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 * Home
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 * Wound Dressing




WOUND DRESSINGS



Wound Care Dressings have evolved significantly over the past few decades.
Formerly, different variations of products were the staple for wound care.
Although they are still widely used and effective, there are many new advanced
designs to solve specific issues with wound treatment. These modern developments
over the past few decades better address specific wound types and their
corresponding care. Five major functions for wounds dressings currently exist.
These functions are Debridement, Moisture Management, Wound Protection,
Infection Management, and Odor Control. Click on the link "When to Use Wound
Dressing" to view different types of dressings and their use. At the bottom of
this page is a description summary of the types of wound dressings and a
Selection Chart that displays the different versions of each product, types of
wounds they are designed to serve, properties and the top selling brands.




 * CALCIUM ALGINATE DRESSINGS

 * TRANSPARENT FILM DRESSINGS

 * ODOR CONTROL DRESSINGS

 * COLLAGEN DRESSINGS

 * COMPOSITE DRESSINGS

 * FOAM DRESSINGS

 * HYDROCOLLOID DRESSINGS

 * HYDROGELS

 * SILICONE GEL SHEETING

 * SILVER DRESSINGS

 * WOUND FILLERS

 * ABSORBENT DRESSINGS

 * SCAR TREATMENT GELS, CREAMS, AND SILICONE SHEETS


FEATURED PRODUCTS

 1. Derma Sciences Medihoney Gel Wound and Burn Dressing
    4.5 star rating 52
    
    
    
    $6.00 - $251.24
    View Details

FINDING THE RIGHT PRODUCT

 

The right wound dressing encourages healing and prevents possible infection or
harm. They differe from bandages in that they come in direct contact with the
wound and are used to absorb exudate, maintain a moist environment, seal out
external contaminants and accelerate healing. Bandages are generally used to
hold primary dressings in place and are often referred to as a "secondary
dressing". They can have a variety of functions for wound management, depending
upon the type, severity, and location of the wound. These products serve to stem
bleeding, absorb exudate, ease pain, debride, protect and reduce stress.

 

Debridement

Debridement is the process of removing damaged, dead or infected tissue from the
wound. Debridement can be selective or non-selective. Selective debridement
removes necrotic tissue without affecting living tissue. Enzymatic debridement
uses chemical agents to break down necrotic tissue. This is usually accomplished
with an enzymatic wound application. In the United States, collagenase ointment
is commonly used for this function. SANTYL is the most popular collagenase
topical ointment with the active ingredient collagenase clostridum hystoliticum.
SANTL requires a prescription to purchase.

Non-selective debridement removes necrotic tissue and adjoining living tissue.
This type of debridement is accomplished through mechanical or autolytic means.
Mechanical debridement may be accomplished through surgery, aggressive
irrigation or the use of dry or moist dressings that are replaced often. Gauze
dressings are the most used for mechanical debridement. Autolytic debridement
uses a semi-occlusive or occlusive dressing and is used for light to medium
exudate. Best selling product that provide autolytic debridement include foams,
hydrogel, hydrocolloids, alginates and transparent film. Below is a chart that
displays a continuum of treatments that provide debridement.

 

 

Moisture Management

A certain amount of moisture at the wound site is advantageous to heeling. Too
little or too much moisture can increase the heeling time and cause
complications and infection. The growth of new cells requires moisture to divide
and migrate. Exudate or the moisture that naturally seeps from a wound site,
serves as a transport medium for a variety of enzymes, growth factor molecules
and hormones. Exudate also provides the immune system with an ideal medium to
destroy invading pathogens. However, wounds with heavy exudate that leak to
surrounding tissue can disrupt peri-wound skin and cause maceration. Enzymes in
chronic exudate may cause skin excoriation. Absorbent types are designed to
absorb exudate and keep it from festering upon the wound and skin. Most are
multi-layer comprised of either a semi-adherent or a non-adherent layer. These
layers are usually made up of fibers that absorb the exudate. Some of these use
a substance that converts to a gel on contact with exudate, trapping them within
the confines of the dressing.

