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Dressing (medicine)

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475: 162: 344: 31: 352: 2386: 2407: 154: 146: 374:(removal of dead tissue) which is less painful when compared to manual wound debridement inside the operating theater. It is highly elastic and flexible, thus is closely adhered to the skin. As the dressing is transparent, wound inspection is possible without removing the dressing. Due to the limited absorption capacity, such dressing is only used in superficial wounds with low amount of discharge. 443:. This dressing can absorb high amount of discharge from a wound. Ions present in the dressing can interact with blood to produce a film that protects the wound from bacterial contamination. However, this dressing is not suitable for dry wounds, third degree burn wound, and deep wounds with exposed bone. It also requires secondary dressing because wounds can quickly dry up with alginate dressing. 429:. When the dressing is in contact with the wound, the wound discharge are retained to form gel which provides moist environment for wound healing. It protects the wound from bacterial contamination, absorbs wound discharge, and digests necrotic tissues. It is mostly use as secondary dressing. However, it is not used in wound with high discharge and 388:(repelled from water) properties with adhesive borders. The hydrophobic layer protects the wound from the outside fluid contamination. Meanwhile, the inner hydrophilic layer is able to absorb moderate amount of discharge from the wound. Therefore, this type of dressing is useful for wound with high amount of discharge and for wound with 359:
Several types of interactive products are: semi-permeable film dressings, semi-permeable foam dressings, hydrogel dressings, hydrocolloid dressings, hydrofiber and alginate dressings. Apart from preventing bacteria contamination of the wound, they keep the wound environment moist in order to promote
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and polyvinyl pyrrolidine. It has high water content, thus provides moisture and cooling effect for the wound. The dressing is easy to remove from the wound without causing any damage. The dressing is also non-irritant. Therefore, it is used for dry necrotic wound, necrotic wound, pressure ulcers,
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Historically, and still the case in many less developed areas and in an emergency, dressings are often improvised as needed. This can consist of anything, including clothing or spare material, which will fulfill some of the basic tenets of a dressing – usually stemming bleeding and absorbing
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Generally, these products are indicated for only superficial, clean, and dry wounds with minimal exudates. They can also be used as secondary dressings (additional dressings to secure the primary dressing in place or to absorb additional discharge from the wound). Examples are:
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Advancements in understanding of wounds have commanded biomedical innovations in the treatment of acute, chronic, and other types of wounds. Many biologics, skin substitutes, biomembranes and scaffolds have been developed to facilitate wound healing through various mechanisms.
315:. Gauze dressing are capable of absorbing discharge from wound but requires frequent changing. Excessive wound discharge would cause the gauze to adhere to the wound, thus causes pain when trying to remove the gauze from the wound. Bandages are made up of cotton wool, 66:
A dressing can have a number of purposes, depending on the type, severity and position of the wound, although all purposes are focused on promoting recovery and protecting from further harm. Key purposes of a dressing are:
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Banerjee, Jaideep; Ghatak, Piya Das; Roy, Sashwati; Khanna, Savita; Sequin, Emily K.; Bellman, Karen; Dickinson, Bryan C.; Suri, Prerna; Subramaniam, Vish V.; Chang, Christopher J.; Sen, Chandan K. (3 March 2014).
193:, to regulate the moisture level surrounding the wound- for example, dry gauzes absorb exudate strongly, drying the wound, hydrocolloids maintain a moist environment and film dressings do not absorb exudate; 307:(plasters), and cotton wool. The main aim is to protect the wound from bacterial contamination. They are also used for secondary dressing. Gauze dressing is made up of woven or non-woven fibres of cotton, 249:
honey is another antiseptic option, and there is moderate evidence that honey dressings are more effective than common antiseptic and gauze for healing infected post-operative wounds.
2338: 1418: 286:. Many dressings today are produced as an "island" surrounded by an adhesive backing, ready for immediate application – these are known as island dressings. 490:
skill, although many people undertake the practice with no training – especially on minor wounds. Modern dressings will almost all come in a prepackaged
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Pressure dressings are commonly used to treat burns and after skin grafts. They apply pressure and prevent fluids from collecting in the tissue.
