Surgical Wound Dressing Flashcards
Is a type of bandage used to cover a wound by sticking to the surrounding skin using wound dressing tape or glue.
Wound dressing
Kinds of Dressing
Gauzes
Transparent Films
Foams
Hydrogels
Hydrocolloids
Hydroconductive Dressing
Examples of Gauzes
Traditional gauzes
impregnated gauzes
Wet to dry gauzes
Examples of Transparent films
Bi-layer or multi-layer films
Examples of Foams
Traditional foams
Antibacterial foams
Examples of Hydrogels
Alginate-based hydrogels
Collagen-based hydrogels
Examples of Hydrocolloids
Internal layer based on hydrogels
External layer based on synthetic polymers
Examples of Hydroconductive dressing
Multi-layer structure
Purposes
To protect the wound from mechanical injury
To protect the wound from microbial contamination
To provide or maintain moist wound healing
To provide thermal insulation
To absorb drainage or debride a wound or both
To prevent hemorrhage (when applied as a pressure dressing or with elastic bandages)
To splint or immobilize the wound site and thereby facilitate healing and prevent injury.
Type of dressing used depends on
(a) the location, size, and type of the wound
(b) the amount of exudate
(c) whether the wound requires debridement or is infected
(d) such considerations as frequency of dressing change, ease or difficulty of dressing application, and cost
Types of dressings
Dry dressings
Wet to dry dressings
Wet to wet dressings
Used primarily for wounds closing by primary intention. Offers good wound protection, absorption of drainage, and aesthetics for the patient and provides pressure, if needed, for
hemostasis
Dry dressings
Dry dressing disadvantage
they adhere to the wound surface when drainage dries. (Removal can cause pain and disruption of granulation tissue.)
These are particularly useful for untidy or infected wounds that must be debrided and closed by secondary intention.
Wet to dry dressings
Used on clean open wounds or on granulating surfaces. Sterile saline or an antimicrobial agent may be used to saturate the dressings.
Provides a more physiologic environment (warmth, moisture), which can enhance the local healing processes as well as ensure greater patient comfort. Thick exudate is more easily removed.
Wet to wet dressings