Below is a chart displaying the different types and how they serve in managing
moisture in the wound environment. This continuum of absorption management
portrays the high absorption products on one end and the low absorption products
on the other. The products in the middle are somewhat balanced between heavy and
low absorption properties. Some products span two properties, such as
hydrocolloids. They are also divided by the level of occlusion--sealing the
wound from the external environment.

 

 

Alginates

Made from seaweed, alginates are contact dressings. When alginate comes into
contact with exudate, it turns into a gel. Alginate can absorb up to 20 times
its own weight.

Advantages

 * Promotes a moist environment.
 * Helps to reduce pain.
 * Absorbent.
 * Suitable for bleeding wounds.
 * Autolytic debridement.

Disadvantages

 * Not for dry wounds.
 * Requires secondary dressing.
 * Sometimes offers stinging or discomfort.

Cellulose Fibers

Made from carboxymethylcellulose, this product absorbs exudate and prevents
damage to surrounding skin. It is a good choice for heavy to moderate exuding
wounds and may be used for extended periods.

Advantages

 * Promotes a moist environment.
 * Provides autolytic debridement of slough and necrotic tissue.
 * Protects surrounding skin.
 * Conformable to the body.

Disadvantages

 * Not for dry wounds.
 * Can adhere to the wound if not enough moisture.
 * Requires a secondary dressing.

Foam

Foam dressings are made with many different materials that provide good
absorption. These products provide wound protection and help to maintain thermal
temperature. They are highly conformable and are available in many shapes and
sizes. They are also available in cut-to-fit sheets and wound filling shapes.
Some are also available with an adhesive border to anchor in place. They are
often combined with other types such as alginate and cellulose fiber.

Advantages

 * Promotes a moist environment.
 * Provides autolytic debridement.
 * Highly absorbent.
 * Offers wound protection
 * Offers thermal protection.
 * Conformable to the body.

Disadvantages

 * Not for dry wounds.
 * May cause maceration if allowed to saturate.
 * Sometimes requires a secondary dressing.

Hydrocolloids

These products are made with gel-forming agents. They offer water repelling and
are self-adhesive. They absorb exudate and are available in many different
shapes and come in different thicknesses. This product should be changed every 3
to 5 days.

Advantages

 * Promotes a moist environment.
 * Provides autolytic debridement.
 * Highly absorbent.
 * Waterproof.

Disadvantages

 * May promote the growth of anaerobic bacteria.
 * Not the best choice for patients with fragile skin.
 * May be difficult to stay in position.
 * Sometimes produces odor.

Hydrogels

These products are made with materials that have high water content. They help
hydrate the wound and offer autolytic debridement. They are used on mild to
moderate exudating wounds. Hydrogels are available in several different formats,
including flexible sheets, impregnated gauze and gel that is applied by a
squeeze tube.

Advantages

 * Promotes a moist environment.
 * Provides autolytic debridement.
 * Offers moderate absorbency.
 * Helps reduce pain.
 * Some applications provides visual of wound.
 * Rehydrates necrotic eschar.

Disadvantages

 * Do not use for heavy exudating wounds.
 * May cause maceration to surrounding skin.
 * May require a secondary dressing.

Silicone

These products are made with solid silicone that is soft and tacky. It easily
adheres to the skin and to difficult body areas. They are easily removed without
producing pain and can be reused. They are available in foams with and without
adhesive borders. Silicone also comes in sheets and semi-transparent films.

Advantages

 * Easy to apply and remove.
 * Reusable.
 * Atraumatic to the wound and surrounding skin.
 * Anti-scarring properties

Disadvantages

 * Does not manage moisture.
 * Does not offer debridement.
 * Expensive.
 * Some people have allergies to silicone.
 * May require a secondary dressing.

