Beruflich Dokumente
Kultur Dokumente
37
Modern Wound Care
Knowledge of the process of wound types and stages of wound The physiological process of
wound healing as well as the op- healing are increasingly taken into wound healing is a dynamic
portunities for influencing that account through, amongst other process that follows a complex pat-
process – especially with chronic things, the specific selection of tern. There are three distinct, but
wounds – have expanded signifi- suitable dressings that are overlapping phases, each one
cantly in recent years. The appropriate for the indications and leading smoothly to the next and to
individual conditions of different the healing phase. a certain extent being dependent
on one another.
Exudation phase
The exudation or cleansing phase
commences immediately after the
injury is sustained. In clinical terms,
Exudation
Granulation phase
In the granulation or proliferation
phase, new cells are generated and
Granulation
Epithelialisation phase
In the epithelialisation or regenera-
Epithelialisation
38
In the exudation phase, the ideal against infections from outside is charge is on the heavy side it may
dressing will support the body’s ensured and the wound is kept be necessary to change the dress-
own cleansing mechanisms and moist. The dressing will be ing several times a day. If neces-
will provide clean conditions in changed at intervals dictated by sary, necrotic tissue and purulent
the wound. Any coats and necro- the condition of the wound and the coats will be removed.
tic tissue that may develop will be degree of exudation. When dis-
softened up and can be carried
away. Any surplus exudate, the de-
tritus contained in it, germs and
waste products from metabolism
will be absorbed. Protection
reddish tissue with a good blood sensitively and must be protected Dressings are changed accor-
supply. from adverse influences also when ding to the condition of the wound.
the dressing is being changed. Experience indicates that the
In the granulation phase, the
By maintaining a moist wound dressing may be left on the wound
ideal dressing will provide a
environment, the dressing can be for several days.
balanced, moist wound environ-
changed without any trauma.
ment. It will guard against drying
out and mechanical influences
while at the same time taking up
any surplus discharge and offering
protection against infection. The
new granulation tissue reacts very
39
Suprasorb A ®
Suprasorb A ®
encloses bacteria as well as
Creates clean wound detritus, which are removed
conditions naturally! with the alginate fibres when
the dressing is changed.
Suprasorb A provides clean
wound conditions in heavily ex- Indications: heavily exuding,
uding wounds. With the strong superficial and deep wounds in
absorptive capacity of calcium the exudation and granulation
alginate from natural brown phase, e.g.: decubitus, ulcers of
algae. various origins (e.g. venous, Cleanses the wound rapidly
arterial), diabetic foot syndrome and reliably.
The exchange of calcium ions
(DFS), skin donor and skin Suprasorb A shows its special ben-
from the wound dressing with
grafting sites, postoperative efits in use:
the sodium ions from the wound
wounds, second degree burns. a high capacity to absorb exudate,
exudate leads to a formation of
gel which binds exudate and rapid formation of gel, soft and
with excellent tamponing charac-
teristics, conforms to every wound
base, binds bacteria into the gel
and cleanses the wound.
Suprasorb A is available as dress-
ing and as rope.
Suprasorb A ®
40
Suprasorb A + Ag ®
NEW
Antimicrobial Calcium Alginate Dressing
Suprasorb A + Ag ®
wound exudate can exert their
Provides clean wound effect directly at the wound sur-
conditions naturally and face due to the production of gel
reduces bacteria! by the alginate.
Suprasorb A + Ag provides clean Indications: heavily exuding, su-
wound conditions and reduction perficial and deep, critically
of bacteria in heavily exuding, colonised or infected wounds in
infected wounds. With the the exudation and granulation
strong absorptive capacity of phase, e.g.: decubitus, ulcers of Cleansing silver and natural
natural calcium alginate and an- various origins (e.g. venous, absorptive capacity.
timicrobial silver. arterial), diabetic foot syndrome Suprasorb A + Ag shows in use not
(DFS), skin donor and skin only the qualities of Suprasorb A
In its material characteristics,
grafting sites, postoperative but additionally benefits of the cal-
Suprasorb A + Ag corresponds
wounds, second degree burns. cium alginate/silver combination:
to the calcium alginate dressing
Suprasorb A. The silver ions that wide antimicrobial spectrum, can
are released on contact with the be used in clinically manifest infec-
tions, also effective against MRSA
and VRE, bacteria and germs are
enclosed within the gel and killed.
Suprasorb A + Ag is available as
dressing and as rope.
