This slide gives information about the various dressing techniques and materials available. Also information on traditional dressing materials is available. Vacuum assisted dressing has been well discussed.

1. Dressing techniques
and
Dressing materials
DR ASISH RAJAK
LECTURER
ORTHOPEDICS, BPKIHS

2. DRESSINGS
PURPOSE OF DRESSINGS
-Control bleeding
-Prevent infection and contamination
-Absorb blood and fluid drainage, debride
-Protect the wound from further injury
-Dressing – cover wound until the skin is functionally
restored
-Deliver antibiotic

3. Discussion
-- Wound Specialists
-- No evidence to an ideal dressing – surgeons assessment
-- Wet and Dry dressing
-- Traditional dressing / Modern dressing (hydrogel, alginate, polymer, silicon)
-- Antimicrobial dressings- Silver sulfadiazine , Povidone iodine impregnated dressings, Dakins
solution , Mafenide acetate and mafenide hydrochloride, hydrogen peroxide
-- Hemostatic dressing - chitosan, zeolite or derivatives of marine algae
-- Biological dressing - allograft skin, xenograft skin, or collagen matrices

6. DRESSINGS
TYPES OF DRESSINGS
GAUZE PADS
packages of various sizes, sterile
ADHESIVE STRIPS
A combination of both sterile dressing and a bandage
TRAUMA DRESSINGS
Made of large, thick, absorbent, sterile material

7. BANDAGES
PURPOSE OF BANDAGES
-Hold a dressing in place
-Apply direct pressure over a dressing
-Prevent or reduce swelling
-Provide stability for an extremity
-Extend (e.g. broken bones)

8. BANDAGES
TYPES OF BANDAGES
ROLLER BANDAGES
Differ in sizes, material
(cotton, gauze),
Elasticity (non/elastic
roller bandage)
TRIANGULAR BANDAGES
Consist of base, point and
ends
ADHESIVE TAPE
Often use to secure
bandages in place,
different types (paper,
dermatologic etc.)
ADHESIVE STRIPS
Used for small cuts,
combination of a dressing
and a bandage

9. BANDAGES
COMMONLY USED MATERIAL
-gauze
-cotton
-splints
-casts

10. DRESSING/BANDAGE APPLICATION
-Communication with a patient
-Getting things ready
-Washing hands
-Comfortable position (patient/nurse)
-GLOVES !
-Keep sterility if necessary/do not touch the wound
-Wound cleaning
-Dressing application
-Bandaging

11. BANDAGES
SIGNS THAT THE BANDAGE IS TOO TIGHT
-Blue tinge to the fingernail/toenail
-Blue or pale skin colour
-Tingling or loss of sensation
-Coldness of the extremity
-Inability to move the fingers/toes