Matching Dressings to Wounds

Selection

  1. Wound etiology (acute-chronic)
  2. Depth of injury
  3. Amount of eschar and/or slough
  4. Likelihood of drainage
  5. Wound location
  6. Infection

Dressings indicated for necrotic/non-necrotic wounds

Wound Type Films
(MVP)
Foams Hydrocolloid Hydrogel Calcium
Alginate
*Composite Enzymes

Non-Necrotic

Non-Draining

X
 
X
X
 
 
 

Draining

Minimal

 
X
X
X
 
 
 
Moderate
 
X
 
 
X
 
 
Large
 
 
 
 
X
X
 

Necrotic

Non-Draining

X
 
X
X
 
 
X

Draining

Minimal

X
X
X
X**
 
 
X
Moderate
 
X
 
X
X
 
 
Large
 
 
 
 
 
X**
X

Updated: June, 2006

* Composite Dressing: Semi-permeable dressings designed to absorb large amounts of drainage
** Possible silver nitrate dressing

NOTE:

  • Remember that any solution put into a wound can be absorbed by the body.
  • Remember gels add moisture and alginates absorb moisture.

 

RULE OF THUMB: Don't put anything into a wound that you wouldn't put in your eye.


Resources:

Links to Wound Healing Sites:
http://www.aawc1.com/AAWCLINKS1.htm

Wound Care Products: How to Choose
http://www.nursingcenter.com/prodev/ce_article.asp?tid=53574

Hanging Wet-to-Dry Dressings Out to Dry
http://www.nursingcenter.com/prodev/ce_article.asp?tid=268923