Lotion SPF 30; E45 Sun SPF 50; Spectraban Ultra;
7: Lotion SPF 30; E45 Sun SPF 50; Spectraban Ultra;
dix Sunsense Ultra; Uvistat Lipscreen SPF 50, Uvistat Sun-
cream SPF 30 and 50. Appen Pruritus See Dermatitis, above
BNF 57
A8 Wound management products and elastic hosiery
A8.1 Wound dressings
A8.1 Wound dressings
A8.1.1 Alginate dressings
A8.1.2 Foam dressings
An overview of the management of chronic wounds A8.1.3 Hydrogel dressings
(including venous ulcers and pressure sores) and the A8.1.4 Hydrocolloid dressings
role of different dressings is given below, as is the NICE A8.1.5 guidance on difficult-to-heal surgical wounds; the notes Vapour-permeable films and do not deal with the management of clean surgical membranes
wounds which usually heal very rapidly. The correct A8.1.6 Low adherence dressing and
dressing for wound management depends not only on wound contact materials
the type of wound but also on the stage of the healing
A8.1.7 process. The principal stages of healing are: Odour absorbent dressings 893
cleansing, removal of debris;
A8.1.8 Dressing packs
granulation, vascularisation;
A8.1.9 Surgical absorbents
epithelialisation.
A8.1.10 Capillary dressings
Greater understanding of the requirements of a wound A8.1.11 Other dressings
dressing, including recognition of the benefits of main- taining a moist environment for wound healing, has
A8.2 Bandages and adhesives
895 improved the management of chronic wounds. A8.2.1 Non-extensible bandages
The ideal dressing needs to ensure that the wound A8.2.2 Light-weight conforming ban-
remains:
dages
moist with exudate, but not macerated;
A8.2.3 . Tubular bandages free of clinical infection and excessive slough; 895
free of toxic chemicals, particles or fibres;
A8.2.4 Support bandages
at the optimum temperature for healing;
A8.2.5 Compression bandages
undisturbed by the need for frequent changes;
Appendix
A8.2.6 Multi-layer compression ban-
at the optimum pH value.
daging
As wound healing passes through its different stages, A8.2.7 Adhesive bandages
variations in dressing type may be required to satisfy better one or other of these requirements. The type of
A8.2.8 Cohesive bandages
dressing depends on the type of wound or the stage of
A8.2.9 Medicated bandages
the healing process.
ound
A8.2.10 Surgical adhesive tapes
Functions of dressings manageme
Adhesive dressings
A8.2.11 900
A8.2.12 Skin closure dressings
Type of wound
Role of dressing
A8.3 Dry, necrotic, black Elastic hosiery 900 Moisture retention or rehydration
Yellow, sloughy
If dry, moisture retention or re-
A8.3.1 Graduated compression hosi-
hydration
nt
ery
If moist, fluid absorption Possibly odour absorption
A8.3.2 Accessories
Possibly antimicrobial activity
A8.3.3 Anklets
Clean, exuding
Fluid absorption
(granulating)
Thermal insulation
A8.3.4 Knee caps
Possibly odour absorption
A8.3.5 Lymphoedema garments
Possibly antimicrobial activity
Dry, low exudate
Moisture retention or rehydration
(epithelialising)
Low adherence Thermal insulation
Alginate, foam, hydrogel and hydrocolloid dressings are designed to absorb wound exudate and thus to control the state of hydration of a wound. There have been few clinical trials able to establish a clear advan-
884 A8.1.1 Alginate dressings
BNF 57 tage for any particular product. The choice between
Algisite (S&N Hlth.) different dressings depends not only on the type and
Algisite Ag
stage of the wound, but also on patient preference or tolerance, site of the wound, and cost.
£7.04; cavity dressing 2 g, 30 cm = £5.28 Uses antimicrobial dressing for moderately to heavily exuding
NICE guidance wounds
Algisite M , calcium alginate fibre, non-woven dressing,
Debriding agents for difficult-to-heal surgical wounds (April 2001) Alginate, foam, hydrocolloid, hydrogel, and poly-
Uses moderately to heavily exuding wounds saccharide (as beads or paste) dressings as well as
Algosteril (S&N Hlth.) maggots may reduce pain from difficult-to-heal sur- gical wounds. There is insufficient evidence to sup- port one debriding agent over another and choice
30 cm = £3.47
should be based on patient acceptability (including Uses moderately to heavily exuding wounds factors such as comfort and odour control), type and
Curasorb (Covidien) location of the wound, and total cost (including time for changing the dressings).
