Surgery Book


Alginate Dressing

Aka: Alginate Dressing, Absorption Dressing, Absorptive Dressing, Dehydrating Dressing, Xerodressing, Algicell, Algisite M, Carboflex, Carraginate, Dermaginate, Kalginate, Kaltostat, Melgisorb, Sorbsan, Tegagen, Calcicare
  1. Category
    1. Dehydrating Dressing derived from seaweed
    2. Comprised of soft fibers in the shape of pads or ropes
  2. Characteristics
    1. Absorptive
    2. Nonocclusive
    3. Nonadhesive
    4. Moisture-retentive
  3. Indication
    1. Moderate to heavily exudative and wounds
      1. Wounds with undermining or tunneling
      2. Type 2 to 4 Pressure Sores
    2. Autolytic Debridement
  4. Contraindications
    1. Avoid in non-exudative, dry wounds
    2. Avoid in sinus tracts
  5. Technique
    1. Rinse wound residue with each bandage change
    2. Change dressing daily to every 3 days
  6. Advantages
    1. Requires less care than other dressings
    2. Designed to be occlusive
    3. Designed to absorb large exudates (up to 20 times its own weight)
    4. Fills dead space
    5. Conforms to wound shape
  7. Efficacy
    1. Improves Pressure Ulcer healing time
      1. Used before Hydrocolloid Dressing
      2. See Wound Dressing for sample protocol
      3. Belmin (2002) J Am Geriatr Soc 50:269-74 [PubMed]
  8. Disadvantages
    1. No trial data on effectiveness in Pressure Sores
    2. Avoided in light exudate or dry wounds
    3. Risk of dehydrating wound bed and delaying Wound Healing (risk of scab formation)
  9. References
    1. Habif (1996) Clinical Derm, Mosby, p. 810-13
    2. Krasner (1995) Prevention Management Pressure Ulcers
    3. Lewis (1996) Med-Surg Nursing, Mosby, p. 199-200
    4. Lueckenotte (1996) Gerontologic Nurs., Mosby, p. 800-7
    5. PUGP (1994) Pressure Ulcer Treatment, AHCPR 95-0653
    6. Way (1991) Current Surgical, Lange, p.95-108
    7. Bello (2000) JAMA 283(6): 716-8 [PubMed]
    8. Degreef (1998) Dermatol Clin 16(2): 365-75 [PubMed]
    9. Findlay (1996) Am Fam Physician 54(5): 1519-28 [PubMed]
    10. Knapp (1999) Pediatr Clin North Am 46(6):1201-13 [PubMed]
    11. (1995) Am Fam Physician 51(5):1207-22 [PubMed]

sorbsan (C0655505)

Concepts Carbohydrate (T118)
MSH C078112
English sorbsan
Derived from the NIH UMLS (Unified Medical Language System)

Kaltostat (C0936056)

Concepts Biomedical or Dental Material (T122) , Carbohydrate (T118)
MSH C008970
English Kaltostat
Derived from the NIH UMLS (Unified Medical Language System)

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