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wrapping, date coded to ensure sterility. Sterility is necessary to prevent infection from pathogens resident within the dressing.
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and protect the wound from further harm. A dressing is designed to be in direct contact with the wound, as distinguished from a
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materials. Cotton bandages can act as a secondary dressing while compression bandages provides good compressions for
1099: 392:. Secondary dressings are not required. However, it requires frequent changing and is not suitable for dry wounds. 93:– to soak up blood, plasma, and other fluids exuded from the wound, containing it/them in one place and preventing 1945: 1401: 510: 161: 17: 1078: 1644: 1426: 1241: 1186: 491: 396:
is a common material that make up the foam. The foam is able to mold according to the shape of the wound.
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Eaglstein, William H. (2001-02-01). "Moist Wound Healing with Occlusive Dressings: A Clinical Focus".
137:. This will then reduce the risk of infection, help the wound heal more quickly, and reduce scarring. 1181: 931: 403: 632: 221:
Dressings can also regulate the chemical environment of a wound, usually with the aim of preventing
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An adhesive island dressing, in its original packaging (left) and on a person's wrist (right)
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Kim, H; Makin, I; Skiba, J; Ho, A; Housler, G; Stojadinovic, A; Izadjoo, M (24 Feb 2014).
652:"Report upon the Use of a Mixture of Castor oil and Balsam of Peru as a Surgical Dressing" 8: 2102: 1888: 1667: 1494: 1264: 809: 407:
and burn wound. It is not suitable for wounds with heavy discharge and infected wounds.
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of the wound by providing a sterile, breathable and moist environment that facilitates
58:, which is most often used to hold a dressing in place. Modern dressings are sterile. 2406: 2361: 2144: 2134: 2037: 1867: 1823: 1807: 1611: 1601: 1544: 1534: 1061: 1056: 997: 895: 833: 771: 722: 673: 585: 577: 573: 520: 430: 399: 182: 178: 134: 792:"Improvement of Human Keratinocyte Migration by a Redox Active Bioelectric Dressing" 114:
the wound – to remove slough and foreign objects from the wound to expedite healing;
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Selvaraj, Dhivya; Viswanadha, Vijaya Padma; Elango, Santhini (28 November 2015).
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Jull AB, Cullum N, Dumville JC, Westby MJ, Deshpande S, Walker N (6 March 2015).
454: 300: 230: 94: 915:"Clinical efficacy of dressings for treatment of heavily exuding chronic wounds" 757: 2390: 2290: 2285: 2139: 2129: 2079: 2064: 2054: 1955: 1950: 1940: 1878: 1850: 1802: 1797: 1529: 1484: 1480: 1283: 1160: 1145: 1104: 982: 881: 343: 2426: 2322: 2295: 2154: 1972: 1883: 1863: 1859: 1722: 1650: 1539: 1454: 1119: 581: 279: 246: 51: 30: 1233: 2280: 2199: 1935: 1893: 1727: 1717: 1633: 1628: 1368: 1326: 1296: 1268: 1001: 899: 837: 775: 726: 677: 589: 440: 367: 324: 267:. Occlusive dressings, made from substances impervious to moisture such as 234: 185:. They provide different physical environments suited to different wounds: 2164: 2074: 1814: 1767: 1712: 1595: 1561: 941: 914: 501:
Applying and changing dressings is one common task of medical personnel.
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layer and outer waterproof layer. It contains gel forming agents such as
371: 250: 242: 201: 111: 966:"Wound Healing: Biologics, Skin Substitutes, Biomembranes and Scaffolds" 351: 2342: 2313: 2271: 2240: 2235: 2174: 2169: 2159: 2097: 2083: 2023: 1978: 1926: 1846: 1842: 1783: 1743: 1698: 1694: 1584: 1520: 1470: 1435: 1431: 1336: 1321: 1316: 479: 439:: This type of dressing is made up of either sodium or calcium salt of 385: 381: 328: 238: 226: 2250: 2230: 2204: 2179: 2114: 2092: 1920: 1833: 1707: 1351: 1165: 1042: 487: 320: 316: 312: 260:
Dressings are also often impregnated with analgesics to reduce pain.
