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Dressing (medicine)

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464: 151: 333: 20: 341: 2375: 2396: 143: 135: 363:(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. 432:. 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. 418:. 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 377:(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 348:
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.
304:. 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, 55:
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).
182:, 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; 296:(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, 238:
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.
2327: 1407: 275:. Many dressings today are produced as an "island" surrounded by an adhesive backing, ready for immediate application – these are known as island dressings. 479:
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.
359:. It allows the movement of water vapor, oxygen, and carbon dioxide into and out of the dressing. It also plays an additional role in autolytic 1244: 1397: 2178: 2138: 483:
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
1088: 381:. Secondary dressings are not required. However, it requires frequent changing and is not suitable for dry wounds. 82:– to soak up blood, plasma, and other fluids exuded from the wound, containing it/them in one place and preventing 1934: 1390: 499: 150: 1067: 1633: 1415: 1230: 1175: 480: 385:
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".
126:. This will then reduce the risk of infection, help the wound heal more quickly, and reduce scarring. 1170: 920: 392: 621: 210:
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).
641:"Report upon the Use of a Mixture of Castor oil and Balsam of Peru as a Surgical Dressing" 8: 2091: 1877: 1656: 1483: 1253: 798: 396:
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
47:, which is most often used to hold a dressing in place. Modern dressings are sterile. 2395: 2350: 2133: 2123: 2026: 1856: 1812: 1796: 1600: 1590: 1533: 1523: 1050: 1045: 986: 884: 822: 760: 711: 662: 574: 566: 562: 509: 419: 388: 171: 167: 123: 781:"Improvement of Human Keratinocyte Migration by a Redox Active Bioelectric Dressing" 103:
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).
443: 289: 219: 83: 904:"Clinical efficacy of dressings for treatment of heavily exuding chronic wounds" 746: 2379: 2279: 2274: 2128: 2118: 2068: 2053: 2043: 1944: 1939: 1929: 1867: 1839: 1791: 1786: 1518: 1473: 1469: 1272: 1149: 1134: 1093: 971: 870: 332: 2415: 2311: 2284: 2143: 1961: 1872: 1852: 1848: 1711: 1639: 1528: 1443: 1108: 570: 268: 235: 40: 19: 1222: 2269: 2188: 1924: 1882: 1716: 1706: 1622: 1617: 1357: 1315: 1285: 1257: 990: 888: 826: 764: 715: 666: 578: 429: 356: 313: 256:. Occlusive dressings, made from substances impervious to moisture such as 223: 174:. They provide different physical environments suited to different wounds: 2153: 2063: 1803: 1756: 1701: 1584: 1550: 930: 903: 490:
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
360: 239: 231: 190: 100: 955:"Wound Healing: Biologics, Skin Substitutes, Biomembranes and Scaffolds" 340: 2331: 2302: 2260: 2229: 2224: 2163: 2158: 2148: 2086: 2072: 2012: 1967: 1915: 1835: 1831: 1772: 1732: 1687: 1683: 1573: 1509: 1459: 1424: 1420: 1325: 1310: 1305: 468: 428:: This type of dressing is made up of either sodium or calcium salt of 374: 370: 317: 227: 215: 2239: 2219: 2193: 2168: 2103: 2081: 1909: 1822: 1696: 1340: 1154: 1031: 476: 309: 305: 301: 249:
Dressings are also often impregnated with analgesics to reduce pain.
211: 110:– to obscure a healing wound from the view of the patient and others. 94: 72: 252:
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.
61: 264:, can be used to increase their rate of absorption into the skin. 134: 97:
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.
