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product selection---is there a difference

25/08/2011. www.worldofwounds.com . 2. Generic Principles . Promote clottingRemove necrotic tissueControl exudateFacilitate collagen deposition (granulation) and epithelial migration (contraction)Prevent or treat infectionRelieve pain. 25/08/2011. www.worldofwounds.com . 3. Matching Colour

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product selection---is there a difference

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    1. 25/08/2011 www.worldofwounds.com 1 Product selection---is there a difference?

    2. 25/08/2011 www.worldofwounds.com 2 Generic Principles Promote clotting Remove necrotic tissue Control exudate Facilitate collagen deposition (granulation) and epithelial migration (contraction) Prevent or treat infection Relieve pain

    3. 25/08/2011 www.worldofwounds.com 3 Matching Colour & Product Black-(necrotic)---if aiming to heal—cleansing/debriding dressing Green-infected ----antimicrobial dressing Wet yellow-slough---absorbent/antimicrobial dressing Dry yellow-necrotic---rehydrating dressing Red-granualtion---protective dressing Hypergranulation---antimicrobial dressing Pink-epithelium---protective dressing This is not a prescription but a guide to where to start

    4. 25/08/2011 www.worldofwounds.com 4 Determinants Site Size Depth Volume and type of exudate Surrounding skin condition Pain Ability to purchase/obtain When ideally dressing change is possible

    5. 25/08/2011 www.worldofwounds.com 5 Dressing-- generic types Impregnated mesh dressing Light absorbent pads Super absorbent pads Film protective wipes Sheet films Foams Hydrocolloids Hydrogels Calcium alginates Hydrofibre Cadexomer Iodine Silver dressings Medicated honey Tea Tree oil dressings Hypertonic salt Zinc paste bandages

    6. 25/08/2011 www.worldofwounds.com 6 Impregnated mesh dressings

    7. 25/08/2011 www.worldofwounds.com 7 Impregnated Gauze-Like Products Adaptic Johnson & Johnson Curity Covidien Aquaphor Smith & Nephew Atrauman Hartmann * Urgotul distributed by Innovex Mepitel Molnlycke Hydrotul Hartmann

    8. 25/08/2011 www.worldofwounds.com 8 Non/Low– Adherent Pads

    9. 25/08/2011 www.worldofwounds.com 9 Non – Adherent Pads Melolin and Cutilin by Smith & Nephew Interpose by Multigate Metaline by Lohman Release by J & J

    10. 25/08/2011 www.worldofwounds.com 10 More absorbent pads

    11. 25/08/2011 www.worldofwounds.com 11 Absorbent Pads Mesorb Molnlycke Zetuvit Hartmann Exudry S & N Adsorb Plus S & N

    12. 25/08/2011 www.worldofwounds.com 12 Super absorbers

    13. 25/08/2011 www.worldofwounds.com 13 Super absorbers Zetuvit Plus Hartmann DriMax Reliance Medical CombiDerm Convatec Eclypse MediGroup Alione Coloplast

    14. 25/08/2011 www.worldofwounds.com 14 Film Barrier wipes or spray

    15. 25/08/2011 www.worldofwounds.com 15 Film/Barrier Wipes ConvaCare Convatec Skin Prep Wipes S & N **No Sting Skin Prep Wipes S & N Preppies Covidien **No Sting Barrier Wipes 3M Barrier Wipes Coloplast **no alcohol

    16. 25/08/2011 www.worldofwounds.com 16 Film sheets

    17. 25/08/2011 www.worldofwounds.com 17 Semi-permeable Films Sheets Opsite (Flexigrid & Flexifix) Smith & Nephew Tegaderm 3M Polyskin II & MR Covidien Bioclusive J & J Hydrofilm Hartmann Mepore film Mölylncke

    18. 25/08/2011 www.worldofwounds.com 18 Foam and foam like products

    19. 25/08/2011 www.worldofwounds.com 19 Polyurethane FoamsRegular Many shapes, sizes and styles available Allevyn* Smith & Nephew Curafoam Covidien Hydrasorb Covidien Lyofoam Molnlycke Trufoam Unomedical Foam 3M UrgoCell Innovex

    20. 25/08/2011 www.worldofwounds.com 20 Polyurethane Foams orHydro-active Dressings Biatain Coloplast PolyMem & QuadraFoam Reliance Medical Tielle J & J Permafoam Hartmann

    21. 25/08/2011 www.worldofwounds.com 21 Soft Silicone Foam Dressing Mepilex-- (Tendra) Molnlycke Biatain Soft Hold—Coloplast Allevyn Gentle—S & N

    22. 25/08/2011 www.worldofwounds.com 22 Gelling FoamVersivaXC This new product is a combination of Aquacel, polymer beads and absorbent pad, with a waterproof backing when used in the adhesive form and a polymer backing as non-adhesive Convatec product www.convatec.com.au 1800 335 276

    23. 25/08/2011 www.worldofwounds.com 23 Hydrophilic open cell foam Ligasano Ligamed www.ligamed.com.au

    24. 25/08/2011 www.worldofwounds.com 24 Hydrocolloids

    25. 25/08/2011 www.worldofwounds.com 25 Hydrocolloids DuoDERM Convatec Comfeel Coloplast Ultec & Ultec Pro Covidien Replicare Smith & Nephew Tegasorb 3M Restore plus Hollister Hydrocoll Hartmann Nu-Derm J & J

