The Choice of Wound Dressing – What, Why and How.

There were various aspect of experience I encountered at my practice on the surgical ward advance practice 2 part 1. From discussion with mentors during and after wound care, I came to realize it is one area that many nurses have limited knowledge and my mentors encouraged me read more into wound care, especially knowing what to apply on the wound, how to do it, and the reason for the choice of the dressing.  Sometimes, the challenge is the clinical decision making during the wound care. The choice of wound dressing is one of the decision to make. There are many products on the market and some are common at many healthcare institutions in Finland. Sorbact is one of the commonest products that nurses use in Finland, and it interests me to know better. There are various sorbact products, but I will discuss the one for surgical dressing and a few others here. For more details one can visit sorbact.fi.

SORBACT® KIRURGINEN SIDOS/SORBACT® SURGICAL DRESSING (Infection preventive adhesive dressing)

SIGNIFICANTLY REDUCES THE RISK OF SURGICAL SITE INFECTION

Sorbact® Surgical Dressing is a sterile, bacteria and fungi binding wound dressing. It consists of a green Sorbact® wound contact layer combined with an absorbent wound pad and a transparent acrylic adhesive film. Sorbact® Surgical Dressing absorbs and retains exudate and enables a moist wound environment. The water proof backing film provides protection against external contamination and allows excess fluid to evaporate (abigo.com; sorbact.fi).

INTENDED USE

Sorbact® Surgical Dressing is intended for use in management of clean, colonized, contaminated or infected dry to low exuding wounds, such as surgical wounds and traumatic wounds, e.g. lacerations, cuts and abrasions (abigo.com; sorbact.fi)

INSTRUCTIONS FOR USE

  1. Prepare the wound according to local clinical practice. Ensure that the surrounding skin is clean and dry.
  2. Select an appropriate dressing size for the wound.
  3. Remove the dressing from the pouch using an aseptic technique.
  4. Remove the protective film from the wound contact side of the dressing.
  5. Apply the dressing. Ensure that the green wound contact layer comes into direct contact with the complete wound surface.
  6. Press the borders to the surrounding skin.
  7. Remove the stabilizing film on top. Should the clinical condition allow, the dressing can be left in place for up to 7 days.(abigo.com; sorbact.fi)

 

  

  

 

SORBACT® GEL DRESSING/SORBACT® GEL SIDOS (Infection preventive moist wound contact layer)

REDUCES BIOBURDEN IN DRY TO LOW EXUDING WOUNDS

Sorbact® Gel Dressing is a sterile, bacteria and fungi binding dressing covered with gel. It consists of a green Sorbact® wound contact layer with a water based gel containing carbomer and propylene glycol. Sorbact® Gel Dressing donates moisture and enables a moist wound environment (abigo.com; sorbact.fi).

INTENDED USE

Sorbact® Gel Dressing is intended for use in management of clean, colonized, contaminated or infected wounds with dry to low exudate levels, such as traumatic wounds, burns, cavity wounds, fistulas, pressure ulcers, diabetic ulcers and foot and leg ulcers (abigo.com; sorbact.fi)

INSTRUCTIONS FOR USE

  1. Prepare the wound according to local clinical practice.
  2. Select an appropriate dressing size for the wound.
  3. Remove the dressing from the pouch using an aseptic technique.
  4. If cutting the dressing, use an aseptic technique. Discard any open and unused dressing.
  5. Apply the dressing. Ensure that the dressing comes into direct contact with the complete wound surface. The dressing should not overlap the surrounding skin.
  6. In cavity wounds and fistulas, always leave a part of the dressing sticking out so that it can be easily removed.
  7. Apply an appropriate secondary dressing.
  8. The dressing change frequency depends on exudate levels and overall condition of the wound and surrounding skin. Should the clinical condition allow, the dressing can be left in place for up to 7 days (abigo.com; sorbact.fi).

 

SORBACT® FOAM DRESSING (Infection preventive foam dressing)

 

REDUCES BIOBURDEN IN MODERATELY EXUDING WOUNDS

Sorbact® Foam Dressing is a sterile, bacteria and fungi binding foam dressing. It consists of a green Sorbact® wound contact layer combined with a polyurethane foam with a semi-permeable backing. Sorbact® Foam Dressing absorbs and retains exudate, thereby reducing the risk of maceration and enabling a moist wound environment. The semi-permeable film backing allows excess fluid to evaporate (abigo.com; sorbact.fi).

INTENDED USE

Sorbact® Foam Dressing is intended for use in management of clean, colonized, contaminated or infected wounds with low to moderate exudate levels, such as surgical wounds, traumatic wounds, pressure ulcers, diabetic ulcers and foot and leg ulcers (abigo.com; sorbact.fi).

INSTRUCTIONS FOR USE

  1. Prepare the wound according to local clinical practice.
  2. Select an appropriate dressing size for the wound. The wound pad should overlap the wound margins by at least 2 cm.
  3. Remove the dressing from the pouch using an aseptic technique.
  4. If cutting the dressing, use an aseptic technique. Discard any open and unused dressing.
  5. Apply the dressing. Ensure that the green side of the dressing comes into direct contact with the complete wound surface.
  6. Apply an appropriate dressing fixation.
  7. The dressing change frequency depends on exudate levels and overall condition of the wound and surrounding skin. Should the clinical condition allow, the dressing can be left in place for up to 7 days (abigo.com; sorbact.fi).

 

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SORBACT® FOAM GENTLE BORDER (Infection preventive dressing with soft silicone border)

 

THE ATRAUMATIC ALL-IN-ONE DRESSING THAT REDUCES BIOBURDEN

Sorbact® Foam Gentle Border is a sterile, bacteria and fungi binding, self-adherent absorbent wound dressing. It consists of a green Sorbact® wound contact layer, polyurethane foam, soft silicone adhesive borders and a vapor permeable polyurethane backing film. Sorbact® Foam Gentle Border is suitable for a wide range of wounds (abigo.com; sorbact.fi).

INTENDED USE

Sorbact® Foam Gentle Border is intended for use in management of clean, colonized, contaminated or infected wounds with moderate exudate levels, such as surgical wounds, traumatic wounds, pressure ulcers, diabetic ulcers and foot and leg ulcers (abigo.com; sorbact.fi).

INSTRUCTIONS FOR USE

  1. Prepare the wound according to local clinical practice. Ensure that the surrounding skin is clean and dry.
  2. Select an appropriate dressing size for the wound. The wound pad should overlap the wound margins by 1 cm to minimize the risk of maceration.
  3. Remove the dressing from the pouch using an aseptic technique.
  4. Remove the protective film from the wound contact side of the dressing.
  5. Apply the dressing. Do not stretch. Ensure that the green wound contact layer comes into direct contact with the complete wound surface.
  6. Gently press the borders to the surrounding skin. If necessary the dressing can be adjusted and reapplied.
  7. The dressing change frequency depends on exudate levels and the overall condition of the wound and surrounding skin. Suited for use in compression therapy (abigo.com; sorbact.fi).

 

REFERENCE:

https://www.abigo.com/wp-content/uploads/2016/05/sorbact_FGB_produktblad_2016-69.pdf

https://sorbact.fi/wp-content/uploads/sites/4/2v_OPAShaavanhoitoon_Sorb_010316te.pdf

https://sorbact.fi/