Surgery Book


Impregnated Gauze Dressing

Aka: Impregnated Gauze Dressing, Vaseline Gauze, Petrolatum impregnated gauze, Hypertonic Saline Gauze, Mesalt, Iodoform Gauze
  1. Types: Hypertonic Saline Gauze (Mesalt)
    1. Indicated for exudate absorption for cleaning wounds
    2. Change gauze daily
    3. May result in some tissue destruction
    4. Switch to Hydrogel Dressing once exudate reduced
  2. Types: Iodoform Gauze (Iodine impregnated gauze)
    1. Indicated for tunneling wound with foul discharge
    2. Change gauze daily
    3. May cause tissue destruction (limit to <5 days)
    4. Switch to less toxic alternative once discharge reduced
  3. Types: Vaseline Gauze (Petrolatum impregnated gauze)
    1. Indicated for wound protection and wound hydration
    2. Change every 2 to 4 days
    3. Particularly effective in extremity Skin Tears
      1. Apply Vaseline Gauze to affected area
      2. Secure gauze with Kerlix wrapped around extremity
  4. References
    1. Bello (2000) JAMA 283(6): 716-8 [PubMed]
    2. Degreef (1998) Dermatol Clin 16(2): 365-75 [PubMed]
    3. Findlay (1996) Am Fam Physician 54(5): 1519-28 [PubMed]
    4. Habif (1996) Clinical Derm, Mosby, p. 810-13
    5. Knapp (1999) Pediatr Clin North Am 46(6):1201-13 [PubMed]
    6. Krasner (1995) Prevention Management Pressure Ulcers
    7. Lewis (1996) Med-Surg Nursing, Mosby, p. 199-200
    8. Lueckenotte (1996) Gerontologic Nurs., Mosby, p. 800-7
    9. PUGP (1995) Am Fam Physician 51(5):1207-22 [PubMed]
    10. PUGP (1994) Pressure Ulcer Treatment, AHCPR 95-0653
    11. Way (1991) Current Surgical, Lange, p.95-108

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