Orthopedic Dressing Materials
1. Opsite - semi-permeable-thin, ...
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Description

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
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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