(other sizes D)
Dressings impregnated with an antiseptic, such as iod-
Curasorb Plus
ine, can be used to treat clinically infected wounds.
Dressings containing silver should be used when clin- Curasorb Rope , calcium alginate cavity dressing, 30 cm = ical signs or symptoms of infection are present, or when
£2.78, 61 cm = £4.88, 91 cm = £5.25 infection has been confirmed by microbiological inves-
Curasorb Zn
nt tigation. Medical grade honey has antimicrobial properties; it
(other sizes D)
Flaminal ageme (Ark Therapeutics)
may improve healing time in mild to moderate super-
ficial and partial thickness burns. Forte gel , alginate with glucose oxidase and lactoperoxidase,
man 15 g = £7.13
Protease modulating matrix dressings (section A8.1.3) Uses moderately to heavily exuding wounds alter the activity of proteolytic enzymes in chronic
Hydro gel , alginate with glucose oxidase and lactoperoxi-
ound wounds; the clinical significance of this approach is
dase, 15 g = £7.13
W yet to be demonstrated.
Uses lightly to moderately exuding wounds
8: Practices such as the use of irritant cleansers may be Kaltostat (ConvaTec) harmful and are largely obsolete; removal of debris and
dix (Alginate Dressing, BP 1993, type C). Calcium alginate fibre,
dressing remnants should need minimal irrigation with physiological saline.
Appen
Uses moderately to heavily exuding wounds Melgisorb (Mo¨lnlycke)
Calcium sodium alginate fibre, highly absorbent, gelling
A8.1.1 Alginate dressings
2.2 cm, (2 g) = £3.30 The gelling characteristics of alginate dressings vary
Uses moderately to heavily exuding wounds including leg ulcers, dermal lesions and traumatic wounds
according to the product used. Some products only gel to a limited extent to form a partially gelled sheet
SeaSorb (Coloplast) that can be lifted off; others form an amorphous gel that
SeaSorb Soft , alginate containing hydrocolloid dressing, can be rinsed off with water or physiological saline. A
secondary covering is needed. They are highly absor- Uses heavily exuding wounds bent and are therefore suitable for moderately or heavily
SeaSorb Soft Filler exuding wounds, but not for eschars or for dry wounds.
, calcium sodium alginate fibre, highly absorbent, gelling filler, 44 cm = £2.52
Dressings containing silver should be used when infec- Uses moderately to heavily exuding cavity wounds tion is suspected as a result of clinical signs or symp-
Sorbalgon (Hartmann) toms, or when infection has been confirmed by micro-
biological investigation. 10 cm = £1.55; cavity dressing, net price 2 g, 32 cm = £3.17 Acticoat Absorbent (S&N Hlth.)
Uses for moderately to heavily exuding wounds Calcium alginate dressing with a silver coated antimicrobial
Sorbsan (Unomedical) Sorbsan Flat , calcium alginate fibre, highly absorbent, flat
Uses antimicrobial dressing for moderately to heavily exuding wounds
Uses moderately to heavily exuding wounds; with silver, anti- ActivHeal (MedLogic)
microbial dressing for moderately to heavily exuding wounds Activheal Alginate , calcium sodium alginate dressing, 5 cm
Sorbsan Plus , alginate dressing bonded to a secondary
ActivHeal Aquafiber , non-woven, calcium sodium alginate
£5.20 Uses moderately to heavily exuding shallow wounds and ulcers Sorbsan Plus SA , alginate dressing with adhesive border
Uses moderately to heavily exuding wounds
BNF 57
A8.1.2 Foam dressings 885
toms, or when infection has been confirmed by micro- £6.40 Uses moderately to lightly exuding shallow wounds
biological investigation. Sorbsan Silver Plus , calcium alginate dressing with
Polyurethane Foam Dressing, BP 1993
Absorbent foam dressing of low adherence 20 cm = £8.65
Lyofoam
Uses antimicrobial dressing for moderately to heavily exuding
chronic wounds
£11.35 (Medlock)
Sorbsan Silver Plus SA , calcium alginate dressing with Uses treatment of burns, decubitus ulcers, donor sites, granu- absorbent backing and adhesive border, with silver, 11.5 cm
lating wounds