2298: 2008: 1503: 534:"First Aid Equipment, Supplies, Rescue, and Transportation". 297: 285: 261: 159: 36: 1000: 600: 2002: 1363: 538:. Naval Education and Training Command. 2003. pp. 3–1. 154:
Depiction of a dressing on a face from a painting from 1490
90: 65: 75:– to defend the wound against germs and mechanical damage; 391:: This dressing is made up of synthetic polymers such as 196:
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
402:: This type of dressing contains two layers: inner 373:(attracted to water) properties and outer layer of 901: 355:: This dressing is a transparent film made up of 2413: 527: 500:History of wound care § Wound-site dressing 242:dressings can be effective in attacking certain 114:Ultimately, the aim of a dressing is to promote 35:is piece of material such as a pad applied to a 848: 846: 844: 842: 840: 838: 836: 728: 246:bacteria and speeding up the healing process. 1391: 1252: 1238: 1016: 218:chemicals. Commonly used antiseptics include 1406:Major chemical drug groups – based upon the 952: 946: 902:Wiegand, Cornelia; Tittelbach, Jörg (2015). 833: 158:Modern dressings include dry or impregnated 64:– to help to seal the wound to expedite the 1398: 1384: 1245: 1231: 1023: 1009: 908:Chronic Wound Care Management and Research 324:is indicated for superficial clean wound. 980: 970: 929: 919: 878: 816: 806: 754: 705: 682:"Honey as a topical treatment for wounds" 656: 548: 199:Mechanically debriding a wound to remove 16:Sterile pad or compress applied to wounds 462: 369:: This dressing is made up of foam with 339: 331: 149: 141: 133: 18: 1181:Wilderness emergency medical technician 953:Vyas KS, Vasconez HC (September 2014). 895: 686:Cochrane Database of Systematic Reviews 638: 327: 2414: 2385:Pharmacological classification systems 1752:Selective estrogen receptor modulators 2032:Non-steroidal anti-inflammatory drugs 1379: 1226: 1004: 467:Application of paraffin gauze on the 449: 1645:Angiotensin II receptor antagonists 320:dressing which is impregnated with 278: 267:Dressings are usually secured with 13: 14: 2433: 2394: 2374: 2373: 1089:Automated external defibrillator 563:10.1046/j.1524-4725.2001.00299.x 1782:Hypothalamic–pituitary hormones 214:by the impregnation of topical 50: 771: 722: 698:10.1002/14651858.CD005083.pub4 673: 632: 614: 593: 542: 162:, plastic films, gels, foams, 1: 1534:Thrombolytics / fibrinolytics 1068:Cardiopulmonary resuscitation 1030: 520: 2245:Wakefulness-promoting agents 1176:Emergency medical technician 855:"Wound dressings – a review" 808:10.1371/journal.pone.0089239 367:Semi-permeable foam dressing 353:Semi-permeable film dressing 7: 747:10.2174/1874285801408010015 493: 10: 2438: 1895:Intravenous immunoglobulin 1073:Emergency bleeding control 226:dressings or historically 2369: 2325: 2297: 2253: 2062: 1997: 1960: 1908: 1821: 1765: 1725: 1682: 1566: 1502: 1414: 1349: 1265: 1189: 1171:Certified first responder 1163: 1127: 1081: 1038: 972:10.3390/healthcare2030356 871:10.7603/s40681-015-0022-9 475:Applying a dressing is a 1950:Topoisomerase inhibitors 1634:renin–angiotensin system 1628:Calcium channel blockers 515:Field dressing (bandage) 458: 129: 93:– either by a medicated 1281:Aluminium chlorohydrate 639:Gallant, A. E. (1897). 440:carboxymethyl cellulose 1742:Hormonal contraception 1672:Bile acid sequestrants 1453:Proton-pump inhibitors 1416:gastrointestinal tract 1331:Phenylmercuric nitrate 472: 408:carboxymethylcellulose 345: 344:Hydrofiber forming gel 337: 155: 147: 139: 24: 1114:Nasopharyngeal airway 626:thefreedictionary.com 505:Hydrocolloid dressing 466: 400:Hydrocolloid dressing 343: 335: 316:. On the other hand, 153: 145: 137: 22: 2351:Radiopharmaceuticals 2139:Antiparkinson agents 1119:Oropharyngeal airway 931:10.2147/CWCMR.S60315 859:Biomedicine (Taipei) 551:Dermatologic Surgery 438:: Made up of sodium 328:Interactive products 244:antibiotic-resistant 146:Three types of gauze 108:psychological stress 2134:Antimigraine agents 2124:Antidementia agents 2027:Anti-inflammatories 1717:Medicated dressings 1657:Antihyperlipidemics 1484:Diabetes medication 1254:Medicated dressings 1212:Wilderness medicine 799:2014PLoSO...989239B 622:"pressure dressing" 601:"www.dressings.org" 436:Hydrofiber dressing 254:topical medications 1987:Immunosuppressants 1857:Antimycobacterials 1813:Antithyroid agents 1797:Mineralocorticoids 1601:Cardiac stimulants 1591:Cardiac glycosides 1583:cardiac therapy / 1479:Anti-obesity drugs 1207:Good Samaritan law 473: 450:Bioactive products 420:neuropathic ulcers 379:granulation tissue 346: 338: 156: 148: 140: 25: 2422:Medical dressings 2409: 2408: 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hormones 1702:Cicatrizants 1632: 1618:Vasodilators 1585:antianginals 1582: 1434:stomach acid 1433: 1316:Fusidic acid 1286:Benzalkonium 1103: 962: 958: 948: 911: 907: 897: 862: 858: 790: 784: 773: 741:(1): 15–21. 