Compared with traditional dressings, modern dressings are characterized by better biocompatibility, degradability, and moisture retention. Venous thromboembolism prophylaxis and wound healing in patients undergoing major orthopedic surgery. Dressings and topical agents for preventing pressure ulcers. Alginate dressings are made to offer effective protection for wounds that have high amounts of drainage, and burns, venous ulcers, packing wounds, and higher state pressure ulcers. 7:4. doi: 10.1186/1748-717X-7-4, Zhang, S., Wang, W., Gu, Q., Xue, J., Cao, H., Tang, Y., et al. The results indicated that there was no significant difference between hydrogel containing MTC-2G and hydrogel alone for the treatment of VLU (Lammoglia-Ordiales et al., 2012). Effect of hydrofiber wound dressings on bacterial ultrastructure. Randomized controlled trial and cost-effectiveness analysis of silver-donating antimicrobial dressings for venous leg ulcers (VULCAN trial). Therefore, most of the dressings (e.g., Ag foam dressings) have the ability of osmotic absorption and prevention of infection. doi: 10.1097/01.prs.0000225429.76355.dd, Brown, J. E., and Holloway, S. L. (2018). The results showed that the hydrocolloid group had the fastest epithelialization rate, and the wound infection rate in the gauze group was 2-fold higher than that reported in the other five groups (Brolmann et al., 2013). In particular, most studies have only evaluated the effect of a single dressing on the wound, but it may have better results when combined with other treatments, such as light therapy and topical drugs. Skin Wound Care 31, 18. Recent Pat. The use of dressings is a common treatment for the management of wounds. Radiation increases the expression of apoptosis-related genes, retards cell proliferation, and decreases cytokine activity and collagen content, resulting in delayed wound healing (Zhang et al., 2012, 2014). 192004). Wound dressings: principles and practice. The combination of wound dressings and multiple lamination treatments may exert the best therapeutic effect. Mater. Prevention and treatment of acute radiation dermatitis: a literature review. Adv. Fam. (2008). Pressure ulcer prevention in the hospital setting using silicone foam dressings. Am. Ostomy Wound Manage. A clinical study investigated the effects of film dressings 3M Cavilon No Sting Barrier Film (3M, Minneapolis, MN, USA), and topical corticosteroids on skin exposed to radiotherapy and compared the effects of the two methods in preventing radiation dermatitis. The results showed that the incidence of pressure ulcers decreased from 13.6 to 1.8% after application of the dressing, indicating that this type of dressing effectively reduces the incidence of sacral pressure injury in the ICU (Chaiken, 2012). doi: 10.1111/wrr.12472, Okuma, C. H., Andrade, T. A., Caetano, G. F., Finci, L. I., Maciel, N. R., Topan, J. F., et al. 9, 412418. Oncol. A large amount of exudate causes the patient to lose water and nutrients, and provides the appropriate conditions for bacterial growth. 74, 60725. doi: 10.1111/j.1742-481X.2011.00881.x, Harding, K. G., Krieg, T., Eming, S. A., and Flour, M. L. (2005). 1967 (1 Each), Silicone Foam Dressing, 6'' x 6''(4.3" X 4.3" pad) Sacrum Wounds, Waterproof Wound Dressing with Gentle Border, High Absorbency Foam Bandages, Silicone Self-Adhesive Patches,5 Pack, Med PRIDE 6 inch x 6 inch Bordered Gauze-Island Dressing| 25 Pack-Individually Packed Pouches| Wound Dressing with Adhesive, Breathable Borders| Sterile & Highly Absorbent| Latex-Free, Medline Optifoam Gentle Silicone Faced Foam Dressing, Super Absorbent, 4x4 (Pack of 10), Dimora Silicone Foam Dressing with Border Adhesive 3"x3" Waterproof Wound Dressing Bandage for Wound Care 10 Pack, Dynarex DynaGuard Waterproof Dressing, Bordered, 6" x 6", 10 Count, Niceful Sacrum Silicone Foam Dressing, Sacral Foam Dressing 9"x9", High Absorbency, Waterproof Bordered Silicone Adhesive Foam Dressing Sacral for Sacrum Ulcer, Bed Sore Bandages, 5 Packs, JJ CARE Hydrocolloid Dressing [Pack 10], 2x2 Hydrocolloid Bandages w/o Border, Thin Hydrocolloid Wound Dressing, Faster Healing for Bedsores, Blisters, and Acne, Transparent Film Dressing, 4" x 4.7" Pack of 50 Waterproof Wound Bandage Adhesive Patches, Post Surgical Shower or IV Shield,Tattoo Aftercare Bandage by Healqu, Dimora Hydrocolloid Dressing 4" x 4" for Wound Care, 10 Pack Large Patch Bandages with Self-Adhesive for Bedsore, Burn, Blister, Acne Care, Super Absorbent for Fast Healing, Med PRIDE Hydrocolloid Wound Dressing Pads| 10-Pack, 4inch by 4inch Sterile Adhesive Patches| Individually Packed, Highly Absorbent, Water-Resistant & Comfortable| Stays On for Multiple Days, Promogran Matrix