Uses antimicrobial dressing for moderately to heavily exuding For lightly to non-exuding wounds
chronic wounds
Polyurethane Foam Film Dressing with Adhesive Bor-
der
Sorbsan Ribbon
, 40 cm (with probe) = £1.99; with silver, 40 cm (with probe) = £3.97
Avazorb Border
Uses moderately to heavily exuding cavity wounds; with silver,
£1.90 (Advancis)
antimicrobial dressing for moderately to heavily exuding cavity
PolyMem
wounds
Tielle Lite
Sorbsan Surgical Packing , 30 cm (2 g, with probe) = £3.41; with silver , 30 cm (2 g, with probe) = £5.55 Uses moderately to heavily exuding cavity wounds; with silver,
For lightly to moderately exuding wounds antimicrobial dressing for moderately to heavily exuding wounds
Polyurethane Foam Film Dressing with Adhesive Bor-
Suprasorb A (Synergy Healthcare)
der
Lyofoam Extra Adhesive Uses moderately to heavily exuding wounds
= £1.95; (Medlock) Suprasorb P
Tegaderm Alginate (3M)
Tielle
Uses moderately to heavily exuding wounds
Tielle Packing Trufoam
(J&J)
(Unomedical)
Tielle Packing
Polyurethane Foam Film Dressing without Adhesive
Urgosorb (Urgo)
Border
Alginate containing hydrocolloid dressing without adhesive
Allevyn Lite
20 cm = £3.55; cavity dressing, 30 cm = £2.58 Uses moderately to heavily exuding wounds
Allevyn Thin
Urgosorb Silver , alginate containing hydrocolloid dressing, 20 cm = £3.96 (S&N Hlth) FlexiPore
30 cm = £3.41 Uses antimicrobial dressing for heavily exuding wounds
Lyofoam Extra
Appendix
With honey
Suprasorb M
Algivon (Advancis) Absorbent, non-adherent calcium alginate dressing impreg-
Suprasorb P
Healthcare)
Uses lightly to heavily exuding wounds; use with suitable sec-
ound
ondary dressing
Transorbent
Medihoney (Medihoney)
£5.55 (Unomedical)
manageme
Gel sheet , sodium alginate dressing impregnated with For moderately to heavily exuding wounds £4.20
Polyurethane Foam Film Dressing with Adhesive Bor-
Uses lightly to moderately exuding wounds
der
ActivHeal Foam Island
nt
£4.34 (MedLogic)
A8.1.2 Allevyn Adhesive Foam dressings
Foam dressings vary from products that are suitable for £7.18; (sacral) 17 cm x 17 cm = £3.70, 22 cm x 22 cm = £5.32 lightly exuding wounds to highly absorbent structures
(S&N Hlth.)
for heavily exuding wounds. They may also be used as Allevyn Plus Adhesive secondary dressings. In hypergranulating (or overgra-
(sacral) 17 cm x 17 cm = £4.48, 22 cm x 22 cm = £6.49 (S&N nulating) tissue (which may arise from the use of occlu-
Hlth)
sive dressings such as hydrocolloids), changing to a
Biatain Adhesive
more permeable product such as a foam dressing may
be beneficial. £4.76; 17 cm diameter (contour) = £4.59 (Coloplast) Dressings containing silver should be used when infec-
Copa Island
tion is suspected as a result of clinical signs or symp-
886 A8.1.2 Foam dressings
BNF 57
PermaFoam Cavi-Care (S&N Hlth.) Soft, conforming cavity wound dressing prepared by mixing Comfort
thoroughly for 15 seconds immediately before use and 20 cm = £4.59 (Hartmann)
allowing to expand its volume within the cavity. 20 g = £18.12
PolyMem Silver-containing foam film dressings
(Unomedical) Acticoat Moisture Control (S&N Hlth.) Three layer polyurethane dressing consisting of a silver Tegaderm Foam Adhesive
Tielle Plus Uses antimicrobial dressing for lightly to moderately exuding wounds
Tielle Plus Heel Hydropolymer Adhesive Dressing 26.5 cm = £4.37 (J&J)
Allevyn Ag (S&N Hlth.) Trufoam
Silver sulfadiazine impregnated polyurethane foam film
Polyurethane Foam Film Dressing without Adhesive Border
Uses antimicrobial dressing for exuding wounds ActivHeal Foam Non-Adhesive
Cautions large open wounds; sensitivity to sulphonamides; G6PD deficiency; significant hepatic or renal impairment; inter-
£3.78 (MedLogic) actions: Appendix 1 (sulphonamides)
nt
Advazorb Plus Avance (Medlock) (Advancis)
Silver impregnated polyurethane foam film dressing, without
ageme adhesive border
Allevyn
man
Allevyn Cavity , circular, 5 cm diameter = £3.86, 10 cm Uses antimicrobial dressing for lightly to moderately exuding wounds
ound W 4 cm = £6.60 (S&N Hlth.)