    26. 25/08/2011 www.worldofwounds.com 26 Acrylic absorbent dressing

    27. 25/08/2011 www.worldofwounds.com 27 New Acrylic Absorbent Dressing3M Tegaderm absorbent acrylic Very absorbent Adhesive and non-adhesive 1300 363 878

    28. 25/08/2011 www.worldofwounds.com 28 Hydro-selective dressing

    29. 25/08/2011 www.worldofwounds.com 29 Hydro-Selective Dressings Cutinova Hydro S & N Absorbs primarily water molecules from the wound exudate. Concentrates proteins such as albumin, growth factors and enzymes

    30. 25/08/2011 www.worldofwounds.com 30 Hydrogels

    31. 25/08/2011 www.worldofwounds.com 31 Hydrogels Curafil Covidien DuoDerm gel Convatec SAF Gel Convatec Intrasite Smith & Nephew Purilon Coloplast Solosite Smith & Nephew Solugel & Nu-Gel J & J Normlgel Mölnlycke Hydrogel Hartmann

    32. 25/08/2011 www.worldofwounds.com 32 Sheet Hydrogels Aquaflo Covidien AquaClear Hartmann Nu-Gel J & J Generally changed weekly

    33. 25/08/2011 www.worldofwounds.com 33 Calcium alginates

    34. 25/08/2011 www.worldofwounds.com 34 Alginates Tegagen 3M *Algisite M Smith & Nephew Calcicare Hollister Curasorb Covidien *Kaltostat Convatec Seasorb Coloplast Sorbalgon Hartmann Melgisorb Molnlycke Algoderm J & J Urgosorb Innovex

    35. 25/08/2011 www.worldofwounds.com 35 HydroFibre

    36. 25/08/2011 www.worldofwounds.com 36 Hydrofibre (Aquacel) Convatec Aquacel is non woven,100% sodium carboxymethyl-cellulose spun into fibres and manufactured into sheets and ribbon dressings. It mirrors the properties and actions of alginates however it differs in that it rapidly absorbs exudate vertically and will not absorb laterally. Also not a haemostatic.

    37. 25/08/2011 www.worldofwounds.com 37 Cadexomer Iodine

    38. 25/08/2011 www.worldofwounds.com 38 Cadexomer Iodine (Iodosorb)Smith & Nephew This product has been shown, in recent studies to promote wound healing by stimulating macrophage function Due to its antibacterial effect its has also been shown to reduce malodour in a wound

    39. 25/08/2011 www.worldofwounds.com 39 Hypertonic salt dressings

    40. 25/08/2011 www.worldofwounds.com 40 Hypertonic Salt Dressings MESALT (Molnlycke) a non-woven pad impregnated with hypertonic salt ~15%-20% dry HyperGel (Molnlycke) CURASALT (Tyco) an open weave gauze impregnated with ~20% hypertonic salt solution, wet.

    41. 25/08/2011 www.worldofwounds.com 41 Isotonic pads

    42. 25/08/2011 www.worldofwounds.com 42 TenderWet Active Cavity & TenderWet 24 Active-- Hartmann A polyacrylate pad which is activated with Ringer’s solution A very good cleansing agent for dirty wounds, described as permanently rinsing the wound Absorbs exudate, debris and bacteria Eliminates dead space

    43. 25/08/2011 www.worldofwounds.com 43 Calcium alginate/enzyme dressing

    44. 25/08/2011 www.worldofwounds.com 44 Flaminal Brand Name:Flaminal/Flaminal Hydro Generic Name:Alginate/Enzyme Complex Main Indication:Flaminal is a hydro-active alginate gel dressing. Flaminal has a high concentration of alginate polymer and regulates moisture content of the wound. The enzymes have antimicrobial actions

    45. 25/08/2011 www.worldofwounds.com 45 Silver dressings

    46. 25/08/2011 www.worldofwounds.com 46 Silver Dressings *Acticoat Smith & Nephew Avance Molnlycke *Contreet Coloplast PolyMem Silver Reliance Medical Aquacel Ag Convatec Atrauman Ag Hartmann SilverCel J & J Contain various forms of silver, known for its antimicrobial effects Used to treat dirty infected , heavily colonized wounds. * denotes many styles of the product

    47. 25/08/2011 www.worldofwounds.com 47 Medicated honey

    48. 25/08/2011 www.worldofwounds.com 48

    49. 25/08/2011 www.worldofwounds.com 49 Zinc oxide bandages

    50. 25/08/2011 www.worldofwounds.com 50 Zinc Oxide Impregnated Bandages Steripaste Molnlycke Gelocast Smith & Nephew Varolast Hartmann Flexidress Convatec ZipZoc Smith & Nephew

    51. 25/08/2011 www.worldofwounds.com 51 Negative pressure devices

    52. 25/08/2011 www.worldofwounds.com 52 More TNP devices KCI VAC S & N Vista Arjo Huntleigh Wound Assist MacMed healthcare Exsudex Pegassus Venturi

    53. 25/08/2011 www.worldofwounds.com 53 Scar management products

    54. 25/08/2011 www.worldofwounds.com 54 Scar Management Products Polyacrylate tape, e.g. Fixomull S & N Silicone sheet gels e.g. CicaCare S & N Mepiform Molnlycke Kelocote MediGroup Scar gel -TPH Resistance garments usually organised by OT

    55. 25/08/2011 www.worldofwounds.com 55 Other differences Packaging—assorted sizes, differing volumes per pkt Some can be cut –some MUST not Recommended change times

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