3
Interval between dressing
Bacterium
changes
Bacterium Depending on the degree of
2 Bacterium infection, the degree of exudation
and the secondary dressing used,
at the latest after 5-7 days.
1
Suprasorb A + Ag NEW®
41
Suprasorb X ®
NEW
HydroBalance Wound Dressing
Suprasorb X ®
absorption of exudate can take
Natural HydroBalance. place simultaneously.
Easy. Unique!
In the context of moist wound
Suprasorb X controls the mois- managment, it is necessary to
ture content of lightly to moder- ensure that the Suprasorb X
ately exuding wounds. With the remains moist in the wound
unique structure of biosynthetic area when choosing a suitable
HydroBalance fibres. secondary wound dressing (e.g.
Suprasorb F, Suprasorb P and Moist wound management
Suprasorb X is able to regulate Vliwazell). has never been so easy!
the uptake (absorption) and
Indications: lightly to modera- Regardless of which type of wound
release (rehydration) of
tely exuding, superficial and is treated with Suprasorb X, there
moisture.
deep, non-infected wounds in are numerous benefits: moisture
According to the status of the all phases of wound healing, regulation (HydroBalance), combats
wound, surplus exudate from e.g.: decubitus, ulcers of various pain, wide range of application,
the wound can be absorbed by origins (e.g. venous, arterial), high safety in use, usable on both
the dressing, moisture from the diabetic foot syndrome (DFS), sides, particularly soft and supple.
dressing can be released in the second degree burns, post- Suprasorb X is available as dress-
case of lightly exuding wounds, operative wounds, skin donor ing and as rope.
or the release of moisture and and skin grafting sites.
Interval between dressing
changes
Depending on the degree of exuda-
tion and the secondary dressing
used, at the latest after 5-7 days.
Suprasorb X NEW ®
42
Suprasorb X + PHMB ®
NEW
Antimicrobial HydroBalance Wound Dressing
Suprasorb X + PHMB
®
tively kills microorganisms such
Natural HydroBalance. as bacteria, fungi and yeasts.
Easy. Antimicrobial!
In the context of moist wound
Suprasorb X + PHMB provides management, it is necessary to
moisture regulation and addi- ensure that the Suprasorb X +
tionally antimicrobial activity in PHMB remains moist in the
lightly to moderately exuding wound area when choosing a
wounds. With the unique suitable secondary wound
structure of biosynthetic dressing (e.g. Solvaline N, Vliwa- HydroBalance also for
HydroBalance fibres plus PHMB. zell). critically colonised and
infected wounds.
In addition to the fundamental Indications: lightly to moderately
properties and advantages of exuding, superficial and deep, Regardless of which type of wound
Suprasorb X, Suprasorb X + infected wounds in all phases of is treated with Suprasorb X +
PHMB contains 0.3% polyhexa- wound healing, e.g.: decubitus, PHMB, in addition to the properties
methylene biguanide (PHMB) – ulcers of various origins (e.g. of Suprasorb X it has the benefits of
a substance with proven antimi- venous, arterial), diabetic foot HydroBalance fibres and PHMB:
crobial activity. PHMB develops syndrome (DFS), second degree wide antimicrobial spectrum, rapid
its antimicrobial potential not burns, postoperative wounds, effectiveness also against MRSA
only within the dressing but also skin donor and skin grafting and VRE, good tolerance, high
at the wound surface and effec- sites. safety of use also in clinically
manifest infections.
Suprasorb X + PHMB is available
as dressing and as rope.
43
Suprasorb C ®
Suprasorb C ®
In the case of lightly exuding
Actively promotes wound wounds, it is recommended to
healing! moisten Suprasorb C with saline
or Ringer solution.
Suprasorb C stimulates the
healing process in stagnating Indications: lightly to moderately
wounds in all phases of healing. exuding, superficial and deep,
With the natural strength of an non-infected wounds in all
open-pore, pure collagen. phases of wound healing, e.g.:
decubitus, ulcers of various Bioactive in all phases of
In contact with wound exudate, wound healing.
origins, diabetic foot syndrome
Suprasorb C forms gel and, with
(DFS), skin donor and skin The porous Suprasorb C collagen
its pronounced pore structure,
grafting sites, postoperative sponge supports wound healing
removes exudate as well as
wounds, second degree burns. through a series of benefits:
factors that inhibit healing
rapidly and efficiently. In addi- binds factors that inhibit wound
tion, the porous structure of healing (e.g. proteases, radicals,
Suprasorb C supports physical cytokines), protects growth factors,
haemostasis. actively stimulates wound healing,
fast absorption of exudate due to
pronounced porous structure.
