Granulating wounds:

How to promote and protect the formation of new tissue.

Keyword: Granulation tissue.

Today, the principle of moist wound healing is well accepted as the therapy approach of choice for chronic wounds. Clinical evidence confirms that moisture has various beneficial effects in the wound bed:

  • nutrients, growth factors, enzymes can easily spread across the wound
  • moisture facilitates the proliferation of new cells
  • epithelialisation is much quicker than in dry wounds

 

The major requirement for modern wound dressings is to support a balanced level of moisture in the wound bed.

 

Why absorption capacity is so important?

State-of-the-art foam dressings are designed to maintain a moist wound environment which means that they are able to handle high amounts of exudate.

 

Caregivers can rely on the high absorption capacity of Cutimed Cavity dressings. The effect: superior fluid handling

= longer wearing time

= fewer dressing changes

= less nursing time required

= cost effective therapy!

 

Cutimed Cavity dressings are designed to provide superior fluid handling.

  • Carefully explore the wound depth.
  • Choose the appropriate size and shape.
  • Cutimed Cavity dressings can be cut to size when needed.
  • Use Cutimed Siltec Sacrum as secondary fixation on awkward locations.

Absorb wound exudate from the wound bed:

  • Fold or cut the dressing to the shape of wound.
  • Loosely fold Cutimed Cavity into the wound.
  • As Cutimed Cavity will swell at fluid uptake only up to 60% of the wound should be filled.
  • For best results cover the wound either with a sterile film dressing (Leukomed T) or with a foam border dressing (e.g. Cutimed Siltec B or, especially for the awkward anal region, Cutimed Siltec Sacrum).


Remove the dressing:

The appropriate interval for dressing changes depends on the healing stage and the exudate level of the individual wound.

In later stages of wound healing (after the wound bed is free from necroses, slough or infection) the frequency of dressing changes can be reduced.

Cutimed Cavity will not disintegrate after exudate uptake and can be removed as one piece.

 

Depending on wound depth:

In case the granulation progresses and the wound bed fills with new tissue it may be appropriate to switch from Cutimed Cavity dressings to Cutimed Siltec B which is designed to cover superficial wounds.

 

 

 

 

Especially designed heel dressings, e.g. Cutimed Siltec Heel, combine exudate handling with cushioning on various heel shapes. Cutimed Siltec Heel can be used for both, therapy and prophylaxis.

 

 

Important:

  • There is no wound healing without treating the underlying disease or avoiding the risk factors: make sure that adequate pressure relief is provided. Especially designed heel dressings, e.g. Cutimed Siltec Heel, combine exudate handling with cushioning on various heel shapes.
  • Medical skin care, such as Cutimed ACUTE with 5 or 10% urea, provides regeneration and care for very dry and stressed skin.
  • In the care of incontinent patients the risk of skin maceration and diaper dermatitis are ever-present. Wide-area treatment of these skin areas with a protective cream is recommended (e.g. Cutimed PROTECT cream).

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High absorbency = longer wear times
In-vitro tests confirm superior absorption.* (SMTL report 2008, data on file)

 

* legal distributors of brands mentioned above:
Permafoam® Cavity: Paul Hartmann AG, Allevyn® Plus Cavity: Smith & Nephew plc, Biatain® Cavity: Coloplast Ltd.

Less pressure load due to superior distribution of pressure by extra thick foam