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Indications
Hydrocolloid dressings may be used as primary or secondary dressings to manage select pressure ulcers, partial- and full-thickness wounds, wounds with necrosis or slough, and wounds with light to moderate exudate.
Advantages
- Impermeable to bacteria and other contaminants
- Facilitate autolytic debridement
- Self-adherent and mold well
- Provide slight to moderate absorption
- Minimize skin trauma and disruption of healing
- Allow observation of the healing process, if transparent
- May be used under compression products (compression stockings, wraps, pumps, and Unna boots.
Disadvantages
- Not recommended for wounds with heavy exudate, sinus tracts, or infections; wounds surrounded by fragile skin; or wounds with exposed tendon or bone
- Can be opaque, making wound assessment difficult
- May be dislodged if the wound produces heavy exudate
- Provide an occlusive property that limits gas exchange between the wound and the environment
- May curl at edges
- May injure fragile skin on removal
Source: Hess CT. Clinical Guide: Wound Care. Fourth Edition. Springhouse, PA: Springhouse Corporation; 2002.