Authors

  1. Section Editor(s): Hess, Cathy Thomas BSN, RN, CWOCN

Article Content

A snapshot of the products you may use in practice.

 

HYDROGELS

Action

Hydrogels are water- or glycerin-based amorphous gels, impregnated gauzes, or sheet dressings. Because of their high water content, some cannot absorb large amounts of exudate. Hydrogels help maintain a moist wound environment, promote granulation and epithelialization, and facilitate autolytic debridement.

 

Indications

For use as primary dressings (amorphous gels, impregnated gauzes) or as primary or secondary dressings (sheets); to manage partial- and full-thickness wounds, deep wounds (amorphous gels, impregnated gauzes), wounds with necrosis or slough, minor burns, and tissue damaged by radiation.

 

FIGURE

  
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Advantages

 

* Soothing and reduce pain

 

* Rehydrate the wound bed

 

* Facilitate autolytic debridement

 

* Fill in dead space (amorphous gels, impregnated gauzes)

 

* Provide minimal to moderate absorption

 

* Applied and removed easily from the wound

 

* Can be used when infection is present

 

Disadvantages

 

* Usually not recommended for wounds with heavy exudate

 

* Dehydrate easily if not covered

 

* Some require secondary dressing

 

* Some may be difficult to secure

 

* Some may cause maceration

 

Source: Hess CT. Clinical Guide: Wound Care. Fourth Edition. Springhouse, PA: Springhouse Corporation; 2002:275-6.