Wound care and dressing management
Summary
This on-demand teaching session, 'All Dressed Up', provides an insightful and comprehensive introduction to wound management and dressings. Engagingly delivered by Chloe Tan, it provides practical advice on how to choose the ideal dressing, including the need for moisture, thermal insulation, infection barriers, convenience, cost-effectiveness, and availability. It covers classifications such as primary vs secondary, adhesive vs non-adhesive, and island dressings. The session explores various types of dressings including Mepore®, Softpore®, Cosmopor® E, Primapore®, Jelonet®, Inadine®, Atrauman® Ag, and Bactigras®. It also examines different wound stages and appropriate dressings for each stage. Further, it discusses wound dehiscence, its management, and key resources for wound management. This session is an excellent resource for medical professionals seeking to strengthen their knowledge and skills in wound management and dressings.
Learning objectives
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By the end of this session, learners will be able to accurately identify different types of wounds and their associated characteristics.
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Learners will gain the ability to correctly classify wounds as primary versus secondary and adhesive versus non-adhesive.
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Students will understand how to make appropriate choices in dressings based on the characteristics of the wound, such as moisture level, thermal insulation needs, and infection risk.
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By the end of this session, attendees will be able to identify cost-effective and readily available options for wound dressings and apply them appropriately based on the wound type.
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Learners will be equipped with the knowledge to recognise cases of wound dehiscence and know the appropriate immediate management steps.
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All Dressed Up Intro to wounds and simple dressings Chloe TanWet or Dry?1. 2. 3. 4.The Ideal Dressing… Moist but not macerated Thermal insulation Barrier to infection Convenient removal Cost effective Readily available Classifications Primary vs Secondary Adhesive vs Non-AdhesiveIsland Dressings Our dependable friend! Closely approximated wound edges ie sutures Mepore® Softpore® Cosmopor®E Primapore® Contact Layer Paraffin Antimicrobial Non-Adhesive Embedded !Beware! Open Mesh Jelonet® Inadine® Cuticell® Atrauman® Ag Granulating Leukoplast® Red Stage Bactigras® Films & Membranes Tegaderm® Waterproof Vapour Permeable OPSITE Epithelialising Pink Stage Moist Dressings Hydrocolloid Granuflex® Keeps Moisture In Necrotic/Slough Tegaderm® Hydrocolloid Black/Yellow Stage Coloplast® ComfeelMoist Dressings Hydrogel Donates Moisture Cooling and Comfortable Necrotic/Slough Black/Yellow Stage Actiform® Cool Kerralite Cool® Intrasite® Gel Saturation Absorbent Dressings Hydrofibre Foam Pure hydrocolloid woven fibres Allevyn® Aquacel® ActivHeal®Strikethrough Wound Dehiscence ● Typically occurs 5-8 days after the surgery ● Split into: ○ Superficial: Rectus sheath intact, commonly caused by surgical site infection. ○ Full thickness: Rectus sheath compromised, in severe cases there is protrusion of abdominal contents (evisceration). Can be caused by: increased intra- abdominal pressure, poor surgical technique, high BMI Management A-E ● Cover with sterile saline soaked gauze ● Ensure patient has adequate analgesia ● Broad spectrum antibiotics ● Inform senior – patient will have to return to theatrehttps://bnf.nice.org.uk/wound- management/ https://wounds-uk.com/made- easy/postoperative-incision- management/Questions? chloe.tan1@nhs.net