 

Use Chart

Dressing Use Absorbers heavy exudate absorption Alginates autolytic debridement,
heavy exudate draining, infection management Antimicrobial disinfectant,
antiseptic, antibiotic, biocide to inhibit or kill microbes Cadexomer Iodine
exuding wounds, sloughy wounds, infection management Cellular Matrix porous
matrix of bovine tendon collagen and glycosaminoglycan, promotes capillary
growth Charcoal odor management Collagen stimulates new tissue growth Composite
multi-layed with a combination of wound treatments Films autolytic debridement,
light exudate draining Foams autolytic debridement, heavy exudate draining,
infection management Gauze mechanical debridement, heavy exudate draining
Gelling Fibre absorbs and retains exudate,  Honey infection management, debrides
slough, rehydrates necrosis Hydrocolloids high moisture vapor transmission,
autolytic debridement, light exudate draining Hydrofibers autolytic debridement,
heavy exudate draining, infection management Hydrogels autolytic debridement,
light/moderate exudate draining, infection management Iodine infection
management Island adhesive border with pad for dry or light exuding wounds Non
Adherent dry wound beds, light draining, will not stick to wound bed NPWT
negative pressure wound therapy, vacuum dressing, removes exudate Occlusive
seals the wound from external contaminants, promotes moist environment Odor
Management charcoal absorption, dry wound bed,  PHMB polyhexamethylene biguande,
infection management, antibacterial, Protease modulating dressing, aborbs
exudate, removes cofactors, releases inhibitors, reduces protease Saline Gauze
autolytic debridement, light/moderate exudate draining, infection management
Collagenase enzymatic debridement Silicone reduces hypertrophic and keloid
scars, less wound trauma from dressing changes Silver infection management,
antibacterial TNP topical negative pressure, draws wound edges together, removes
exudate, promotes granulation Transparent wound observation, medium to light
exudate Wound Filler maintains moist environment, manages exudate, made with
creams, foams, gels, pads, powders....

 

 

Top Brands for Debridement and Moisture Management

Heavy Absorption and Autolytic Debridement



Foams - Tegaderm, Coflex, Copa, Dermaform, Xtrasorb, Polymem, Respara Restore,
Mepilex, and Allevyn.

Gauze - Excilon, Dynarex Surgical Sponge, Dynarex Advantage, Advant, Post-Op,
Curity Cover Sponges, Sorb-It, Dumex, and ReliMed Gauze Sponge.

Alginate - Medihoney Calcium Alginate, Biatain, Sorbalong, Maxorb Extra, Restore
Calcium Alginate, Curasorb Calcium Alginate, AlgiSite M, Simpurity, CollaSorb,
DermaGinate, Allevyn, Melgisorb, Tegaderm Alginate, Sorbsan, Nu Derm, Cutimed
Epiona, Kalginate, and Maxsorb Extra.

Gelling Fiber - KerraCel, Durafiber, and Manukamed Manukahd Lite.

Protease - Mextra and Sorbion Sachet.

NPWT - Argentum, Restore Contact Layer Flex, Acticoat Flex, Medela, Genadyne,
and Safetac.

 

Light Absorption and Autolytic Debridement

Impregnated Gauze - Activon Tulle, AquaSite, and Mesalt.

Hydrogels - SoloSite, Skintegrity, Multidex, Triad, DermaGran B, DermaGran
Hydrophilic, Hypergel, Tegaderm Hydrogel, TheraGauze, DermaGauze, Regenecare,
Aquaflo, B6, AquaDerm, Carrasyn, elta Dry, Hydress, CarraGauze, WoundPal, and
DermaGel.

Hydrocolloids - Comfeel, Duoderm, Medihoney, Xtrasorb, Flexicol, Restore,
Exuderm, and Nuderm.

Transparent Films - Tegaderm, Polyskin, DermaView, Repara, Hydrofilm, and
Opsite.

Island - Telfa Island, DermaView II, McKesson, TheraBond, COPA Island, Rayon
Poly, and CompDress.

Non-Adherent - Xeroform, Telfa Ouchless, Telfa AMD, Medi-Pak Performance,
Adaptic, Conformant 2, Cuticerin, Curad Non-Stick, Drawtex, Versatel, Advazorb
Silfix, Tegaderm Contact, and Allevyn Non-Adhesive.

