Wound care question/wet-dry, can you use kling?

Home Health Columnist / Guide · Sep 13, 2005

can you please tell me if a wound that is ordered for a wet to dry packed dressing can be packed with kling/kerlix

YES with caveat:

Both are woven gauze rolls, with different brand names. If your order states a

brand name, then you should use the brand name for liability reasons. When order says "gauze roll," then you can interchange. However, If you have a wound care formulary, then the nurse is free to choose a product within that guide. I have found Kling to be less absorptive, but most importantly, it tends to shed fibers, whereas Kerlix does not.

Both can be used internally but only when you have a extremely large wound with tunneling. Kerllix is often preferred because its thicker, holds saline well, absorbs drainage better, and can be more easily removed. You have to be careful when packing with either wrap because people tend to pack the wound too tight. Wounds should be lightly packed to allow the wound edges to contract.

NEVER use an elastic roller gauze as internal packing as it swells, increases wound pressure along with increased wound size and have seen wound bed necrosis in matter of few hours.

Term "b roll" might mean "bard gauze roll" (specific manufacturer) ---otherwise can't think of meaning. tonight.

ImShelly31 · Sep 13, 2005

Thank you very much!

YES with caveat:
Both are woven gauze rolls, with different brand names. If your order states a
brand name, then you should use the brand name for liability reasons. When order says "gauze roll," then you can interchange. However, If you have a wound care formulary, then the nurse is free to choose a product within that guide. I have found Kling to be less absorptive, but most importantly, it tends to shed fibers, whereas Kerlix does not.
Both can be used internally but only when you have a extremely large wound with tunneling. Kerllix is often preferred because its thicker, holds saline well, absorbs drainage better, and can be more easily removed. You have to be careful when packing with either wrap because people tend to pack the wound too tight. Wounds should be lightly packed to allow the wound edges to contract.
NEVER use an elastic roller gauze as internal packing as it swells, increases wound pressure along with increased wound size and have seen wound bed necrosis in matter of few hours.
Term "b roll" might mean "bard gauze roll" (specific manufacturer) ---otherwise can't think of meaning. tonight.

redwinggirlie · Sep 21, 2005

I use Kerlix for the above reasons. Also, because I can cut an amount off AFTER I have packed to ensure that only one piece is put in that wound. I can also explain this importance to the patient who can pass the info on (as I will) to the rest of the staff.

But still, you did nothing to require having a cow over..... be well!

redwinggirlie · Sep 21, 2005

oops, forgot the importance part if you were wondering..... More than one piece packed can mean one piece gets lost or forgotten.

sweetielin · Oct 14, 2005

b-roll could mean burn roll/kerlix:)

Tom85 · Jan 10, 2006

B- roll might mean Bullke role from medlines gauze line. which really is kerlix. I know for a fact the Medlines Kerlix will leave string because it is a woven type of gauze but is thicker. Kling will not leave any stringy fibers but will not absorb as much. So u might want to go to bid, tid dresing changes for wet to dry with the kling.