- 1、本文档共32页,可阅读全部内容。
- 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
如何正确的选择敷料?根据渗出量选择敷料的吸收能力根据创面大小选择敷料尺寸根据创面深度选择辅助敷料种类根据局部创面决定是否减压引流或加压包扎根据创面位置选择敷料的形状、薄厚根据皮肤耐受性选择敷料的粘性强度第31页,共32页,2024年2月25日,星期天感谢大家观看第32页,共32页,2024年2月25日,星期天****Healing:Superficialwounds(hairfolliclesandsweatglandsarenotcompletelydestroyed).Willhealbyre-epithelialization.Highlevelsofsero/sanguinousfluidinitiallyWoundtypicallydriesoutafter4-5days.Sitetypicallyhealswithin7-20days(secondaryintention)Exposureofnerveendingscausesstinging/burningpainSitetypicallyisdryanditchyafterhealing.?Idealdressing:RetainsmoistureandwarmthatwoundsurfaceAbsorbsexcessexudatePainlesstoapplyandremoveStaysinplaceEasytouseandcost-effectiveTebdraSolutions:MepilexandMelgisorbfordrainingdonorsites.Important:IfcustomerelectstouseMepitel(off-label),theyshouldcoveritwithamoistenedgauzetoallowforwickingandnon-adherence.Mepitelisnotindicatedfordonorsitedressings,butisindicatedforpainfulwounds.MepilexandMepilexBorderarealsousedondonorsitesinsomecountrieswedonotactivelyrecommendtheseproductsforthisindication(lackofstudies).?******Let’smovetothesilverinwoundcare.Whyhassilverbecomesopopular?Silverisproventobeeffectiveinlowconcentrations,safetyaspectManyoftheproductsintroducedinthelastdecadeprovideasustainedreleaseofsilvermeaningthatyouhaveaprolongedactivityanddonotneedtochangedressingsasfrequently(e.g.Acticoat,AquacelAg,Contreet)TheincreasingproblemwithantibioticresistancehashighlightedtheneedforasafeagentThe“big3”S&N,J&J,Convatecarepushingsilverproductsandinvestheavilyinmarketing(togetherwithColoplast)NB.Wehave2clinicalrandomisedtrialsshowingthatMepitelhavefasterhealingratesonburnsthanSSD(Silversulfadiazinecream)*.Silveralonedoesnotmaketheidealdressing!*Gotschalletal.Prospective,RandomizedstudyoftheEffic
文档评论(0)