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Wound dressing review

Discussion in 'Diabetic Foot & Wound Management' started by Cameron, Mar 9, 2006.

  1. Cameron

    Cameron Well-Known Member

  2. LuckyLisfranc

    LuckyLisfranc Well-Known Member

    Cameron

    As a graduate, I was bombarded by the propoganda of how scientifically advanced and specialised ulcer/wound dressings were the *standard*.

    After working in a tertiary diabetes centre for many years, I would look at the cost/benefit of these dressings in a subtropical location like my own.

    My own observations were that the ever expanding range of dressings;
    - kept wound far too wet,
    - were essentially synthetic, and caused increased odour and slough,
    - were very expensive,
    - did not encourage debridement of devitalised tissue,

    After 10 years of playing with all the leading brands on thousands of ulcers, I am completely counter-culture to modern wound care practices.

    Sterile guaze, a bit of betadine, sharp debridment and offloading + make sure there is sufficient pedal inflow. I cop grief from the wound care nurses, but I stand my ground. I think the situation might be a little different if I were in a more temperate climate.

    At 5 cents a go (if that), you can't beat it 95% of the time. Natural, permeable, and well suited to a long, hot, humid summer.

    LL
     
  3. HJM41

    HJM41 Member

    I do debride ulcers but have found that although expensive technology is often good . I have stopped my use of betadine and h2o2. It is cool up here in north america so that may make a differcence . I think you maybe be tosing the baby out with the bath water rejecting all the fun new stuff.
     
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