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    Wound Dressing

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    Ikram Hossain
    The document discusses wound dressings and their use in treating wounds. It describes the structure and function of skin, signs of wound infection, and the goals of wound assessment. It then discusses different types of wound dressings including films, hydrogels, hydrofibers, hydrocolloids, foams, alginates, and silver sulfadiazine. For each dressing type, the document outlines their characteristics, uses, and examples. It emphasizes choosing the right dressing based on the wound properties and evaluating dressing effectiveness.

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    Wound Dressing

    Uploaded by

    Ikram Hossain
    44 views26 pages
    The document discusses wound dressings and their use in treating wounds. It describes the structure and function of skin, signs of wound infection, and the goals of wound assessment. It then discusses different types of wound dressings including films, hydrogels, hydrofibers, hydrocolloids, foams, alginates, and silver sulfadiazine. For each dressing type, the document outlines their characteristics, uses, and examples. It emphasizes choosing the right dressing based on the wound properties and evaluating dressing effectiveness.

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    The document discusses wound dressings and their use in treating wounds. It describes the structure and function of skin, signs of wound infection, and the goals of wound assessment. It then discusses different types of wound dressings including films, hydrogels, hydrofibers, hydrocolloids, foams, alginates, and silver sulfadiazine. For each dressing type, the document outlines their characteristics, uses, and examples. It emphasizes choosing the right dressing based on the wound properties and evaluating dressing effectiveness.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    44 views26 pages

    Wound Dressing

    Uploaded by

    Ikram Hossain
    The document discusses wound dressings and their use in treating wounds. It describes the structure and function of skin, signs of wound infection, and the goals of wound assessment. It then discusses different types of wound dressings including films, hydrogels, hydrofibers, hydrocolloids, foams, alginates, and silver sulfadiazine. For each dressing type, the document outlines their characteristics, uses, and examples. It emphasizes choosing the right dressing based on the wound properties and evaluating dressing effectiveness.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 26
    At a glance
    Powered by AI
    The key takeaways are that skin acts as a protective barrier and is composed of several layers, and wound assessment and appropriate dressing selection are important for proper wound care and healing.

    The main layers of the skin are the epidermis, dermis and subcutaneous layer.

    During wound assessment, factors like size, depth, location, wound bed conditions, surrounding skin conditions and signs of infection are considered.

    Wound Dressing

    BY

    DR. MOHAMMAD KAMRUZZAMAN


    FCPS(SURGERY), FCPS(PLASTIC SURGERY)
    MRCSED, MRCSENG, FICS, FRCS(UK)
    ASSOCIATE PROF. OF PLASTRIC SURGERY DEPT.
    DHAKA MEDICAL COLLEGE HOSPITAL
    Skin: structure and function
     Largest organ of the body
     Primary function is protective
     Composed of several layers
     Outer Epidermis
     Dermis, containing the capillary network
     Subcutaneous layer (hypodermis, adipose layer)
    Skin: structure and function
     Thickness varies from a thin membrane at internal flexures (e.g. elbows), to
    thicker at the soles of the feet which bear considerable pressures
     Hair follicles, sebaceous glands, and sweat glands pass through the
    epidermis, but arise from the dermal layer
    Wound assessment
    Signs of Lab tests:
    infection TcPO2 Size, depth
    & location

    Odour or WOUND ASSESSMENT


    exudate

    Wound bed:
    • necrosis

    Wound edge • granulation


    Surrounding skin:
    colour, moisture,
    Aims of burns dressings
    Dressing choice
     What is available?
     How do we choose?
     Does the patient have a say?
     Do we consider cost?
     Are choices restricted by a protocol?
     How do we evaluate?
    Dressing choice
    The purpose of dressings:
    • To reduce pain The ideal dressing
    • To aid debridement A dressing that
    • To remove excess exudate creates the optimum
    • To control bleeding
    environment
    • To protect a wound
    • To support healing
    Wound debridement
    Wound cleansing
    Alternative therapies
    Dressing types
     Non-adherent wound contact materials
     Films
     Hydrogels
     Hydrofibre dressings
     Hydrocolloids
     Foams
     Alginates
     Miscellaneous
    Silver Sulfadiazine
     Silver sulfadiazine was discovered in the
    1960s.[It is on the World Health
    Organization's List of Essential Medicines
     sulfadiazine is a sulfa derivative topical
    antibacterial used primarily on second- and
    third-degree burns.
     Silver sulfadiazine is a topical
    sulfonamide antibiotic that acts on the
    bacterial cell wall and cell membrane;
    approved for the treatment of burns.
    use
     Common side effects include itching and pain at
    the site of use
     Other side effects include low white blood cell
    levels, allergic reactions, bluish grey
    discoloration of the skin, red blood cell
    breakdown, or liver inflammation. Caution
    should be used in those allergic to
    other sulfonamides.
     It should not be used in pregnant women who
    are close to delivery.It is not recommended for
    use in children less than two months of age.
     Silver sulfadiazine has broad antimicrobial
    activity. It is bactericidal for many gram-
    negative and gram-positive bacteria as well
    as being effective against yeast
    Film dressings

    • Semi-permeable primary or secondary


    dressings
    • Clear polyurethane coated with adhesive
    • Comfortable, resistant to shear and tear
    • Do not absorb exudate
    • Examples: Tegaderm, Op-site.
    Hydrocolloids

    • Pectin, gelatin, carboxymethylcellulose and


    elastomers
    • Environment for autolysis to debride sloughy or
    necrotic wounds
    • Occlusive --> hypoxic environment to
    encourage angiogenesis
    • Waterproof
    • Different presentations e.g. Urgotul
    Foam dressings

    • Advanced polymer technology


    • Non-adherent wound contact layer
    • Highly absorptive
    • Semi-permeable
    • Various types
    • Adhesive and non-adhesive
    Foam dressings

    • Sheets or gels
    • Starch and polyacrylamide (94% water)
    • Low exudate, shallow wounds
    • Re-hydrates necrotic tissue
    • Secondary dressing needed
    • May cause skin maceration
    Alginates

    • Seaweed dressings
    • Form a gel over the wound
    • Moderate to high exudate wounds
    • Easily removed
    • Can cause pain
    • Help to debride a wound
    • Different presentations
    Debridement methods
     Hydrogels
     Hydrocolloids
     Alginates
     Hydrofibre dressings
     Surgical
     Wet to dry dressings
     Whirlpool
    Documenting wound care

    • Potential for litigation


    • Good staff communication
    • Continuity of care
    • To assess progress or deterioration
    • Should be factual not subjective
    • Wound assessment charts
    Conclusion
     Wound care is becoming more complex as the range of
    wounds increases
     Correction of the underlying causative factors is essential
     Key principles must be adhered to with regard to basic
    patient and wound assessment
    Thank you

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