Allevyn Compression Biatain Ag (Coloplast)
(formerly Contreet Foam ) Silver impregnated polyurethane
dix £4.49 (S&N Hlth.)
Allevyn Lite
border
Appen
Allevyn Plus Cavity Askina Foam
Uses antimicrobial dressing for moderately to heavily exuding wounds
PolyMem (Unomedical) Biatain Non-Adhesive
Silver impregnated polyurethane foam film dressing, with adhesive border
£3.97 (Coloplast) Uses antimicrobial dressing for moderately to heavily exuding Copa
wounds Vacuum assisted closure products
Exsu-Fast (Synergy Healthcare) Dressing kit , Kit 1 (small wound, low exudate) = £28.04; Kit 2
(large wound, heavy exudate) = £35.83; Kit 3 (large wound, (fenestrated) = £1.22 (Covidien)
medium to low exudate) = £35.83; Kit 4 (small wound, heavy exudate) = £28.04
Kerraboot , (clear or white) extra small = £14.27, small = £14.55, large = £14.55, extra large = £14.27 (Ark)
(KCI Medical) V.A.C. GranuFoam
Uses diabetic foot ulcers Dressing kit , polyurethane foam dressing (with adhesive PermaFoam
(Hartmann) PolyMem
Venturi (Talley)
Wound sealing kit , flat drain, standard = £15.00, large = £17.50; channel drain = £15.00
(Unomedical) Tegaderm Foam
V1STA (S&N Hlth.) Dressing kit , flat drain, small = £16.52, medium = £20.70,
large = £26.28; round drain, small = £16.52, large = £26.28; Tielle Plus Borderless
channel drain, medium = £20.70 20 cm = £5.51 (J&J)
WoundASSIST (Huntleigh) Trufoam NA
Wound pack , small–medium = £20.50, medium–large = £23.50
BNF 57
A8.1.3 Hydrogel dressings 887
Wound drainage collection devices
Gel FX (Synergy Healthcare) , canister (with gel), 300 mL = £26.51 (KCI V.A.C Freedom Medical) Venturi , canister kit (with solidifier) = £12.50 (Talley)
Geliperm (Geistlich)
V1STA , canister kit, 250 mL (with solidifier) = £18.63, 800 mL (with solidifier) = £20.70 (S&N Hlth.)
£9.31 ( D)
WoundASSIST , canister, 500 mL = £20.00 (Huntleigh) Uses wound and ulcer dressing, burns, donor sites GranuGel (ConvaTec)
Hydrogel containing carboxymethylcellulose, pectin, and propylene glycol, 15 g = £2.13 Uses dry, sloughy or necrotic wounds, lightly exuding wounds,
A8.1.3 granulating wounds Hydrogel dressings
Hydrosorb (Hartmann) Absorbent, transparent, hydrogel sheets containing poly- Hydrogel dressings are most commonly supplied as an
urethane polymers covered with a semi-permeable film amorphous, cohesive material that can take up the
Hydrosorb
shape of a wound. A secondary covering is needed. These dressings are generally used to donate liquid to
Hydrosorb comfort (with adhesive border, waterproof), dry sloughy wounds and facilitate autolytic debridement but they may also have the ability to absorb limited
12.5 cm = £3.26
amounts of exudate. Hydrogel sheets are also available Uses second degree burns, donor sites; chronic wounds where which have a fixed structure; such products have limited granulation is unsatisfactory, including leg ulcers, pressure sores
fluid handling capacity. Hydrogel sheets are best Intrasite Conformable (S&N Hlth.) avoided in the presence of infection. Hydrogel products
Soft non-woven dressing impregnated with Intrasite gel, that do not contain propylene glycol should be used if
the wound is to be treated with larval therapy.