222: 121:– to obscure a healing wound from the view of the patient and others. 105: 83: 263:
The physical features of a dressing can impact the efficacy of such
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are also often used with dressings to prevent bacterial infection.
72: 275:, can be used to increase their rate of absorption into the skin. 145: 108:
effect, compression or simply preventing pain from further trauma;
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Two packages of gauze. One 10 cm by 4.1 m. The other 5 by 5 cm.
2309: 2019: 1514: 545:"First Aid Equipment, Supplies, Rescue, and Transportation". 308: 296: 272: 170: 47: 1011: 611: 2013: 1374: 549:. Naval Education and Training Command. 2003. pp. 3–1. 165:
Depiction of a dressing on a face from a painting from 1490
101: 76: 86:– to defend the wound against germs and mechanical damage; 402:: This dressing is made up of synthetic polymers such as 207:
Maintaining the optimum temperature to encourage healing;
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Gas permeability and exchange, especially with regard to
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Anatomical Therapeutic Chemical Classification System
413:: This type of dressing contains two layers: inner 384:(attracted to water) properties and outer layer of 912: 366:: This dressing is a transparent film made up of 2424: 538: 511:History of wound care § Wound-site dressing 253:dressings can be effective in attacking certain 125:Ultimately, the aim of a dressing is to promote 46:is piece of material such as a pad applied to a 859: 857: 855: 853: 851: 849: 847: 739: 257:bacteria and speeding up the healing process. 1402: 1263: 1249: 1027: 229:chemicals. Commonly used antiseptics include 1417:Major chemical drug groups – based upon the 963: 957: 913:Wiegand, Cornelia; Tittelbach, Jörg (2015). 844: 169:Modern dressings include dry or impregnated 75:– to help to seal the wound to expedite the 1409: 1395: 1256: 1242: 1034: 1020: 919:Chronic Wound Care Management and Research 335:is indicated for superficial clean wound. 991: 981: 940: 930: 889: 827: 817: 765: 716: 693:"Honey as a topical treatment for wounds" 667: 559: 210:Mechanically debriding a wound to remove 27:Sterile pad or compress applied to wounds 473: 380:: This dressing is made up of foam with 350: 342: 160: 152: 144: 29: 1192:Wilderness emergency medical technician 964:Vyas KS, Vasconez HC (September 2014). 906: 697:Cochrane Database of Systematic Reviews 649: 338: 14: 2425: 2396:Pharmacological classification systems 1763:Selective estrogen receptor modulators 2043:Non-steroidal anti-inflammatory drugs 1390: 1237: 1015: 478:Application of paraffin gauze on the 460: 1656:Angiotensin II receptor antagonists 331:dressing which is impregnated with 289: 278:Dressings are usually secured with 24: 25: 2444: 2405: 2385: 2384: 1100:Automated external defibrillator 574:10.1046/j.1524-4725.2001.00299.x 1793:Hypothalamic–pituitary hormones 225:by the impregnation of topical 61: 782: 733: 709:10.1002/14651858.CD005083.pub4 684: 643: 625: 604: 553: 173:, plastic films, gels, foams, 13: 1: 1545:Thrombolytics / fibrinolytics 1079:Cardiopulmonary resuscitation 1041: 531: 2256:Wakefulness-promoting agents 1187:Emergency medical technician 866:"Wound dressings – a review" 819:10.1371/journal.pone.0089239 