i
n
gmaterial:film
Nonabsorbing
Fullyadhesive
Slowhydration
 Superficialwounds&
lightexudingwounds
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.Grabba
n
dSmith’splasticsurgery
.7edition.Philadelphia;2014
Powerpoint Templates
Page 11
H
y
d
r
o
g
e
ls
h
e
e
t
s
L
o
wabsorption
Nonadhesive
oradhesiveborder
Moderatehydration
 Superficialwounds&
lightexudingwounds,
painfulwounds
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.GrabbandSmith’splasticsurgery.7edition.Philadelphia;2014
Powerpoint Templates
Page 12
A
m
o
r
p
h
o
u
s
h
y
d
r
o
g
e
l
Low-moderateabsorption
Nonadhesive
Quickhydration
 Infectedwound
Superficialtodeepwounds
lighttomoderate
exudingwounds
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.Grabba
n
dSmith’splasticsurgery
.7edition.Philadelphia;2014
Powerpoint Templates
Page 13
H
y
d
r
o
c
o
l
l
o
i
d
s
Low-moderateabsorption
Fullyadhesive
Moderatehydration
Superficialwounds
lighttomoderateexudingwounds
Promotecellmigration
W
ounddebridementbyautolytic
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.GrabbandSmith’splasticsurgery.7edition.Philadelphia;2014
Powerpoint Templates
Page 14
F
o
a
m
s
Highabsorption
Fulltononadhesive
Nothydration
Superficialtodeepwounds
Moderatlytoheavily
exudingwounds
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.Grabba
n
dSmith’splasticsurgery
.7edition.Philadelphia;2014
Powerpoint Templates
Page 15
A
l
g
i
n
a
t
e
s
Highabsorption
Nonadhesive
Nothydration
Superficialordeepwounds
Moderatlytoheavily
exudingwounds
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.GrabbandSmith’splasticsurgery.7edition.Philadelphia;2014
Powerpoint Templates
Page 16
C
o
l
l
a
g
e
n
s
 Moderatetohigh
absorption
Nonadhesive
Nothydration
 Superficialordeepwound
lighttomoderatly
exudingwounds
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.Grabba
n
dSmith’splasticsurgery
.7edition.Philadelphia;2014
Powerpoint Templates
Page 17
Silver-impregnatedd
r
e
s
s
i
n
g
s
Colonization,infectedwound
 Broadspectrumofbactericidal
activitywithlowtoxicto
human
 Gauze,hydrocolloid,alginates,
foams,creamsandgels
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.GrabbandSmith’splasticsurgery.7edition.Philadelphia;2014
Powerpoint Templates
Page 18
D
e
r
m
a
lc
o
l
l
a
g
e
nr
e
p
l
a
c
e
m
e
n
t
Superficialandmoderate-depthpartialthicknessburns
Increasedspeedofhealing
DecreasedPain
Increaserateofepithelialization
Powerpoint Templates
Page 19
Nephew&
Smith
Powerpoint Templates
Page 20
N
e
g
a
t
i
v
ep
r
e
s
s
u
r
ew
o
u
n
d
t
h
e
r
a
p
y
NegosantiL,PintoV
,SgarzaniR.Clinicalevidencespersonalexperiencesrecentapplications.W
orldJDermatol.2012October2;1(3):13-23.
Powerpoint Templates
Page 21
N
e
g
a
t
i
v
ep
r
e
s
s
u
r
ew
o
u
n
d
t
h
e
r
a
p
y
KirbyM.Negativepressurewoundtherapy.Br
.J.OfDiabetesandV
ascularMedicine.2007;7(5):230-234.
Powerpoint Templates
Page 22
 Intermittentorcontinuoussubatmospheric
pressuretoawoundat50-175m
m
H
g
 Moistwoundhealingenvironment
 Removaloffluidsandinfectiousmaterials
 Decreasedbacterialcolonization
 Enhancedformationofgranulationtissue
N
e
g
a
t
i
v
ep
r
e
s
s
u
r
ew
o
u
n
d
t
h
e
r
a
p
y
KirbyM.Negativepressurewoundtherapy.Br
.J.OfDiabetesandV
ascularMedicine.2007;7(5):230-234.
Powerpoint Templates
Page 23
N
e
g
a
t
i
v
ep
r
e
s
s
u
r
ew
o
u
n
d
t
h
e
r
a
p
y
A
d
v
a
n
t
a
g
e D
i
s
a
d
v
a
n
t
a
g
e
Reductionofedema Timeconsuming
Rapidcelldivision Expensive
Increaseinlocalbloodflow Laborintensive
Reductioninbacterialevelsand
Removalofharmfulproteases
Notalwayseffective
KirbyM.Negativepressurewoundtherapy.Br
.J.OfDiabetesandV
ascularMedicine.2007;7(5):230-234.
Powerpoint Templates
Page 24
N
e
g
a
t
i
v
ep
r
e
s
s
u
r
ew
o
u
n
d
t
h
e
r
a
p
y
Indication Contraindication
Lymphaticleaks
Venousstasiswounds
Woundswithfistulae
Sternalwound
Orthopedicswounds
Abdominalwounds
Chronicopenwounds(diabeticulcers
andstages3and4pressureulcers)
Acuteandtraumaticwounds
 Necrotictissue
 Malignantwound
 Ischemicwounds
 Activebleeding,exposedlargevessel
 Infectedwound
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.GrabbandSmith’splasticsurgery.7edition.Philadelphia;2014
Powerpoint Templates
Page 25
DiniV
,MitevaM,RomanelliP
,BertoneM,RomanelliM.Evaluationofvenouslegulcersbeforeandafternegativepressurewoundtherapy.W
ounds.2011;23(9):257–266
Powerpoint Templates
Page 26
TuncelU,TuranA
,BayraktarA
,
A
ydinU,ErkorkmazU.Clinicalexperiencewiththeuseofgauze-basednegativepressurewoundtherapy.W
ounds:2012;24(8):227–233.
Powerpoint Templates
Page 27
C
h
r
o
n
i
cw
o
u
n
d
s
Definition
woundsthathavefailedtoproceedthrough
theorderlyprocessthatproducessatisfactory
anatomicandfunctionalintegrity.
Themajorityofwoundsthathavenothealedin
3monthsareconsideredchronic.
Powerpoint Templates
Page 28
Maintainingamoistwoundenvironmenteg.hydrocolloids.
Highabsorptionmaterial
Compressiontherapy
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.GrabbandSmith’splasticsurgery.7edition.Philadelphia;2014
V
e
n
o
u
s
s
t
a
s
i
su
l
c
e
r
s
Powerpoint Templates
Page 29
V
e
n
o
u
s
s
t
a
s
i
su
l
c
e
r
s
Compressiondressing
Powerpoint Templates
Page 30
Moistdressing
th
ThorneC,ChungK
,GosainA
,GurtnerG,MehraraB
,RubinP
,SpearS.GrabbandSmith’splasticsurgery.7edition.Philadelphia;2014
Arterialu
l
c
e
r
s
Powerpoint Templates
Page 31
Wound Material
Intact skin Film, thin hydrocolloid,
offloading footwear
Minimal exudate Film, hydrocolloid,
thin foam
Moderate exudate Hydrocolloid, foam,
calcium alginate
Heavy exudate Foam, calcium alginate
Infection wound antimicrobial dressing
Arterialu
l
c
e
r
s
Powerpoint Templates
Page 32
P
r
e
s
s
u
r
eu
l
c
e
r
s

advdressing.pptx