40 cm = £3.99 Uses for dry, sloughy or necrotic wounds, lightly exuding
ActiFormCool (Activa) wounds; granulating wounds Intrasite Gel (S&N Hlth.)
Hydrogel containing modified carmellose polymer and pro- Uses exuding or necrotic wounds; with compression bandaging
pylene glycol, 8-g sachet = £1.66, 15-g sachet = £2.22, 25-g for moderately to heavily exuding wounds
sachet = £3.29
Uses ActivHeal Hydrogel for dry, sloughy or necrotic wounds; lightly exuding (MedLogic) wounds; granulating wounds Hydrogel containing guar gum and propylene glycol, 15 g = £1.36
Mesitran (Unomedical) Uses dry or lightly exuding sloughy or necrotic wounds
Absorbent, semi-permeable dressings impregnated with Aquaform (Unomedical)
Hydrogel containing modified starch copolymer, 8 g = £1.57, 15 g = £1.91 Uses for dry, sloughy or necrotic wounds, lightly exuding
Uses pressure ulcers, diabetic ulcers, fungating wounds, donor wounds, granulating wounds
sites, surgical wounds, abrasions, and first and second degree burns
Aquaflo (Covidien) Mesitran Mesh , non-adherent wound contact layer, with-
Appendix
Hydrogel dressing, 7.5 cm diameter = £2.50, 12 cm = £5.16 Askina Gel (Braun)
Uses pressure ulcers, diabetic ulcers, donor sites, abrasions, Hydrogel containing modified starch and glycerol, 15 g = trauma wounds, post-operative wounds, and first and second £1.89 degree burns
Uses exuding, sloughy, or necrotic wounds
Novogel (Ford)
Citrugel (Advancis)
ound
Hydrogel containing polysaccharides, 15 g = £1.35 Uses sloughy or necrotic wounds; lightly exuding wounds
£10.94; 7.5 cm diameter = £2.73 Uses diabetic wounds, burns, leg ulcers, decubitus ulcers, donor
manageme
Coolie (Zeroderma)
sites
Hydrogel dressing with lint backing, 7 cm diameter = £1.96 Uses for sloughy or necrotic wounds, lightly exuding wounds,
Nu-Gel (J&J)
granulating wounds Hydrogel containing alginate and propylene glycol, 15 g = £2.05 Uses dry, sloughy or necrotic, lightly exuding or granulating
nt
Curagel (Covidien)
wounds Prontosan Wound Gel (Braun)
Hydrogel containing betaine surfactant and polyhexanide, Cutimed (BSN Medical)
30 mL = £5.97
Hydrogel , 8 g = £1.56, 15 g = £1.90, 25 g = £2.80 Purilon Gel (Coloplast) Cutinova Hydro (S&N Hlth.)
Hydrogel containing carboxymethylcellulose and calcium Polyurethane gel sheet with waterproof polyurethane film,
alginate, 8 g = £1.61, 15 g = £2.10 Uses for dry, sloughy or necrotic wounds; lightly exuding
= £4.94 wounds; granulating wounds Uses lightly to moderately exuding wounds
Suprasorb G (Synergy Healthcare) Flexigran (A1 Pharmaceuticals)
Hydrogel dressing containing carboxymethylcellulose and Hydrogel containing starch polymer and glycerol, 15 g =
£1.90 (amorphous gel) 6 g = £1.10, 20 g = £1.80
888 A8.1.4 Hydrocolloid dressings
BNF 57 Vacunet (Protex)
Sorbion S (H&R)
Non-adherent, hydrogel coated polyester net dressing, 10 cm Absorbent polymers in cellulose matrix, hypoallergenic Uses lacerations, abrasions, pressure ulcers, burns, surgical and
malignant wounds
With iodine Uses moderately to heavily exuding chronic wounds Iodoflex (S&N Hlth.)