378:Semi-permeable foam dressing 364:Semi-permeable film dressing 7: 758:10.2174/1874285801408010015 504: 10: 2449: 1906:Intravenous immunoglobulin 1084:Emergency bleeding control 237:dressings or historically 2380: 2336: 2308: 2264: 2073: 2008: 1971: 1919: 1832: 1776: 1736: 1693: 1577: 1513: 1425: 1360: 1276: 1200: 1182:Certified first responder 1174: 1138: 1092: 1049: 983:10.3390/healthcare2030356 882:10.7603/s40681-015-0022-9 486:Applying a dressing is a 1961:Topoisomerase inhibitors 1645:renin–angiotensin system 1639:Calcium channel blockers 526:Field dressing (bandage) 469: 140: 104:– either by a medicated 1292:Aluminium chlorohydrate 650:Gallant, A. E. (1897). 451:carboxymethyl cellulose 1753:Hormonal contraception 1683:Bile acid sequestrants 1464:Proton-pump inhibitors 1427:gastrointestinal tract 1342:Phenylmercuric nitrate 483: 419:carboxymethylcellulose 356: 355:Hydrofiber forming gel 348: 166: 158: 150: 35: 1125:Nasopharyngeal airway 637:thefreedictionary.com 516:Hydrocolloid dressing 477: 411:Hydrocolloid dressing 354: 346: 327:. On the other hand, 164: 156: 148: 33: 2362:Radiopharmaceuticals 2150:Antiparkinson agents 1130:Oropharyngeal airway 942:10.2147/CWCMR.S60315 870:Biomedicine (Taipei) 562:Dermatologic Surgery 449:: Made up of sodium 339:Interactive products 255:antibiotic-resistant 157:Three types of gauze 119:psychological stress 2145:Antimigraine agents 2135:Antidementia agents 2038:Anti-inflammatories 1728:Medicated dressings 1668:Antihyperlipidemics 1495:Diabetes medication 1265:Medicated dressings 1223:Wilderness medicine 810:2014PLoSO...989239B 633:"pressure dressing" 612:"www.dressings.org" 447:Hydrofiber dressing 265:topical medications 1998:Immunosuppressants 1868:Antimycobacterials 1824:Antithyroid agents 1808:Mineralocorticoids 1612:Cardiac stimulants 1602:Cardiac glycosides 1594:cardiac therapy / 1490:Anti-obesity drugs 1218:Good Samaritan law 484: 461:Bioactive products 431:neuropathic ulcers 390:granulation tissue 357: 349: 167: 159: 151: 36: 2433:Medical dressings 2420: 2419: 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1839:infestations 1815:Sex hormones 1768:Sex hormones 1713:Cicatrizants 1643: 1629:Vasodilators 1596:antianginals 1593: 1445:stomach acid 1444: 1327:Fusidic acid 1297:Benzalkonium 1114: 973: 969: 959: 922: 918: 908: 873: 869: 801: 795: 784: 752:(1): 15–21. 749: 745: 735: 700: 696: 686: 659: 655: 645: 636: 627: 616:. Retrieved 606: 565: 561: 555: 546: 540: 500: 496: 485: 464: 446: 445: 441:alginic acid 436: 435: 409: 404:methacrylate 398: 377: 376: 368:polyurethane 363: 362: 358: 333:paraffin oil 293: 277: 262: 259: 235:boracic lint 220: 202:water vapour 168: 124: 65: 62:Medical uses 43: 39: 37: 2328:Otologicals 2300:antagonists 2266:respiratory 2241:Orexigenics 2236:Neurotoxins 2185:Euphoriants 2175:Entactogens 2170:Depressants 2160:Anxiolytics 2098:Anesthetics 1874:Antifungals 1471:Antiemetics 1459:antagonists 1213:Golden hour 925:: 101–111. 386:hydrophobic 382:hydrophilic 372:debridement 251:Bioelectric 243:Antibiotics 131:granulation 50:to promote 2251:Stimulants 2231:Nootropics 2205:Deliriants 2180:Entheogens 2115:Anorectics 2093:Analgesics 1946:Alkylating 1879:Antivirals 1834:infections 1708:Emollients 1562:Coagulants 1432:metabolism 1337:Nitrofural 1322:Framycetin 1317:Clioquinol 1050:Techniques 970:Healthcare 618:2007-02-24 532:References 480:cellulitis 329:tulle gras 239:castor oil 227:antiseptic 95:maceration 2401:ATC codes 2367:Dressings 2352:Antidotes 2216:Sedatives 2212:Hypnotics 1921:malignant 1778:endocrine 1624:Diuretics 1557:Platelets 1517:and blood 1476:Laxatives 1371:dressings 1352:Triclosan 1280:dressings 1139:Mnemonics 1093:Equipment 1043:First aid 927:CiteSeerX 876:(4): 22. 