![]() To choose the optimal dressing, the wound must be evaluated regularly for changes in size and depth, moisture content, necrotic tissue, maceration, infection and patient comfort. They are made with different materials and thus have their own typical characteristics, such as absorption capacity, mechanical strength and moisture vapour transmission rate (MVTR), which all have to be considered for the treatment of a particular type of wound. Second degree burns, moderate to heavily exuding woundsĭifferent wounds require different types of dressings. Highly absorbent, optimal moisture level, clotting encouraged Light to moderate exuding wounds, sloughing or granulating wounds Not suited for infected or heavily exuding wounds Wounds or cavities with low to medium exudate, necrotic woundsįorm gel on wound surface maintaining moisture and vapour/fluid exchange Maintain moisture, allows vapour and oxygen exchange, aids tissue debridementįluid accumulation can lead to maceration or infection of skin, mechanically weak joints)ĭesigned to absorb large amounts of exudate, can be left in place for several daysĬause dryness and scabbing on low-exuding wounds Shallow wounds with low exudate on difficult anatomical sites (e.g. Maceration likely due to limited exudate absorption capacity Ĭan stick to and disrupt wound bed upon removalįlat, shallow wounds with minimal to moderate exudateĪllow gaseous exchange of air and water vapour, impermeable for bacteria and fluids, very flexible and conformable Inappropriate wound management and dressing selection can thus delay the wound healing process. However, a dressing that has a too high absorption capacity can also disrupt the tissue. If the dressing is not absorbing enough, it can lead to maceration, which in turn increases the risk of infection. The choice depends on the wound size and location, the level of exudate and clinician preference. ![]() However, selection of the appropriate dressing is of paramount importance in wound management. Alginate dressings, hydrocolloids, hydrogels, foams and films all have the capacity to control the level of wound hydration. For both the expert and the non-expert audience, a non-exhaustive list of definitions can be found in Table S1, see online supplementary material. Nowadays, a large variety of modern wound dressings is already available ( Table 1). Modern wound dressings protect the wound from contamination while regulating the exudate to provide a moist healing environment. They are mainly developed to aid re-epithelialization by protecting the wound from further damage and/or infection. Wound dressings are typically used to assist the wound healing process. The wound healing process is one of the most complicated biological processes that occur in the human body, which makes wound management one of the most essential practices today. Depending on the depth of the wound, the epidermis, dermis and/or hypodermis can be affected and the repair process will be activated. A wound signifies a breach in the skin due to trauma. It mainly separates the body from the environment, protecting it from thermal, physical and chemical damage and preventing the invasion of most pathogens. The skin, which is the largest human organ, is an indispensable barrier. Key factors contributing to the growth include the increasing number of road accidents and chronic diseases such as diabetes as well as an expanding geriatric population. The international advanced wound care market is expected to exceed $22 billion by 2024.
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