Paste Suprasorb C (Synergy Healthcare)
, iodine 0.9% as cadexomer–iodine in a paste basis with gauze backing, 5-g unit = £3.73; 10 g = £7.46; 17 g = £11.81 Uses for treatment of chronic exuding wounds, such as leg
12 cm = £7.65
ulcers, apply to wound surface, remove gauze backing and cover; Uses lightly to moderately exuding chronic uninfected wounds renew when saturated (usually 2–3 times weekly, daily for heavily
exuding wounds); max. single application 50 g, max. weekly Tegaderm Matrix (3M) application 150 g; max. duration up to 3 months in any single
Cellulose acetate matrix, impregnated with polyhydrated course of treatment Cautions iodine may be absorbed, particularly from large wounds or during prolonged use; severe renal impairment; history
Uses chronic uninfected wounds of thyroid disorder Contra-indications children; patients receiving lithium; thyroid disorders; pregnancy and breast-feeding
Iodosorb (S&N Hlth.) Ointment , iodine 0.9% as cadexomer–iodine in an ointment
A8.1.4 Hydrocolloid dressings
basis, 10 g = £4.04; 20 g = £8.24 Powder , iodine 0.9% as cadexomer–iodine microbeads, 3-g
nt Hydrocolloid dressings are usually presented as a
sachet = £1.76 Uses for treatment of chronic exuding wounds, such as leg
hydrocolloid layer on a vapour-permeable film or ulcers, apply to wound surface to depth of approx. 3 mm and
foam. Because of their impermeable nature, hydro-
ageme
cover; renew when saturated (usually 2–3 times weekly, daily for colloid dressings facilitate rehydration and autolytic heavily exuding wounds); max. single application 50 g, max.
debridement of dry, sloughy, or necrotic wounds; they
man
weekly application 150 g; max. duration up to 3 months in any single course of treatment
are also suitable for promoting granulation. Fibrous Cautions iodine may be absorbed, particularly from large
dressings made from modified carmellose fibres resem- ble alginate dressings (e.g. Aquacel ound c wounds or during prolonged use; severe renal impairment; history ); these are not
of thyroid disorder
occlusive.
8: Contra-indications children; patients receiving lithium; thyroid
disorders; pregnancy and breast-feeding Dressings containing silver should be used when infec- tion is suspected as a result of clinical signs or symp-
dix Iodozyme (Insense) toms, or when infection has been confirmed by micro- Hydrogel (two-component dressing containing glucose oxi-
biological investigation.
Appen
Uses antimicrobial dressing for lightly to moderately exuding ActivHeal Hydrocolloid (MedLogic) wounds
Semi-permeable polyurethane film backing, hydrocolloid Cautions children; pregnancy and breast-feeding
Contra-indications thyroid disorders; patients receiving lithium Oxyzyme (Insense)
18 cm (sacral) = £3.24 Hydrogel (two-component dressing containing glucose oxi-
Uses lightly to moderately exuding wounds
Uses non-infected, dry to moderately exuding wounds Alione (Coloplast) Cautions children; pregnancy and breast-feeding
Semi-permeable hydrocolloid dressing with adhesive border, Contra-indications thyroid disorders; patients receiving lithium
Protease modulating matrix Protease modulating matrix dressings alter the activ- ity of proteolytic enzymes in chronic wounds; the clin-
Uses chronic and exuding wounds ical significance of this approach is yet to be demon-
strated. Aquacel (ConvaTec)
Cadesorb (S&N Hlth.) Ointment , starch-based, 10 g = £4.96, 20 g = £8.46
Uses chronic wounds free of necrotic tissue and infection Uses moderately to heavily exuding wounds Aquacel Ag
Promogran (J&J) Collagen and oxidised regenerated cellulose matrix, applied directly to wound and covered with suitable dressing, 28 cm (hexagonal) = £5.09, 123 cm (hexagonal) = £15.32
Uses antimicrobial dressing for moderately to heavily exuding Uses chronic wounds free of necrotic tissue and infection
wounds Aquacel Ag Ribbon
Promogran Prisma Matrix (J&J)
Collagen, silver and oxidised regenerated cellulose matrix, Uses antimicrobial dressing for moderately to heavily exuding applied directly to wound and covered with suitable dressing,
