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Dressing techniques for wounds in the critically ill 

Dressing techniques for wounds in the critically ill
Chapter:
Dressing techniques for wounds in the critically ill
Author(s):

Ruth Kleinpell

and Laura Crawford

DOI:
10.1093/med/9780199600830.003.0280
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date: 30 November 2020

The use of dressings may be indicated in the management of wounds and pressure ulcers, and is dependent on many factors, including the intended purpose of the dressing. The aetiology or cause of the wound will directly impact on the choice of dressing, as factors such as whether a pressure ulcer has undermining and requires packing to fill dead space need to be considered. Other considerations related to aetiology include whether exudates management and compression are required as is the case with venous insufficiency, or whether moisture is preferred, as is often the case with arterial ulcers. The appropriate selection of dressings for pressure ulcers can facilitate healing, although there is insufficient evidence to indicate which specific dressings are the most effective. This chapter reviews important considerations in the use of dressings for wounds and pressure ulcers. In managing the critically-ill patient, knowledge of the indications for use of currently available wound care products and dressings is important for critical care clinicians and consultation with a wound care specialist is recommended.

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