Suprasorb C ®
44
Suprasorb P ®
PU Foam Dressing
Suprasorb P ®
backing that repels water and
Thoroughly absorbs exudate! bacteria. The self-adhesive ver-
sion also has an adhesive bor-
Suprasorb P absorbs exudate
der with a polyacrylic adhesive
fast and safely in moderately
that is kind to the skin.
exuding wounds.
Indications: moderately exud-
The foam structure prevents
ing, superficial, non-infected
adhesion to the granulation
wounds in all phases of wound
tissue and the semi-permeable Medium-pore PU foam for
healing, e.g.: decubitus, ulcers
PU membrane ensures the excellent capillary action.
of various origins (e.g. venous,
maintenance of an ideal moist
arterial), diabetic foot syndrome The Suprasorb P dual-layer wound
wound environment.
(DFS), skin donor and skin dressing offers numerous benefits:
The medium-pore, semi-perme- grafting sites, postoperative fast and reliable absorption of
able polyurethane (PU) foam wounds, second degree burns. exudate, rapid swelling leads to
dressing has a PU membrane safe contact with the wound base,
maintains its shape also after ab-
sorption of fluid, easy to apply, re-
pels bacteria and fluids, allows
washing and showering, soft and
comfortable to wear.
2 2 Suprasorb P is available in three
versions: non-adhesive, self-adhe-
H2O Bacterium sive and sacrum.
3 Water vapour
Interval between dressing
1 changes
Depending on the degree of exuda-
tion and on the primary dressing, if
used, the PU foam dressing is
changed when discoloration is
seen on the back and when the
Fast absorption of exudate; Repels bacteria and fluids. dressing becomes deformed to a
rapid swelling leads to good size greater than the wound.
Surplus water vapour evapo-
contact with wound base. Suprasorb P may remain in place
rates. for up to 5-7 days if the wound has
thoroughly cleaned.
Suprasorb P ®
45
Suprasorb H ®
Hydrocolloid Dressing
Suprasorb H ®
with the wound, the exudate is
Provides reliable support for absorbed. This causes the
wound healing! hydrocolloid to swell and to
Suprasorb H creates an ideal form a gel which binds exudate
moist wound environment in and detritus. This gel formation
lightly to moderately exuding enables the dressing to mould
wounds. With the convincing itself excellently to the wound
effectiveness of a proven structure.
hydrocolloid. Two layers for efficient
Indications: lightly (Suprasorb H wound healing!
The dual-layer wound dressing thin) and moderately exuding
consists of a polyurethane film The Suprasorb H dual-layer wound
(Suprasorb H standard, border,
and an absorbent hydrocolloid dressing offers numerous benefits:
sacrum), superficial, non-
layer. good absorption of exudate, good
infected wounds in all phases of
adhesive properties, which make it
The hydrocolloid layer, which is wound healing, e.g.: decubitus,
safe and easy to apply, all versions
made up of absorbent and ex- ulcers of various origins (e.g.
are particular thin and flexible, re-
pandable particles, creates an venous, arterial), diabetic foot
pels bacteria and fluids, allows
ideal moist environment and syndrome (DFS), exuding abra-
showering and washing.
stimulates granulation and sions, postoperative wounds,
epithelialisation. On contact second degree burns. Suprasorb H thin in the 5 x 5 cm
size is particularly suitable for the
treatment of diabetic foot syn-
2 2
drome (DFS).
Suprasorb H is available in four ver-
H2O 3 Bacterium sions: standard, thin, sacrum and
Water vapour border.
1 Interval between dressing
changes
Depending on the degree of exuda-
tion and on the primary dressing, if
used, the dressing should be
The hydrocolloid swells when it Repels bacteria and fluids. changed when there is pronounced
absorbs exudate and forms a Surplus water vapour evapo- bubble formation extending further
gel that binds the exudate and rates. than the wound area; at the latest
detritus. after 5-7 days.
Suprasorb H ®
46
Suprasorb M ®
PU Membrane
Suprasorb M ®
wound from colonisation by
Provides flexibility and germs from outside.
elasticity!
