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Heavy exudating wound.......

Discussion in 'Diabetic Foot & Wound Management' started by bagpuss_007, May 26, 2005.

  1. bagpuss_007

    bagpuss_007 Welcome New Poster


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    Would you be happy to use Lyofoam or would you want Allevyn?
     
  2. johnmccall

    johnmccall Active Member

    Hi Bagpuss,

    When did you give up TV and become a 'Pod'? ;)

    I use Lyofoam for light exudate and Allevyn for heavier so I'd be happier with Allevyn. If the heavy exudate is on the plantar and the patient weight- bears just once on the area it won't make any difference, you'll probably get strikethrough anyway.
    Heavy exudate may indicate infection so I'd consider that too in the choice of dressing.

    Cheers
    John
     
  3. sandra.jones

    sandra.jones Member

    Heavily exuding wound

    My preference would be Biatain (Coloplast product), similar to Allevyn. May use Aquacell as a primary dressing is some instances e.g. moist slough

    sandra
     
  4. One Foot In The Grave

    One Foot In The Grave Active Member

    I'd go for Allevyn...I just find it "holds more" - providing you have a decent border of course.
     
  5. Teri

    Teri Welcome New Poster

    What about using the VAC Therapy System? Vacuum Assisted Closure by KCI Medical...Works amazing with heavily exudating wounds. The dressing need only be changed three times per week! Look it up...www.kci1.com. Not only will it remove the exudate but increases wound healing by 66% as compared to conventional dressings...it's a closed, moist, wound healing environment that brings blood to the area thus increasing granulation tissue formation. Every podiatry office should have one!
     
  6. nicpod1

    nicpod1 Active Member

    Bagpuss,

    Biatain (Coloplast) is always my foam dressing of choice, especially in plantar wounds!
    Allevyn, I find, generally leads to maceration and I sometimes use it to enhance re-hydration of wounds as it is poorer at absorption!
    Although Lyofoam is the dressing the your finances would fancy, it is the most poorly performing foam on the market!

    VAC is big-time expensive, but worth it in the right wound as, in the end, it can save money!

    However, why is the wound exudating +++++++++++++++?

    Obviously, if it is venous, infected, pressure/neuropathy-induced or malignant, the exudate is better addressed by addressing the cause.

    Outisde of that, Inadine is excellent at 'drying' wounds and keeping infection at bay and carboflex is great at exudate and odour management!

    Hope this is of some help!?
     
  7. bagpuss_007

    bagpuss_007 Welcome New Poster

    Thanks for the responses, however, they are not quite what I'm looking for, so I shall we rephrase it. If you only had the choice of Allevyn or Lyofoam, which would you want to use?

    As much as I would love to have access to many of the dressings given as alternatives and I am fully aware of the importance of addressing the underlying cause, when I first come across a heavily exudating wound, these are the two dressings that are CURRENTLY available to me.

    Lets just say, that due to finanical restraints, we are having our arms twisted into using only one of the above dressings :)
     
  8. johnmccall

    johnmccall Active Member

    Lyofoam or Allevyn?

    Hi Bagpus,

    If I can't have both then it has to be Allevyn.

    Cheers
    John
     
  9. John Spina

    John Spina Active Member

    For a wound with copious amount of exudate I go with allevyn(alginates tend to be the dressing of choice for these types of wounds).
     
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