 

Wound Protection

The ability of a dressing to seal out external contaminants is offen refered to
as its occlusive property. An occlusive dressing seals the external enviroment
from the wound. Occlusive products include impermeable films, polymer oils like
petrolatum and paraffin and many types with a combination of adhesion and a
barrier layer. They provide a moist environment that promotes healing. They are
impermeable to water vapor while simi-occlusive allows moisture vapor to escape.
Semiocclusive also offer many advantages to healing by permitting vapor
evaporation. Air inteface during the final maturation of the stratum corneum
offers better healing results. Rather than relying upon a single solution for
the entire healing process, beginning with an occlusive dressing during the
early healing stages, followed by a semiocclusive dressing for the later healing
stages appear to offer the best wound management.

Occlusive

These types of products often incorporate foams that offer a thermal barrier as
well as protection against accidental bumps. They provide excellant absorption
of exudate but are not condusive to healing in the latter stages when the wound
is drier. Adhesive bandages are very useful to seal out contaminants while
securing an absorptive dressing against the wound bed. Impregnated dressing
create a liquid or gel barrier against the wound with sealing properties and
well as creating a moisture environment.

Semiocclusive

Gauze is the most popular in use. The newer transparent films offer greater
management and control of the environment to keep out external contaminants
while allowing excess moisture vapor to escape. They also provide for
observation to allow dressing changes when they are actually needed.

Advantages

 * Reduces surface necrosis.
 * Prevents desiccation.
 * Promotes healing.
 * Decreases pain.
 * Wound protection.
 * Reduces inflammation.
 * Minimizes Eschar

Disadvantages

 * In a few cases increases infection rates.
 * More frequent changes.
 * Sometimes may delay healing.

The chart below displays a visual breakdown of the permeable and impermeable
choices.

 

 

Infection Management

As mentioned in moisture management, healing occurs best in a moist environment.
However, amoist environment also supports the growth of bacteria, leading to
infection. Antimicrobial types are mostly used when an infection has already
occurred. Medical honey is the exception in that it inhibits the growth of
pathogens and may be used for at-risk patients to prevent the occurrence of an
infection as well as treat. These are impregnated with one of the four common
antimicrobial agents. These agents are a derivative of iodine, silver, honey, or
polyhexamethylene biguanide (PHMB).

Iodine

Popular iodine treated products include Cadexomer, Providone, Iodophor or
Polyvinylpyrrolidone. Cadexomer is particularly noteworthy because of its
absorptive properties. As fluid is absorbed, iodine is slowly released to kill
bacteria. This allows a gradual release of iodine over a prolonged period of
time for increased infection fighting effectiveness.

Advantages

 * Conforms easily to wound bed.
 * Absorbs exudate.
 * Progressive release of antimicrobial agent.
 * Reduces pH.
 * Removes slough.

Disadvantages

 * Contraindicated for pregnancy, lactation, thyroid disease, iodine
   sensitivities.
 * Not effective for large wounds.
 * Transient stinging or burning.
 * Requires secondary dressing.

Prominent Iodine Products: Idoflex Cadexomer, Betadine Povidone, Iodosorb
Caderxomer, and Skincote.

Silver

Silver is an agent for broad spectrum antimicrobial effectiveness. It is applied
to many types including foams, films, hydrogels, gelling cellulose fibers and
alginates. It has anti-inflammatory properties and may be used to treat wounds
for 2 to 3 weeks.

Advantages

 * Broad spectrum antimicrobial.
 * Anti-inflammatory.

Disadvantages

 * Easily dries.
 * Cannot be used with other antimicrobials or normal saline.
 * Sometimes masks signs of infection.
 * Short period use only.

Popular Silver Products: Mepilex AG, Sivercel, PolyMem Silver, Biatain AG,
Algicell AG, Acticoat Flex, Aquacel AG, Allevyn AG, and Tegaderm Silver.

Honey

Medical grade honey is comprised of carbohydrates, enzymes, and amino acids that
promote healing. Additionally it has acidic pH properties that inhibits many
pathogens. It is used in gels, ointments and sheets.

Advantages

 * Promotes a moist environment.
 * Provides autolytic debridement.
 * Antimicrobial.

Disadvantages

 * Perceived risk of costridium botulism.
 * Sometimes painful.
 * Sometimes leads to skin maceration.
 * Requires secondary dressing.
 * Should only be used for short periods of time.

