Dressings

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Kerlix fluffs are being used to ensure INTEGRA™ Bilayer Matrix Wound Dressing is in complete contact with the wound bed

• Fixation and compression are of significant importance. Elastic bandages, padded "tie-over" dressings, vacuum devices, splints and other methods, depending on the circumstances, should be used. This ensures that the Integra matrix adheres to and is in complete contact with the wound bed and prevents shearing and hematoma or seroma formation.
  
• Inspect for hematoma and seroma formation upon dressing changes
  
• Dressings can be attached by staples or other suitable methods. They will be left in place until the silicone is removed and offer the following advantages:

      - Helps prevent dislodgement

      - Keeps INTEGRA™ Bilayer Matrix Wound Dressing in intimate contact with the wound bed
  
  

• Apply non-adherent absorbent dressings as the inner dressing layer
  
• Use topical antimicrobials such as silver impregnated dressings to help maintain a bacterial barrier over INTEGRA™ Bilayer Matrix Wound Dressing

Outer Dressings

• Apply outer absorbent dressings
  
• Use anti-shear dressings
  
• Use bolsters where appropriate

     - Keeps INTEGRA™ Bilayer Matrix Wound Dressing in intimate contact with the wound bed

     - Protects INTEGRA™ Bilayer Matrix Wound Dressing from shearing and detachment

• Use bandages to apply slight pressure over outer dressings
  
• Immobilize joints and limbs (e.g., by splints and casts) to prevent dislodgement

Note:

Do not let Dakins Solution, petroleum-based products, e.g., Xeroform, or enzymatic debridement agents, (e.g., Collagenase), come in contact with the INTEGRA™ Bilayer Matrix Wound Dressing application sites.

Use splints or bolsters, per unit protocols, during first 5-7 days. Splints should be applied and should stay on at all times (except when performing wound care).

The VAC (Vacuum Assisted Closure)* may be used over unmeshed or meshed INTEGRA™ Bilayer Matrix Wound Dressing sites, in particular, as a bolster dressing for difficult anatomical sites or wound beds, such as the axilla.

*VAC is a registered trademark of Kinetic Concepts, Inc. (KCI)

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