Wounds that show signs of clinical infection may be dressed with Aquacel Ag but the dressing should be changed daily and the use of systemic antibiotic therapy considered. At this stage a change to an alternative dressing - such as a film product, should be considered to conserve moisture. Interval between changes may be extended to up to 14 days inīurns. To heavily exuding or sloughy wounds may need replacing daily initially,īut as healing progresses and the amount of exudate decreases, the The wound and the nature of the secondary dressing. The interval between dressing changes will depend entirely upon the state of This may be accomplished without causing either damage to the wound or pain to the patient. It is recommended that only about 80% of the cavity should be filled with the dressing to accommodate swelling, and that a short length of ribbon be left to overhang the wound margin to facilitate removal.īecause of the needling process used in its construction, the dressing has significant wet strength, which means that it can be easily removed from a wound in one piece, a process that may be facilitated by irrigation with water or sterile normal saline. If large quantities of exudate are anticipated, a simple absorbent dressing pad may be required but as the wound heals and less exudate is produced, a thinner pad bearing a plastic film of low adherence may help to conserve moisture and prevent the wound drying out too quickly.ĭeeper cavity wounds or sinuses may be dressed with Aquacel Ag Ribbon, which should be placed gently in position but not packed in too tightly. The nature of the secondary dressing will be governed by the condition of the wound. On lightly exuding wounds it is possible to apply the dressing then gently moisten the area directly over the wound with sterile water or saline. The dressing is easy to remove without causing pain or trauma, and leaves minimal residue on the surface of the wound.Īlthough there are no known contra-indications to the use of Aquacel Ag, the dressing will be of little value if applied to wounds that are very dry, or covered with hard black necrotic tissue.Īn Aquacel Ag dressing, chosen to be slightly larger than the area of the wound, is placed in intimate contact with the wound base and covered with a sterile secondary dressing held in place with surgical tape or a bandage as appropriate. Sheets of Aquacel Ag may be applied to exuding lesions including leg ulcers, superficial pressure ulcers, partial-thickness burns, and most other granulating wounds, but for deeper cavity wounds and sinuses the ribbon packing is generally preferred. In the presence of sodium ions from wound exudate, the silver ions are released from the NaCMC to exert a sustained antimicrobial effect against a wide range of organisms including methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant Enterococcus (VRE), thus preventing colonization of the dressing and providing an antimicrobial barrier to protect the wound. The dressing absorbs and interacts with wound exudate to form a soft, hydrophilic, gas-permeable gel that traps bacteria and conforms to the contours of the wound whilst providing a micro-environment that is believed to facilitate healing. Needle bonding process, and is available both as a `ribbon' for packingĬavities and as a flat non-woven pad for application to larger open (NaCMC) containing 1.2% silver in an ionic form.Ī textile fibre and presented in the form of a fleece held together by a
Sodium Carboxymethylcellulose Primary Wound Dressing containing silverĪquacel Ag is a primary wound dressing made from sodium carboxymethylcellulose
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