Wound Dressing #PG004 (4.34 sq. Skin side effects of radiation therapy occasionally limit its application (Wickline, 2004; Hird et al., 2008). Surg. 123, 135154. Wound Care 21, 200203. Meanwhile, A study developed an alginate hydrogel contained both bioglass and desferrioxamine, which better facilitated diabetic skin wound healing. Pressure injury identification, measurement, coding, and reporting: key challenges and opportunities. Wound Care 24, 514517. doi: 10.1002/bjs.6786, Moore, Z. E., and Webster, J. doi: 10.1021/acsami.8b08165, Lohmann, M., Thomsen, J. K., Edmonds, M. E., Harding, K. G., Apelqvist, J., Gottrup, F., et al. Zhang et al. doi: 10.1177/0268355513480489, Mabrouk, A., Boughdadi, N. S., Helal, H. A., Zaki, B. M., and Maher, A. Non-healing venous leg ulcer. Surgical pearl: composite film and graft unit for the recipient area dressing after split-thickness skin grafting in vitiligo. doi: 10.1016/j.ejps.2015.01.016, O'Meara, S., and Martyn-St James, M. (2013). The main factors in the occurrence of injury are stress and tissue tolerance. doi: 10.12968/jowc.2017.26.Sup6a.S1, Dawkins, H. (2017). Ther. 16, S614. Wound J. 8:CD009362. doi: 10.1046/j.1532-5415.2003.51051.x, Guo, S., and Dipietro, L. A. doi: 10.1111/iwj.13082, Sebern, M. D. (1986). doi: 10.1016/j.jfma.2013.04.003. QL and YL edited pictures in this paper. 8, 217233. Med. In addition to the common dressings mentioned above, there are other dressings that promote the healing of DFU. The SA dressings used in the clinic are generally made into sheet fibers, which can be freely cut according to the shape of the wound. 4, 321325. Assoc. 41, 202212. A study examined the effect of a film dressing (Airwall) in the management of acute radiation dermatitis induced by proton beam therapy. Wound J. These advantages of modern dressings relieve pain and improve the hypoxic or anaerobic environment (Hopper et al., 2012; Thu et al., 2012; Okuma et al., 2015). It is suggested that how to promote wound healing in a home and nursing home should be studied in the future. 123(Suppl. Rev. 5, 150154. At CLH, we have a range of different wound dressings on offer, each of which is ideal for treating different wounds. (2007). The results indicated that the average pain score and wound healing time in the Askina Calgitrol Ag group was significantly lower/shorter than those reported in the silver sulfadiazine group (Opasanon et al., 2010). Film dressings are composed of adhesive, porous, and thin transparent polyurethane. Int. Studies have shown that excessive skin moisture leads to excessive hydration and damage to the normal barrier function of the skin, hence increasing the risk of ulceration (Demarre et al., 2015). Wound Ostomy Continence Nurs. Artif. Non-woven sponges leave minimal lint in a wound when theyre removed, making them a great option for packing open wounds and promoting optimal healing. Maggio et al. doi: 10.1002/14651858.CD009101.pub3, Edmonds, M., Lazaro-Martinez, J. L., Alfayate-Garcia, J. M., and Martini, J. 23, 312. In the event a patient is suffering from a wound that requires surgical closure, medical drapes should be available for medical care professionals to use as a safeguard against infection. It is one of the most common chronic complications and the cause of lower extremity amputation in patients with diabetes mellitus (Brennan et al., 2017). Skin Wound Care 22, 311315. 15, 417423. These are non-breathable dressings that are self-adhesive and require no taping. Cotton tipped applicators are useful in applying medicines or ointment to wounds as well, so theyre an important component of any wound care kit. Systematic review: charged-particle radiation therapy for cancer. Med. doi: 10.1093/qjmed/hcn027, Kirkwood, M. L., Arbique, G. M., Guild, J. Foam dressings are semipermeable and either hydrophilic or hydrophobic with a bacterial barrier (Sedlarik, 1994). A systematic review evaluated the effectiveness of dressings and topical preparations in preventing pressure ulcers. Another retrospective study reported the effectiveness of Mepilex Ag dressings in preventing stress injuries in children after thoracotomy. The results indicated that the patients in the Mepilex group had significantly shorter wound healing time and improved sleep quality compared with those in the control group (Zhong et al., 2013). doi: 10.1016/j.yexcr.2017.01.005, Barnea, Y., Weiss, J., and Gur, E. (2010). 352, 175183. 2022 CLH Healthcare - All Rights Reserved, 7 Types Of Wound Dressings & When To Use Each. Gil, J., Natesan, S., Li, J., Valdes, J., Harding, A., Solis, M., et al. Appl. (2007). (2016). 