How should wound dressings be applied in the treatment of pressure injuries (pressure ulcers)?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

The choice of dressings is not as important as their appropriate application. The following points should be kept in mind:

  • These dressings are not a substitute for sharp débridement in the presence of eschar or other necrotic material
  • Dressings should be applied by trained individuals
  • Care should be taken to keep the wound dressing within the boundaries of the wound to prevent maceration of the surrounding skin
  • A hydrocolloid pad or skin sealant can be used to protect the surrounding skin and serve as a surface to which tape may be applied to hold dressings in place; tubular mesh gauze is an alternative for holding dressings in place in patients with extremely fragile skin

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