Indications: lightly exuding,
Suprasorb M is elastic and con- superficial, non-infected wounds
forms well to body contours in in the granulation and
lightly exuding wounds. epithelialisation phase, e.g.:
abrasions, dermabrasion, skin
Suprasorb M ensures the ex-
donor sites, ulcers, decubitus,
change of gas and heat, repels Conforms ideally to body
diabetic foot syndrome (DFS),
fluids and creates an ideal moist contours.
second degree burns.
wound climate. At the same
time, the dressing protects the The semi-occlusive Suprasorb M
wound dressing offers many bene-
fits, above all in parts of the body
that are difficult to dress:
extremely flexible and elastic,
2 2 therefore conforms ideally to body
contours, protects against external
H2O Bacterium influences, comfortable to wear,
3 allows showering and washing,
Water vapour particularly suitable for sensitive
1 skin.
Suprasorb M ®
PU Membrane, sterile
Size REF Shipping Units
47
Suprasorb F ®
Suprasorb F ®
and protects the wound against
Protects and holds (in)visibly! colonisation by germs from out-
side.
Suprasorb F offers transparent
help for protection and dressing Indications: lightly exuding, su-
retention. With the breathability perficial, non-infected wounds
of a semi-permeable poly- in the epithelialisation phase,
urethane film. e.g.: abrasions, dermabrasion,
skin donor sites, ulcers,
Suprasorb F enables a moist Similar to skin and
decubitus, diabetic foot
wound climate conducive to extremely fine.
syndrome (DFS), second degree
wound healing by means of gas
burns. The Suprasorb F microporous film
and heat exchange, repels fluids
wound dressing offers a variety of
“clear” benefits:
visual wound inspection, very easy
application and use, effective
protection from external influences,
allows showering and washing,
2 2
flexible, elastic and tear-resistant.
1 H2O Suprasorb F is available as a
3 Bacterium sterile film wound dressing and
Water vapour also as a non-sterile film dressing
off the roll.
48
Suprasorb G ®
Gel Dressings
Suprasorb G ®
In the context of moist wound
Gently promotes the management, Suprasorb G is
autolytic process! used as a gel dressing for su-
perficial wounds and as an
Suprasorb G breaks down coat-
amorphous gel for deep
ings and necrotic tissue deep in
wounds.
the wound base in lightly exud-
ing and dry wounds. With the Indications: necrotic and lightly
gentle strength of hydrogel; as a exuding, superficial (gel dress-
hydrogel layer on a PU carrier ing) or deep (amorphous gel), Pleasant moisture and clear
film or as an amorphous gel. non-infected wounds, e.g.: wound conditions.
necrotic and dry wounds of Suprasorb G shows its benefits
The high moisture content cre-
various origins, second degree both as a dressing and as a gel:
ates an ideal moist wound
burns. releases moisture, breaks down
environment. Necrotic tissue
and Detritus are broken down necrotic tissue without harm to
and absorbed by the gel. healthy tissue, user-oriented
consistency, unique application
syringe, analgesic activity by
means of a subjective cooling
effect, enables monitoring of the
2 2 wound.
Suprasorb G is available in two ver-
H2O Bacterium sions: as a gel dressing and as an
amorphous gel.
Hydrogel layer
1 Interval between dressing
changes
When Suprasorb G gel dressing
has been used up through the
absorption of exudate, it shows a
slight turbidity and should be
changed at that point, but at the
Gentle breakdown of dry necro- Semi-permeable polyurethane latest after 7 days of application.
ses by the hydrogel layer. film that repels bacteria and Suprasorb G Amorphous Gel is
fluids. changed at the latest after 3 days,
depending on the secondary
dressing.
Suprasorb G ®
49
Lomatuell H Paraffin Gauze ®
50
Vliwaktiv ®
Vliwaktiv Ag ®
Vliwaktiv ®
Vliwaktiv Ag combines the anti- charcoal fabric, which enhances
Activated Charcoal Dressing microbial action of silver with the well-being of patients and
the benefits of activated char- carers alike. Vliwaktiv Ag also
Ideal combination of a highly
coal which adsorbs odours and effectively binds endotoxins
absorbent pad with a wound
binds bacteria. which may impair the wound
dressing that absorbs both
When Vliwaktiv Ag makes con- healing process.