13, 390393. Evaluation of a new pressure ulcer preventive dressing containing ceramide 2 with low frictional outer layer. Devices Artif. Cochrane Database Syst. Tissue edema can stress the arteries and affect the blood circulation in the lower extremities, resulting in insufficient blood supply to the wound. They are also useful for swabbing a wound to obtain a sample for testing to determine the presence of an infection. It is worth noting that these systematic reviews included a very small number of studies and were performed several years ago. A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial. Br. A. 89, 3340. (1997). (2005). (2012). They can be used to clean the wound, as well as skin surrounding it. Table 2. To prepare sufficiently for the more serious wounds they face, providers should include medical drapes in their wound dressing kits. 24, 581588. Soc. Moreover, there is substantial necrotic tissue and abnormal exudate on the surface of the ulcer, often accompanied by multiple bacterial infections. Nevertheless, chronic wounds (e.g., DFUs and PUs) were treated at home or nursing home in most cases. Br. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). Richard et al. The study concluded that the healing rate and long-term outcomes of the moist occlusive wound dressing was better than those of the moist open dressing for the repair of facial partial thickness burns (Mabrouk et al., 2012). Unlike the aforementioned types of wounds, VLU in the lower extremities requires treatment of lower extremity edema to promote wound healing. In the diabetic state, multiple factors cause stagnation in one or more stages of the normal healing process. Ostomy Wound Manage. 5, 530539. Researchers have combined antimicrobial-impregnated dressing with negative-pressure wound therapy to greatly improve the survival rate of skin grafts (Wu C. C. et al., 2015). Although the results did not reveal significant differences in the number of patients achieving complete repair of ulcers between the two groups, both dressings reduced pain after treatment (Franks et al., 2007). A multifunctional pro-healing zwitterionic hydrogel for simultaneous optical monitoring of pH and glucose in diabetic wound treatment. The study showed that Contreet Foam is safe and easy to use, and effectively accelerates the wound healing process (Rayman et al., 2005). Drapes are disposable and impermeable, so they help isolate the injured area, and prevent bacteria from migrating into the wound during surgery. (2018). 59, 520529. Burns 33, 161166. Take a look at our extensive range - browse through now by clicking the following button. doi: 10.1016/j.burns.2013.11.014, Suvarna, R., Viswanadh, K., Hanumanthappa, M. B., and Devidas Shetty, N. (2016). doi: 10.1111/j.1365-2648.2006.03794.x, Park, G. B. (2012). applied a silicone border foam dressing to the appendix of patients in the ICU to examine whether the dressing reduces sacral pressure injury. The therapeutic effects of traditional dry dressings and modern wet dressings in the clinical management of wounds are documented. J. Extrem. evaluated the effectiveness of silver-containing Hydrofiber dressings in minimizing or preventing radiation-induced dermatitis. doi: 10.1302/0301-620X.87B12.16710, Rayman, G., Rayman, A., Baker, N. R., Jurgeviciene, N., Dargis, V., Sulcaite, R., et al. Studies have shown that a better extracellular matrix environment is a vital factor in promoting the migration of keratinocytes and fibroblasts, and synthesis of collagen (Alvarez, 1988; Morton and Phillips, 2012). Organs 6, 135. (2010). 31, 3337. Cotton balls are an essential element of any wound dressing kit. doi: 10.1002/bjs.9045, Broughton, G., II, Janis, J., and Attinger, C. E. (2006). (A) Models of the buttock under pressure and coated dressing. A brief history of wound care. 44, 856858. J. Dent. (B) On the skin surface near the perimeter of the pressure ulcer. They suggested that silver-containing Hydrofiber dressings are effective in reducing radiation dermatitis and arresting its progression, consequently leading to shorter healing time (Whaley et al., 2013). Safety and performance evaluation of a next-generation antimicrobial dressing in patients with chronic venous leg ulcers. The onset time of chronic dermatitis usually occurs after radiotherapy for a prolonged period of time (Spalek, 2016). At the same time, research on a variety of new materials for wounds has emerged, but few have been applied to the clinic in the end. Dermatol. With several thousand different types of wound dressings available on the market today, it is easy to become overwhelmed by the options. Protective effect of transparent film dressing on proton therapy induced skin reactions. studied the effects of a foam dressing combined with recombinant human epidermal growth