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Turtle in scrubs 6,420 Views

Joined: Mar 8, '07; Posts: 217 (43% Liked) ; Likes: 218

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  • Mar 21

    I find most physicians don't really know what a traditional wet to dry is, or it's consequences. Most don't know what else to order. I don't really see "true" wet to dry dressings done intentionally anymore. I only see them done when dressings are left on by accident too long. The only thing that separates a wed to dry dressing from a NS moist dressing is time and saturation. Generally I see NS moist dressings done (even when the order is for a wet to dry), where the dressing that comes out of the wound is still slightly moist, and therefore not as traumatic to the wound bed.

    If the wound is dirty, meaning it has necrotic tissue, than a traumatic dressing removal is not such a bad thing. However there are better, less painful ways. And if the wound bed had any part of it with a clean wound bed, especially with granulating tissue, a wet to dry dressing is harmful. Placing a contact layer such as vaseline gauze is an excellent idea.

    This is where knowing what the wound needs, and clarifying the intentions of the MD are helpful.

  • Mar 10

    I find most physicians don't really know what a traditional wet to dry is, or it's consequences. Most don't know what else to order. I don't really see "true" wet to dry dressings done intentionally anymore. I only see them done when dressings are left on by accident too long. The only thing that separates a wed to dry dressing from a NS moist dressing is time and saturation. Generally I see NS moist dressings done (even when the order is for a wet to dry), where the dressing that comes out of the wound is still slightly moist, and therefore not as traumatic to the wound bed.

    If the wound is dirty, meaning it has necrotic tissue, than a traumatic dressing removal is not such a bad thing. However there are better, less painful ways. And if the wound bed had any part of it with a clean wound bed, especially with granulating tissue, a wet to dry dressing is harmful. Placing a contact layer such as vaseline gauze is an excellent idea.

    This is where knowing what the wound needs, and clarifying the intentions of the MD are helpful.



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