Surgery Book

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Absorption DressingAka: Absorptive Dressing, Alginate Dressing, Sorbsan, Duoderm Paste, Kaltostat, Dehydrating Dressing, Xerogel, Xerodressing, Bard Absorption, Hydragan, Debrisan

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  1. Category
    1. Dehydrating Dressing derived from seaweed
  2. Characteristics
    1. Absorptive
    2. Nonocclusive
    3. Nonadhesive
    4. Moisture-retentive
  3. Indication
    1. Moderate to heavily exudative and wounds
      1. Wounds with undermining or tunneling
      2. Type 2 to 3 (possibly type 4) Pressure Sores
    2. Autolytic Debridement
  4. Contraindications
    1. Avoid in non-exudative, dry wounds
    2. Avoid in sinus tracts
  5. Technique
    1. Rinse wound residue with each bandage change
    2. Change dressing daily to every 3 days
  6. Advantages
    1. Requires less care than other dressings
    2. Designed to be occlusive
    3. Designed to absorb large exudates
  7. Efficacy
    1. Improves Pressure Ulcer healing time
      1. Used before Hydrocolloid Dressing
      2. See Wound Dressing for sample protocol
      3. Belmin (2002) J Am Geriatr Soc 50:269
  8. Disadvantages
    1. No trial data on effectiveness in Pressure Sores
  9. References
    1. Habif (1996) Clinical Derm, Mosby, p. 810-13
    2. Krasner (1995) Prevention Management Pressure Ulcers
    3. Lewis (1996) Med-Surg Nursing, Mosby, p. 199-200
    4. Lueckenotte (1996) Gerontologic Nurs., Mosby, p. 800-7
    5. PUGP (1994) Pressure Ulcer Treatment, AHCPR 95-0653
    6. Way (1991) Current Surgical, Lange, p.95-108
    7. Bello (2000) JAMA 283(6):716
    8. Degreef (1998) Dermatol Clin 16(2):365
    9. Findlay (1996) Am Fam Physician 54(5):1519
    10. Knapp (1999) Pediatr Clin North Am 46(6):1201
    11. (1995) Am Fam Physician 51(5):1207

sorbsan (C0655505)

ConceptsCarbohydrate (T118)
Englishsorbsan
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Debrisan (C0719676)

ConceptsCarbohydrate (T118) , Pharmacologic Substance (T121)
EnglishDebrisan, Debrisorb, Johnson & Johnson brand of dextranomer, Pharmacia brand of dextranomer
CreditsDerived from the NIH UMLS (Unified Medical Language System)


Kaltostat (C0936056)

ConceptsCarbohydrate (T118) , Biomedical or Dental Material (T122)
EnglishKaltostat
CreditsDerived from the NIH UMLS (Unified Medical Language System)



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