Wound care product selection

Wound type Eschar Predominantly
Slough
Granulating
and/or
Epithelializing
Fibrinous
(yellow)
Granulating Skin tear Epithelializing Healed
At risk
Surgical incision
Exudate level None to moderate High Moderate to high None to miminal Moderate to high Light Moderate Heavy None to miminal None to miminal None
Depth Shallow Deep Shallow Deep Shallow to deep Shallow to deep Shallow Deep Shallow Shallow Closed
Treatment objectives Debride Cleanse
Debride
Absorb
Fill in dead space
Cleanse
Debride
Absorb
±Fill in dead space
Cleanse
Debride
Absorb
±Fill in dead space
Protect
Hydrate
Protect
Hydrate
Fill in dead space
Protect
Hydrate
Protect
Hydrate
Protect
Products Hydrocolloid sheets:
Tegasorb
Granuflex
Comfeel
(3 - 5 days)

Santyl
Alldress
(daily)
Intrasite gel
Semipermeable Adhesive Film:
Cutifilm
or
Perforated Plastic Film Dressing:
Release
Hydrocolloid sheets:
Tegasorb
Granuflex
Comfeel
(3 - 5 days)

Melgisorg
Mepilex
(1 -3 days)

Aquacel
Mepilex
(1 - 3 days)

(if infected)
Iodosorb
Santyl
Alldress
(daily)

(if infected)
Silver products
Aquacel Ag
(daily)
Intrasite gel
Semipermeable Adhesive Film:
Cutifilm
or
Perforated Plastic Film Dressing:
Release

(highly exudative)
Alginate dressing:
Comfeel Alginate
Kaltogel
Kaltostat
Sorbsan
Tegagel
and
Perforated Plastic Film Dressing:
Release

(highly exudative)
Polysaccharide beads:
Debrisan
Iodosorb
and
Perforated Plastic Film Dressing:
Release
Melgisorg
Alldress
(1 -3 days)

Aquacel
Alldress
(1 - 3 days)

Solosite gel
Alldress
(daily)
Solosite gel
Alldress
(2 days)
Melgisorg
Alldress
(daily)

Aquacel
Alldress
(daily)

Mepilex
(3 days)

Foam with adhesive
(3 days)
Lyofoam

Hydrocolloid sheets:
Tegasorb
Granuflex
Comfeel

Mepilex
(3 - 7 days)

Solosite gel
Alldress
(2 days)

Tegasorb
(3 - 7 days)

Tegaderm
(3 - 5 days)
Alginate dressing:
Comfeel Alginate
Kaltogel
Kaltostat
Sorbsan
Tegagel
and
Perforated Plastic Film Dressing:
Release

Consider:
Lyofoam
Hydrocolloid sheet
Nonabsorbent dressing & absorbent pad
Allevyn Sheet Dressing

Allevyn Adhesive
Alginate dressing:
Comfeel Alginate
Kaltogel
Kaltostat
Sorbsan
Tegagel
and
Perforated Plastic Film Dressing:
Release
Mepilex
(5 - 7 days)

Foam with adhesive
(5-7 days)

Tegasorb Thin
(5 - 7 days)
Mepilex
(5 - 7 days)

Foam with adhesive
(5-7 days)

Tegaderm
(5 - 7 days)
Sensicare
Aloe Vesta
(bid & prn)

Boudreaux's Butt Paste
Zenaderm
(bid & prn)
http://suttermedicalcenter.org/ordersforms/files/references/wound_dressing_selection_guide_in_color.pdf