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Wound Dressing

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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Ikram Hossain
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251 views26 pages

Wound Dressing

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.

Uploaded by

Ikram Hossain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
  • Wound Dressing Introduction: An introductory slide presenting the topic of wound dressing by Dr. Mohammad Kamruzzaman.
  • Skin: Structure and Function: Describes the skin's structure and function, including its layers and primary protective role.
  • Wound Assessment: Focuses on the components of wound assessment such as infection, size, and surrounding skin.
  • Aims of Burns Dressings: Details the objectives of applying burn dressings to assist healing and pain relief.
  • Types of Burns: Discusses different burn types with characteristics such as appearance, sensation, and healing time.
  • Dressing Choice: Explores considerations in selecting appropriate dressings for various wounds.
  • Dressing Changes for Burns: Provides guidelines for changing dressings on burn wounds including criteria for early changes.
  • Dressing Types: Lists various dressing materials like films, foams, and alginates, with their properties.
  • Silver Sulfadiazine: Describes the application, usage, and effects of Silver Sulfadiazine in treating burns.
  • Debridement Methods: Introduces methods for debridement including surgical, hydrogel, and whirlpool techniques.
  • Documenting Wound Care: Emphasizes the importance of documenting wound care accurately and methodically.
  • Conclusion: Wraps up the training with key principles and considerations for wound care management.

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 [Link] 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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