by rickard

i have seen silk tape with sterile gauze changed before 24hrs and elastoplast tape changed at 48 hrs. i'm wondering what other heart programs do for post op dressings????

Re: Post CABG dressings (what do you use?)

We don't do CABGs (we're peds) but we do about 300 open-heart procedures per year. We've recently changed our sternotomy dressing to Mepilex Border Lite to minimize skin trauma with dressing changes. They come in a number of sizes and shapes to suit practically any need and can be lifted to assess the incision then replaced with no loss of adhesion. http://www.dressings.org/Dressings/m...rder-lite.html

Re: Post CABG dressings (what do you use?)

Sternal dressing: Primapore.

Re: Post CABG dressings (what do you use?)

Originally Posted by rickard

i have seen silk tape with sterile gauze changed before 24hrs and elastoplast tape changed at 48 hrs. i'm wondering what other heart programs do for post op dressings????

OpSite dressing for sternal incision

Re: Post CABG dressings (what do you use?)

Primapore

Re: Post CABG dressings (what do you use?)

Primapore here as well, most of the time. Odd situations have called for other things but 99% of the time, we clean the incision with Hibiclens diluted in sterile NS, apply triple antibiotic ointment and cover with Primapore. That's the standard unless something else is ordered.

Re: Post CABG dressings (what do you use?)

Primapore, then after POD 1, the dressing comes off and is cleaned with chloraprep. (sp)

Re: Post CABG dressings (what do you use?)

I was taught that you do not want to use chloroprep on the surgical wound because it gets rod of the skins natural flora (or is it fauna?). Chloroprep can be used around the incision, but not directly on it...only sterile saline no the wound...any one else been taught this?

Re: Post CABG dressings (what do you use?)

Actually I am not sure what is used because we get them 2nd day post op after that the incision is open to air and cleansed daily with antibacterial soap and water. Unless there is drainage then just sterile guaze and paper tape.

Re: Post CABG dressings (what do you use?)

I just learned yesterday that our wound care NP and one of our CV surgeons will be trialling a new transparent, absorbent dressing the name of which escapes me right now, that will stay in place at least 72 hours but no more than 120 hours. More later...