factor on the treatment of seven patients with head and neck cancer experiencing radiation-induced dermatitis. The results showed that the healing time and bacterial control of the two silver dressings was similar. It is concluded that silicone dressings can reduce the incidence of pressure ulcers, but the certainty of the evidence is still low and further research is needed to confirm it. A study assessed the pressure-reducing effect of 10 dressing products, consisting of five types of material (polyurethane foam, hydropolymeric, hydrofiber, hydrocolloid, and low-adherent absorbent). With the increase in the incidence of diabetes and chronic vascular diseases, wound management (especially for certain chronic wounds) has gradually attracted the attention of clinicians. In addition, dressings with horizontal fabric structures transferred load over a greater area (Call et al., 2015). Med. The study concluded that ACTICOAT with nano silver effectively promoted the healing process of residual wounds after burns without the occurrence of adverse effects (Huang et al., 2007). Burn Care Res. Clin. Int. 6, 2127. B. Br. A retrospective study investigated the effectiveness of Mepilex Ag dressings in decreasing post tracheotomy pressure injury. (1 Roll), Triad Hydrophilic Wound Dressing, Sterile, Zinc-Oxide Based, 6 Oz. J. Homeost. The results indicated that there are no significantly differences in these two dressings (Nelson et al., 2007). Accelerated full-thickness wound healing via sustained bFGF delivery based on a PVA/chitosan/gelatin hydrogel incorporating PCL microspheres. doi: 10.1067/mjd.2001.111334. (A) Synthesis and physical characteristics of the HA-az-F127 hydrogel. The cooling gel in products like Burn Soothe are what makes them so effective at reducing pain and speeding up the healing process. Prior to the application of Mepilex Ag, the incidence of skin rupture during replacement of the first tracheostomy tube was 11.8%. (2012). Nurs. Biol. Mater. Investig. The prevention of pressure ulcers is focused on the reduction of the shear force and pressure in the hazardous area. Silver sulfadiazine is a commonly used wound management method for burns; however, it can easily cause pain in patients. J. Adv. Reconstr. 12, 408413. doi: 10.3109/21691401.2012.716065, Skorkowska-Telichowska, K., Czemplik, M., Kulma, A., and Szopa, J. Compression therapy is the main conservative treatment of VLU. Three-dimensional tissue fabrication. (D) On the skin surface near the tip of the coccyx. 96, 11471156. 39, 143145. 5:1700527. doi: 10.1002/advs.201700527, Li, Z., Zhou, F., Li, Z., Lin, S., Chen, L., Liu, L., et al. Based on these characteristics, hydrogels are primarily used on pressure ulcers, surgical wounds, burns, radiation dermatitis, etc. doi: 10.1111/j.1742-481X.2011.00867.x, Hird, A. E., Wilson, J., Symons, S., Sinclair, E., Davis, M., and Chow, E. (2008). Wound J. 139, 7278. 5: foam dressings]. Types of wound care bandages and medical dressing to keep on hand include: Many types of wounds may be closed by sutures, which need to be removed once the wound has closed and healed. Curr. J. The results showed that the incidence of hospital-acquired pressure injury in the ICU decreased from 12.5% in 2009 to 7% in 2010, and the number of sacral pressure injury cases decreased from 50 to 13, respectively (Walsh et al., 2012). For example, modern dressings are conducive to the dissolute and abort necrotic tissue and fibrin, as well as play a role in autolysis and debridement. A new type of porous mesh foam dressing, cell foam dressing with through holes (ROCF-CC), was introduced into negative pressure wound therapy with instillation and dwell. Collagen dressings encourage the wound healing process in a range of ways; these include by helping to remove dead tissue, aiding the growth of new blood vessels, and helping to bring the wound edges together, effectively speeding up healing. (2016). (2017). Lee et al. In addition, the pros and cons of mainstream modern wound dressings for the healing of different wounds, such as diabetic foot ulcers, pressure ulcers, burns and scalds, and chronic leg ulcers, as well as the physiological mechanisms involved in wound healing are summarized. So far, there has been limited discussion about the influence of secondary dressings as well as methods/techniques of primary dressing use on donor site wounds. Skin Wound Care 13:131. Inflamm. (D) Images of wound healing in mice in different groups. Hess, C. T. (2000). The results indicated that the Airwall group experienced less severe acute radiation dermatitis compared with the standard management group (Arimura et al., 2016). Int. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.