| Inspection and Care
of Neodermis |
|
During the early stages of Neodermis development
take note of the following:
- If elastic net dressing was used,
leave in place and do not remove staples or sutures
- Take down all dressings to the elastic
net layer to inspect INTEGRA Template sites, seams,
and edges for evidence of hematomas, fluid accumulation,
infection/purulence, premature silicone layer separation,
and areas of non-take. Inspection may be performed through
interstices of elastic net dressing (do not remove unless
necessary).
- Re-moisten antimicrobial dressings
after INTEGRA Template inspection. Irrigation tubing
can be used to re-moisten or re-apply without removing
dressings.
- Re-moisten or re-apply antimicrobial
dressing as needed, typically every twelve hours, or
more often for dry climates
- Replace or change new antimicrobial
dressing at least every three days
- During week 2, change dressings every
other day. In week 3, dressings should be changed
every third day.
When removing dressings to inspect INTEGRA Template sites, care should be taken to avoid dislodgement.
As you gain experience with INTEGRA Template, your
frequency of inspection
and dressing changes is likely to change from this schedule.
Movement / Outpatient Care
As shearing will result in the NON-TAKE of INTEGRA, the
goal for the staff and patient is to minimize these forces
on the INTEGRA Template site. Bolsters, splints and Ace
Wrap compression (an important outer dressing during the
first 24-48 hours) will help protect from friction and
shear of INTEGRA from the excised bed.
