Wound Dressings: Wet to Dry

390 Words2 Pages
Wound Dressings: Wet to Dry

According to the article, “The issues surrounding the continued use of saline soaked gauze dressings”, using wet to dry dressings for wounds healing by second intention may actually have a detrimental effect on wound healing and patient comfort. The article stated that saline soaked dressings may prolong inflammation by adhering to granulation tissue during debridement causing the wound to return to an earlier inflammatory stage. The author also states that this will also cause increased pain for the patient. In addition, debridement in this manner can also cause dehydration of the wound and cause further pain by exposing nerve endings to air and cold saline several times a day during dressing change. Also mentioned, is the increased risk of localized hypothermia and risk for infection as wet gauze to the wound can cause vasoconstriction and in theory, also decrease leukocyte mobility and efficiency of phagocytes. Gauze fibers may also be retained in the wound bed further increasing risk of infection. Lastly, the author suggests that the use of wet to dry dressings are not cost effective since they are labor intensive, require secondary dressings to contain exudate, and usually require nursing care within the community. The article closes by saying that further research is needed to fully understand the impact that dressing selection has in wound healing but suggests that practitioners should question the continued use of wet to dry dressings. Currently, Greenville Hospital System’s policy for healing of wounds by second intention is best met with the use of wet to dry dressings. These dressings require a doctor’s order and have a desired outcome to “to debride the wound, to absorb exudate, and to provide the wound with a moist environment to promote healing”. The policy states that wounds should be irrigated thoroughly in
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