738: 734: 724: 689: 685: 675: 648: 644: 634: 625: 616: 605:. Retrieved 595: 554: 550: 544: 535: 529: 489: 485: 474: 453: 435: 434: 430:alginic acid 425: 424: 398: 393:methacrylate 387: 366: 365: 357:polyurethane 352: 351: 347: 322:paraffin oil 282: 266: 251: 248: 224:boracic lint 209: 191:water vapour 157: 113: 54: 51:Medical uses 32: 28: 26: 2317:Otologicals 2289:antagonists 2255:respiratory 2230:Orexigenics 2225:Neurotoxins 2174:Euphoriants 2164:Entactogens 2159:Depressants 2149:Anxiolytics 2087:Anesthetics 1863:Antifungals 1460:Antiemetics 1448:antagonists 1202:Golden hour 914:: 101–111. 375:hydrophobic 371:hydrophilic 361:debridement 240:Bioelectric 232:Antibiotics 120:granulation 39:to promote 2240:Stimulants 2220:Nootropics 2194:Deliriants 2169:Entheogens 2104:Anorectics 2082:Analgesics 1935:Alkylating 1868:Antivirals 1823:infections 1697:Emollients 1551:Coagulants 1421:metabolism 1326:Nitrofural 1311:Framycetin 1306:Clioquinol 1039:Techniques 959:Healthcare 607:2007-02-24 521:References 469:cellulitis 318:tulle gras 228:castor oil 216:antiseptic 84:maceration 2390:ATC codes 2356:Dressings 2341:Antidotes 2205:Sedatives 2201:Hypnotics 1910:malignant 1767:endocrine 1613:Diuretics 1546:Platelets 1506:and blood 1465:Laxatives 1360:dressings 1341:Triclosan 1269:dressings 1128:Mnemonics 1082:Equipment 1032:First aid 916:CiteSeerX 865:(4): 22. 571:1524-4725 487:exudate. 477:first aid 404:colloidal 349:healing. 310:polyamide 306:cellulose 302:polyester 271:and/or a 212:infection 172:alginates 168:hydrogels 95:analgesic 73:infection 2416:Category 2235:Serenics 1900:Vaccines 1667:Fibrates 1489:Vitamins 1439:Antacids 1366:bandages 1358:paraffin 1321:Iodoform 1267:Ointment 1197:Bleeding 1104:Dressing 1061:Advanced 991:27429283 889:26615539 827:24595050 786:PLoS ONE 765:24627730 716:25742878 667:17860484 579:11207694 494:See also 383:Silicone 68:process; 66:clotting 62:bleeding 33:compress 29:dressing 2092:General 1999:muscles 1968:L03–L04 1964:disease 1916:L01–L02 1912:disease 1662:Statins 1099:Bandage 982:4934597 940:3809185 880:4662938 818:3940438 795:Bibcode 756:3950956 707:9719456 658:1425429 587:6036583 481:sterile 412:gelatin 273:bandage 258:plastic 180:exudate 116:healing 106:Reduce 101:Debride 80:exudate 78:Absorb 45:bandage 41:healing 2399:  2378:  2326:other 2257:system 2009:joints 1962:immune 1769:system 1729:system 1570:system 1190:Topics 1150:SAMPLE 1140:OPQRST 989:  979:  938:  918:  887:  877:  825:  815:  763:  753:  714:  704:  665:  655:  603:. SMTL 585:  577:  569:  416:pectin 300:, and 201:slough 187:oxygen 170:, and 2380:Drugs 2097:Local 2064:brain 2003:bones 1504:blood 1356:Soft 1350:Other 1271:with 1056:Basic 936:S2CID 583:S2CID 459:Usage 308:, or 298:rayon 286:Gauze 262:latex 160:gauze 130:Types 89:Ease 60:Stop 37:wound 2007:and 1684:skin 1364:Zinc 1155:SOAP 1145:RICE 987:PMID 885:PMID 823:PMID 761:PMID 712:PMID 663:PMID 575:PMID 567:ISSN 414:and 290:lint 189:and 122:and 91:pain 2328:ATC 2066:and 1825:and 1258:D09 1135:ABC 977:PMC 967:doi 926:doi 875:PMC 867:doi 813:PMC 803:doi 751:PMC 743:doi 702:PMC 694:doi 653:PMC 559:doi 260:or 31:or 2418:: 2203:/ 2001:, 1851:: 1840:QI 1838:, 1834:, 1811:/ 1472:/ 1419:/ 985:. 975:. 961:. 957:. 934:. 924:. 910:. 906:. 883:. 873:. 861:. 857:. 835:^ 821:. 811:. 801:. 789:. 783:. 759:. 749:. 737:. 733:. 710:. 700:. 688:. 684:. 661:. 649:26 647:. 643:. 624:. 581:. 573:. 565:. 555:27 553:. 446:. 422:. 410:, 292:, 288:, 230:. 222:, 166:, 27:A 2334:) 2332:V 2330:( 2305:) 2303:S 2301:( 2287:1 2285:H 2263:) 2261:R 2259:( 2075:) 2073:N 2071:( 2015:) 2013:M 2011:( 2005:, 1970:) 1966:( 1918:) 1914:( 1859:) 1855:( 1842:) 1836:P 1832:J 1830:( 1775:) 1773:H 1771:( 1735:) 1733:G 1731:( 1690:) 1688:D 1686:( 1576:) 1574:C 1572:( 1512:) 1510:B 1446:2 1444:H 1427:) 1425:A 1423:( 1399:e 1392:t 1385:v 1260:) 1256:( 1246:e 1239:t 1232:v 1024:e 1017:t 1010:v 993:. 969:: 963:2 942:. 928:: 912:2 891:. 869:: 863:5 829:. 805:: 797:: 791:9 767:. 745:: 739:8 718:. 696:: 690:3 669:. 628:. 610:. 589:. 561:: 203:. 193:; 86:;

Index


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
povidone-iodine

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