582:1524-4725 498:exudate. 488:first aid 415:colloidal 360:healing. 321:polyamide 317:cellulose 313:polyester 282:and/or a 223:infection 183:alginates 179:hydrogels 106:analgesic 84:infection 2427:Category 2246:Serenics 1911:Vaccines 1678:Fibrates 1500:Vitamins 1450:Antacids 1377:bandages 1369:paraffin 1332:Iodoform 1278:Ointment 1208:Bleeding 1115:Dressing 1072:Advanced 1002:27429283 900:26615539 838:24595050 797:PLoS ONE 776:24627730 727:25742878 678:17860484 590:11207694 505:See also 394:Silicone 79:process; 77:clotting 73:bleeding 44:compress 40:dressing 2103:General 2010:muscles 1979:L03–L04 1975:disease 1927:L01–L02 1923:disease 1673:Statins 1110:Bandage 993:4934597 951:3809185 891:4662938 829:3940438 806:Bibcode 767:3950956 718:9719456 669:1425429 598:6036583 492:sterile 423:gelatin 284:bandage 269:plastic 191:exudate 127:healing 117:Reduce 112:Debride 91:exudate 89:Absorb 56:bandage 52:healing 2410:  2389:  2337:other 2268:system 2020:joints 1973:immune 1780:system 1740:system 1581:system 1201:Topics 1161:SAMPLE 1151:OPQRST 1000:  990:  949:  929:  898:  888:  836:  826:  774:  764:  725:  715:  676:  666:  614:. SMTL 596:  588:  580:  427:pectin 311:, and 212:slough 198:oxygen 181:, and 2391:Drugs 2108:Local 2075:brain 2014:bones 1515:blood 1367:Soft 1361:Other 1282:with 1067:Basic 947:S2CID 594:S2CID 470:Usage 319:, or 309:rayon 297:Gauze 273:latex 171:gauze 141:Types 100:Ease 71:Stop 48:wound 2018:and 1695:skin 1375:Zinc 1166:SOAP 1156:RICE 998:PMID 896:PMID 834:PMID 772:PMID 723:PMID 674:PMID 586:PMID 578:ISSN 425:and 301:lint 200:and 133:and 102:pain 2339:ATC 2077:and 1836:and 1269:D09 1146:ABC 988:PMC 978:doi 937:doi 886:PMC 878:doi 824:PMC 814:doi 762:PMC 754:doi 713:PMC 705:doi 664:PMC 570:doi 271:or 42:or 2429:: 2214:/ 2012:, 1862:: 1851:QI 1849:, 1845:, 1822:/ 1483:/ 1430:/ 996:. 986:. 972:. 968:. 945:. 935:. 921:. 917:. 894:. 884:. 872:. 868:. 846:^ 832:. 822:. 812:. 800:. 794:. 770:. 760:. 748:. 744:. 721:. 711:. 699:. 695:. 672:. 660:26 658:. 654:. 635:. 592:. 584:. 576:. 566:27 564:. 457:. 433:. 421:, 303:, 299:, 241:. 233:, 177:, 38:A 2345:) 2343:V 2341:( 2316:) 2314:S 2312:( 2298:1 2296:H 2274:) 2272:R 2270:( 2086:) 2084:N 2082:( 2026:) 2024:M 2022:( 2016:, 1981:) 1977:( 1929:) 1925:( 1870:) 1866:( 1853:) 1847:P 1843:J 1841:( 1786:) 1784:H 1782:( 1746:) 1744:G 1742:( 1701:) 1699:D 1697:( 1587:) 1585:C 1583:( 1523:) 1521:B 1457:2 1455:H 1438:) 1436:A 1434:( 1410:e 1403:t 1396:v 1271:) 1267:( 1257:e 1250:t 1243:v 1035:e 1028:t 1021:v 1004:. 980:: 974:2 953:. 939:: 923:2 902:. 880:: 874:5 840:. 816:: 808:: 802:9 778:. 756:: 750:8 729:. 707:: 701:3 680:. 639:. 621:. 600:. 572:: 214:. 204:; 97:; 20:)

Index

Wound dressing

wound
healing
bandage
bleeding
clotting
infection
exudate
maceration
pain
analgesic
Debride
psychological stress
healing
granulation
epithelialization



gauze
hydrocolloids
hydrogels
alginates
exudate
oxygen
water vapour
slough
infection
antiseptic

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