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