cavity wounds
28 cm (hexagonal) = £6.19, 123 cm (hexagonal) = £17.63
Aquacel Ribbon
Uses chronic wounds free of necrotic tissue Uses moderately to heavily exuding cavity wounds
BNF 57
A8.1.4 Hydrocolloid dressings 889
Askina Biofilm Transparent (Braun) Hydrocoll (Hartmann) Semi-permeable, polyurethane film dressing with hydro-
Hydrocolloid dressing with adhesive border and absorbent
Biofilm S (Braun) D Hydrocolloid dressing with polyurethane-polyester backing; also in powder form for direct application into wound, 10 cm
Uses lightly to moderately exuding wounds Biofilm
powder, 1 sachet = £1.82
NU DERM (J&J)
CombiDERM (ConvaTec) Semi-permeable hydrocolloid dressing without adhesive Dressing with hydrocolloid adhesive border and absorbent
Uses lightly to moderately exuding wounds CombiDERM N
Replicare Ultra (S&N Hlth.) Adhesive hydrocolloid dressing with outer semi-permeable
£4.34 Uses lightly to moderately exuding wounds
Comfeel (Coloplast) Uses lightly to moderately exuding wounds Soft elastic pad consisting of carmellose sodium particles
urethane film backing; available as sheets, powder in plastic Hydrocolloid and alginate dressing impregnated with silver, blister units and paste for direct application into the wound:
embedded in adhesive mass; smooth outer layer and poly-
Silvercel (J&J)
Uses antimicrobial dressing for moderate to heavily exuding = £1.19; powder 6 g = £4.04; paste 12-g sachet = £1.61; 50 g
wounds
= £6.33 Suprasorb H (Synergy Healthcare) Comfeel Plus (Coloplast)
Semi-permeable hydrocolloid dressing, with adhesive bor- Hydrocolloid dressings containing carmellose sodium and
Uses lightly to moderately exuding wounds Tegaderm Hydrocolloid (3M)
diameter = £3.18, 10 cm = £4.26, 15 cm = £6.42 Contreet Hydrocolloid (Coloplast)
Uses chronic wounds such as leg ulcers and pressure sores Semi-permeable, antimicrobial barrier dressing with ionic
Tegaderm Hydrocolloid Thin , semi-permeable, clear film
Uses antimicrobial dressing for low to moderate exuding venous leg ulcers
Appendix
Uses lightly to moderately exuding wounds
DuoDERM Extra Thin (ConvaTec)
Ultec Pro (Covidien)
Semi-permeable hydrocolloid dressing with adhesive border,
8: W
Uses lightly exuding wounds DuoDERM Signal , hydrocolloid dressing with ‘Time to
ound
Uses lightly to moderately exuding wounds
manageme
Versiva
(ConvaTec)
£5.64 Semi-permeable hydrocolloid dressing with fibre layer and Uses leg ulcers, pressure sores, diabetic ulcers, burns, post-
operative wounds Flexigran (A1 Pharmaceuticals)
nt
Semi-permeable hydrocolloid dressing without adhesive Uses chronic and acute exudating wounds Flexigran Thin
Versiva XC , hydrocolloid gelling foam dressing, with Granuflex (ConvaTec)
Hydrocolloid wound contact layer bonded to plastic foam
20 cm = £6.20
Granuflex Bordered Dressing Bio-cellulose dressings Suprasorb X (Synergy Healthcare) Uses chronic ulcers, pressure sores, open wounds, debridement
of wounds; powders, gel, and pastes used with sheet dressings to Biosynthetic cellulose fibre dressing
fill deep or heavily exuding wounds
(rope) = £5.99
Granuflex Paste ( D), 30 g = £2.73 Uses lightly to moderately exuding wounds
890 A8.1.5 Vapour-permeable films and membranes
BNF 57 Keloid dressings
heavily exuding wounds and are probably not suitable Silicone gel and gel sheets are used to reduce or
for chronic leg ulcers. They are most commonly used as prevent hypertrophic and keloid scarring. They
secondary dressings over alginates or gels; they are also should not be used on open wounds. Application
sometimes used to protect fragile skin of patients at risk times should be increased gradually. Silicone sheets
of developing minor skin damage. can be washed and reused.
Advasil Conform (Advancis)
Vapour-permeable Adhesive Film Dressing, BP 1993
Self-adhesive silicone gel sheet with polyurethane film (Semi-permeable Adhesive Dressing) Extensible, waterproof, water vapour-permeable poly-