Well Known Medical Honey Products: Medihoney, Activon, and TheraHoney.

PHMB

PHMB is effective against a wide variety of pathogens, including HIV. It is used
on many types of wounds, including partial- and full-thickness wounds, exudating
and dry wounds.

Advantages

 * Effective against many pathogens.
 * May be used on both dry and exudating wounds.
 * Antimicrobial.

Disadvantages

 * Should not be used to prevent infections.
 * Restricted to 2 weeks duration.
 * May lead to resistant bacteria.

Respected PHMB Products: Kendal AMD PHMB and Covidien Telfa Antimicrobial.

The infection management chart below displays a continuum for antimicrobial
dressings.

 

 

Odor Control

Odor from wounds is created from the release of volatile molecules released.
Certain types of wounds are more likely to produce odor. These types include leg
ulcers and cancerous lesions. The most effective way of dealing with malodorous
wounds is to prevent or eradicate the infection responsible for the odor usually
with an antimicrobial. It has been found that bacteria fighting products are not
always the best solution. In the mid 1970's the use of a charcoal cloth within a
pad or gauze was found to be effective against odor. These wound products are
designed to act like filters or traps to absorb odor-causing molecules. Charcoal
absorbs unpleasant smells and is a widely used as a deodorizing agent. It works
by absorbing odor molecules onto the surface area of the activated charcoal.

Honey has also been found to decrease odor and is effective in treating
abscesses, diabetic foot ulcers, leg ulcers and fungating wounds. Honey provides
antibacterial action in vivo and in vitro against anaerobic bacteria that causes
odor. Honey also provides glucose as an alternative to amino acids created when
serum and dead cells are metabolized by bacteria. As a result, lactic acid is
produced as compared to the malodorous ammonia, amines and sulfur compounds that
contribute to odor.

Cyclodextrin is another method used to neutralize odor. Cyclodextrins work
optimally in the presence of wound exudate and requires a moist environment to
work effectively. Cyclodextrins intrinsically have a longer active time of odor
absorbing function. This compound works well when combined with hydrocolloid.

Advantages

 * Reduces odor.
 * Absorbs exudate.
 * May be used as a primary.

Disadvantages

 * Cannot be cut to fit.
 * Often requires a secondary dressing.
 * Requires frequent bandage changes.

Respected Odor Control Products: Actisorb Plus, Carboflex, Carbonet, Lyofoam C,
Release, TheraHoney, Activon, Medihoney, and Exuderm.

The chart below displays a continuum showing how these three odor control
products match with treatment protocols.

 

 

