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Case Study/Series
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Management of heavy exudate under paste compression bandage using a combination of silicone transfer and silicone foam dressings First Author: Peter Tsang D.P.M., C.W.S. Authors: Bromeland, Mary, R.N..Baller, Joyce, R.N., B.A..Lamiot, John, D.P.M., C.W.S..Yelton, Debbie, R.N., C.W.S..Ochsenschlager, Sue, R.N., B.S. Ambulatory patients with lower extremity venous ulcers are often treated with paste compression bandage. Paste bandages alone are unable to handle large amounts of drainage, leading to strikethrough, unpleasant odor and social embarassment. Insufficient exudate management may also result in increased bioburden, maceration of wound edges and pain during dressing changes secondary to bandage adhesion...On three patients, silicone transfer dressing was applied directly to wound bed with overlap onto stable periwound skin. Paste bandage was then applied and covered with roll gauze. Silicone foam dressing was applied over the roll gauze to wound areas to manage exudate. A self-adherent elastic wrap was applied to anchor the combination and provide compression...Generalized edema was decreased. Exudate was well controlled with minimal strikethrough and without clothing damage or excessive odor. Silicone transfer dressing conformed well to the wound bed and allowed passage of excessive drainage to the outer dressings, thus preventing maceration to periwound tissue. It also did not adhere to wound bed thus preventing pain upon removal. Silicone foam dressing absorbed and contained the drainage thus also preventing maceration, drainage strikethrough and odor...One could achieve both goals of compression and exudate control with this type of wound management. |
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