odour and bacteria, for the treat-
ment of malodorous wounds tact with exudate, it releases Deep wounds and wound cavi-
such as leg ulcers, decubital ul- silver ions and destroys the re- ties can be treated easily with
cers, anal fistulae, etc. tained microorganisms. Thus, the flexible, soft Vliwaktiv acti-
microbial counts are effectively vated charcoal rope. For heavily
A skin-friendly, breathable non- reduced without undue stress to exuding superficial wounds, the
woven cover speeds up the the wound. Vliwaktiv Ag activated charcoal
passage of exudate into the ab-
Unpleasant wound odours dressing is made with a highly
sorbent core. Bacteria and
which are often associated with absorbent core and integrated
odours are effectively bound in
infected wounds are effectively clothing protection which pre-
Vliwaktiv. The clothing protect-
adsorbed by the silver/activated vents the seeping of exudate.
ion prevents the seeping of
wound exudate.
Vliwaktiv Ag ®
Vliwaktiv sterile
®
51
Clauden ®
Wound Dressings*
These dressings are impregnat- process for Clauden powder made from defibrinated blood ob-
ed with Clauden and other sub- (acid- and heat treatment) and tained from calves aged 6 months
stances (depending on the pre- the steam sterilisation of the or less. Clauden powder is pro-
sentation) and do not stick to the product eliminate viruses and duced according to a specific spe-
wound tissue. bacteria. cial process by SANKYO PHARMA-
GmbH.
Since Clauden powder is a pro- Biological compatibility is
tein concentrate, it is preserved excellent. Clauden dressings Shelf life:
with clioquinol. have been in use for over 50 Clauden wound dressings can be
years. kept for 5 years.
Biological safety and compati-
bility: The manufacturing Clauden powder is a concentrate
Clauden Wadding
®
Clauden ®
Clauden Dressing
®
The wadding is impregnated in a Nasal Ribbon Gauze Ribbon gauze or dressing gauze
special process with Clauden pow- 2 cm wide ribbon gauze strips are are impregnated in a special
der, clioquinol and 85% glycerol. impregnated with the ointment process with Clauden powder, clio-
Filed of application/ base and cut to 1 metre length. The quinol and liquid paraffin. The im-
properties impregnated ribbon gauze is sprink- pregnated dressing gauze/ribbon
Impregnation with Clauden pow- led with Clauden powder and fold- gauze are cut to the length re-
der, clioquinol and 85% glycerol ed, wrapped in pergamyne and quired, rolled onto a dispenser or
prevents the wadding from sticking sealed in an aluminium pouch. (swabs) folded, then sealed in a
to the wound tissue. Clauden Filed of application/ primary container and steam-ste-
wadding should be used only by properties rilized (121°C).
the doctor. Impregnation with Clauden powder Filed of application/
and the other substances listed properties
prevents the ribbon gauze from ad- Impregnation with Clauden pow-
hering to the wound tissue. Clau- der, liquid paraffin and clioquinol
den ribbon gauze should not be ap- prevents the gauze from adhering
plied, changed or removed by any- to the wound tissue. Clauden
one other than a doctor. dressings should not be applied,
changed or removed by anyone
other than a doctor.
* Trademark, under licence from
SANKYO PHARMA-GmbH
52
Clauden Nasal Ribbon Gauze Consists of: • Clauden powder
®
• Clioquinol
• Liquid paraffin
• White paraffin
• Lanolin
• Talcum
• Ribbon gauze (cotton)
Clauden Dressings®
Consists of: • Clauden powder
• Clioquinol
• Liquid paraffin
• Absorbent gauze
• or ribbon gauze (Cotton)
Clauden Wadding ®
Consists of: • Clauden powder
• Clioquinol
• 85% glycerol
• Wadding (50% cotton, 50% viscose)
in plastic jar 1g 21 010 1 pc. / 200 pcs.
5g 21 011 1 pc. / 120 pcs.
in cardboard box 25 g 21 013 1 pc. / 30 pcs.
53
Opraclean Dressing Materials ®
NEW
Opraclean ®
For antiseptic packing and drainage general practice and satisfy
Dressing Materials after surgical debridement in hygienic requirements at the same
infected wounds and wounds with time.
Opraclean supports wound
a risk of infection, for example Carrier material 100% gauze,
cleansing by absorbing wound
abscesses, fistulae, ulcers, and impregnated with Iodoform.
exudate, cellular debris and
in body cavities. For acute and
bacteria.
chronic wounds. Gazin Ribbon Gauze
®
in a dispenser,
8 cm x 5 m 13 583 1 pc. / 30 pcs.
in a special pouch
54