Comparison Chart

Dressings Image Versions Types Uses Brands Gauze dry woven
non woven sponges
wraps
sterile
non-sterile
border
without border
ribbon
impregnated any mechanical debridement
moderate to heavy exudate Adaptic
Biogard
Curity
Kerlix
Kling
MediPro
Vaseline
Xeroform Alginates calcium
honey
antimicrobial partial thickness
full thickness
filling cavities
undermining autolytic debridement
heavy exudate
infection management Algisite
CuraSorb
Kaltostat
Sorbsan Flat Collagens freeze dried sheets
pastes
gels partial thickness
full thickness
burns
skin grafts promotes tissue granulation and epithelialization
heavy exudate BioPad
hyCure
Nu Gel
Promogran Foams acrylic
polyurethane
sponge
self-adhering
non-adherenthydrogel
alginate
iodine partial thickness
full thickness
cover with packing autolytic debridement
heavy to moderate exudate
infection management
maintains moist environment
thermal insulation
accidental bump protection Allevyn
Aquacel
Avitar Hydrasorb
Biatain
Biopatch
COPA Hydrophilic
Curafoam
Comfeel Ulcer
Flexzan
Hudrasorb
Lyofoam
Medilex
Mepilex
Mitraflex
Opti Foam
Polymem
Reston
Tegaderm Foam
Versiva Hydrofibers non-woven
ribbon
pads
sodium carboxymethyl cellulose
stichbonding chronic
acute
risk of infection
infections autolytic debridement
moderate to heavy exudate
infection management ActivHeal
AquaFiber
Aquacel AG
Versiva XC Hypertonic impregnated gauze
gel necrotic tissue
tunnel
undermining autolytic debridement
eschar
necrotic tissue
all exudate levels
maintains moisture Curasalt
Mesalt
Hypergel Saline Gauze sinus tracts
tunneling
undermining
deep wounds
types 2 and 4 pressure wounds mechancial debridement (wet-to-dry)
light to moderate exudate Normlgel Hydrogels amorphous gel
sheets
filler
fiber
gauze diabetic ulcers
pressure sores
surgical wounds
burns
skin tears
skin grafts autolytic debridement
light to moderate exudate
infection management
maintains moisture Actiform Cool
Aquaflo
Carrington Carrasyn V
Curafil
DermaGran B
Intrasite Gel
MULTIDEX Gel
Nu-Gel
Restore Hydrogel
SafeGel
Skintegrity
Spenco
SoloSite
Tegaderm Hydrogel
Vigilon Hydrocolloids gelatin
pectin
film backing
foam backing partial thickness
full thickness
autolytic debridement
light to moderate exudate
maintains moistness
thermal insulation
impermeable to water and bacteria
reduces infection rates Comfell
DuraDerm
DuoDerm
Exuderm
NuDerm
RepliCare
Restore
Tegasorb Transparent Films grid
transparent partial thickness
stage II ulcers
dry, necrotic autolytic debridement
light exudate
maintains moistures Bioclusive
Cara Film
OpSite
Polyskin
Pro-Clude
SureSite
Tegaderm Collagenase ointment infections enzymatic deridement SANTYL Ointment
Silver foams
hydrogels
alginates
hydrofiber
films risk of infection
infections infection management Acticoat
Actisorb Silver
Algidex Ag
Allevyn Ag
Aquacel Silver
Biatain Ag
Elta Silvergel
DermaGinate Ag
Dermanet Ag+
Gentell Hydrogel Silver
InterDry AG
Mepilex Ag
PolyMem Silver
Restore Silver
SilvaKollagen Silver
SilverDerm7
Silverseal
Silvasorb
Tegaderm Silver Honey sheets
gel
dressings
combinations infections debriding necrotic tissue
infection management MediHoney
TheraHONEY
ManukaMed Iodine pads infections infection management Idosorb
Steri-Strip PHMB pads infections infection management Kendall AMD Charcoal
layered odorous
heavy exudating
infections odor management Actisorb Plus
Lyofoam C Contact Layers thin non-adherent sheets partial thickness
full thickness
infections
donor sites
split-thickness skin grafts protect from contact with other agents
exuation
can be used with topical medications Adaptic
Cuticerin
Covrsie
Curity Nonadherent
Dermanet
Mepitel
Petrolem Gauze
Profore
Testore
Tegapore
Telpha Clear
Vaseline Impregnated Gauze Wound Fillers ropes
gel
full thickness
cavities
infections exuating
cavities Flexigel
Gold Dust
Iodoflex
Multidex

 

 

 

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On 3/4 to 2 1/2 Inch Cut-to-fit - Transparent, 12 Inch
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Gloria C.
Verified Buyer

5.0 star rating

06/14/22
Portable nebulizer

Review by Gloria C. on 14 Jun 2022 review stating Portable nebulizer
I love my portable nebulizer. It is so quiet and so light weight I couldn't
believe how effective it is. I'm traveling to London and Paris this summer and
this will make my trip so much easier.
On Portable Nebulizer
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06/14/22
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M
MICHELLE S.
Verified Buyer

5.0 star rating

06/14/22
it was what i orderd

Review by MICHELLE S. on 14 Jun 2022 review stating it was what i orderd
it was what i orderd
On Fecal Occult Blood Test (FOB)
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06/14/22
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J
Jerry B.
Verified Buyer

4.0 star rating

06/14/22
It was good

Review by Jerry B. on 14 Jun 2022 review stating It was good
It was good
On Micro Mist Nebulizer with 7 Foot Tubing
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06/14/22
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