This reference tool provides indications and limitations of coverage for surgical dressings.
Disclaimer: The information presented in this document is an interpretation and summary of information available to the public. The information is general and does not constitute medical advice. Application of the information to any particular patient should be determined only by a qualified medical professional. Byram and its employees take no responsibility for the accuracy of this information or the application of this information as to a particular patient. This information is current as of 07/24/2017, and may change
Collagen is the protein that gives strength to the skin, therefore, making collagen appropriate for stalled wounds. There are various collagen technologies available. Collagen can be derived from various sources such as bovine, equine, Piscean, ovine, porcine, and avian. Dressing formulations include particles, powder, gel, sheets, and pads.
Alginates are derived from seaweed and designed to absorb high amounts of exudate. They promote autolytic debridement while maintaining an optimal moist wound environment enhancing wound healing. There are pads and rope available.
Composite dressings are multifunctional in providing a protective barrier, promoting autolytic debridement, and moldable. This dressing is comprised of a non-adherent pad and is available with and without a border of retention tape or transparent film. Absorbency is minimal to moderate.
Foam dressings can be bordered or non-bordered. They absorb moderate to heavy exudate. Foams are also used as a prophylactic dressing in preventing injury to the periwound or skin. This dressing is conformable, non-adherent, thermoregulating, and a protective barrier.
Gauzes or non-woven or woven. They are not all the same and depending on what the usage is, determines which gauze is most appropriate. Gauze can be used for cleansing wounds, packing wounds, and covering wounds.
Wound fillers help manage exudate and fill in dead space of deeper wounds. Fillers can be time-released with antimicrobial properties and are available in gels, pads, pastes, beads, strands, and pillows.
Transparent films are convenient in monitoring wounds with a visual inspection. These dressings are semipermeable. Impermeable to liquid, water, and bacteria, but permeable to moisture vapor atmospheric gases. TFs are conformable and waterproof. Available in numerous sizes and cost-effective.