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Discussion

Opsite spray.

At some facilities, the dressing requirement for total knee replacement is to remove the dressing on day 5 or another later day before discharge, clean the wound, and cover with Duoderm.

At one facility, one doctor's dressing requirement for total knee replacement is to remove the dressing before discharge, clean the wound, spray with Opsite, and cover with Duoderm.

If the wound is covered with Opsite spray, the film dressing can't absorb exudate, although it can allow water ingredient of exudate to evaporate through the film dressing. The non-water ingredient of exudate can't pass the film. The secondary dressing Duoderm can't absorb non-water ingredient of exudate below the Opsite film dressing.

What is the rationale of this dressing requirement?

Does anybody have the same dressing experience?

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    So you are asking some interesting questions but it would be nice to see some of your thoughts

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    The Opsite spray shouldn't be used to cover the wound, as it would block the non-water ingredients of exudate to be absorbed into Duoderm.

    To make it simple, just using Duoderm would be okay.

    However, the dressing requirement of the combination of Opsite spray and Duoderm comes from the post-operative instructions of an experienced surgeon.

    That's the reason I ask others whether they have the same dressing experience. Perhaps the surgeon considers this dressing requirement in another different way.

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    • Author
    On 3/31/2019 at 1:23 PM, Silverdragon102 said:

    So you are asking some interesting questions but it would be nice to see some of your thoughts

    As you have 30 years experience as a BSN and works as a Registered Nurse, perhaps you have some good experience about Opsite spray.

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    I haven’t used opsite spray in over 11 years. I feel I do not have current experience to pass on.

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