Absorbent dressing Absorbent dressing materials containing materials containing activated carbon in activated carbon in

dermatological therapy – dermatological therapy – wound healingwound healing

Hana Zelenkova, M.D. Ph.DHana Zelenkova, M.D. Ph.DJúlia Stracenská, M.D. Júlia Stracenská, M.D.

Privat Dept. of Dermatovenerology, Svidník, Slovak Privat Dept. of Dermatovenerology, Svidník, Slovak RepublicRepublic

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New generation dressing typesNew generation dressing types• Transparent polyurethane dressing Transparent polyurethane dressing • Foam polyurethane dressingFoam polyurethane dressing• Foam silicone dressingFoam silicone dressing• Hydrogels Hydrogels • Hydropolymer dressing Hydropolymer dressing • Hydrocolloid dressingHydrocolloid dressing• XerogelsXerogels• Alginate dressing and filling materialsAlginate dressing and filling materials• Dressing materials containing activated carbonDressing materials containing activated carbon• Gauze dressing materialsGauze dressing materials• OthersOthers

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Carbon dressingCarbon dressing

• Correct name – Correct name – absorbent dressing materials absorbent dressing materials containing activated carboncontaining activated carbon

• The first material development experiments The first material development experiments performed 40 years agoperformed 40 years ago in the former Soviet Union in the former Soviet Union,, JapanJapan,, companies Johnson-Joh companies Johnson-Johnnson, Hartmanson, Hartmannn and and othersothers

• 1990 – the Czech Republic1990 – the Czech Republic – development of original – development of original dressing material containing activated carbondressing material containing activated carbon

• 1992 – 19941992 – 1994 – clinical trials and introduction into – clinical trials and introduction into practicepractice

• 20020088 – radical change in production and development – radical change in production and development of other dressing with a new nameof other dressing with a new name -TECASORB -TECASORB

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Carbon dressing – general Carbon dressing – general indicationsindicationsHuman and veterinaryHuman and veterinary medicine medicineBasic properties:Basic properties:

• Highly absorbent, provides wound moisture Highly absorbent, provides wound moisture regulationregulation

• acts as bacteria barrieracts as bacteria barrier

• promotes wound dpromotes wound deebridement bridement

• odour reductionodour reduction

• suitable to treat severely exuding suitable to treat severely exuding wounds covered with dischargewounds covered with discharge

• fosters haemostasisfosters haemostasis

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Carbon dressingCarbon dressing

• Absorbent dressing made of activated carbon Absorbent dressing made of activated carbon dressing is hydrophilic, with water vapour dressing is hydrophilic, with water vapour permeabilitypermeability

• Suitable to absorb organic matter, micro organisms, Suitable to absorb organic matter, micro organisms, toxins and reduce odourtoxins and reduce odour

Double layer dressing:Double layer dressing:– Upper layerUpper layer made of white nonmade of white non woven textile woven textile

consisting of 50% polypropylenes and 50% viscose consisting of 50% polypropylenes and 50% viscose bound in a way not harmful to health, works as a bound in a way not harmful to health, works as a carriercarrier

– Lower layerLower layer – – black absorbentblack absorbent

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Carbon dressiCarbon dressing TECASORBng TECASORB

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Carbon dressingCarbon dressing

TECASORBmade of elastic fibres with macroscopically smooth surface made of  hydrated cellulose fibre

• Thermally processed fibre

• Specialised technology outcome - carbonisation and activation with higher temperatures material made of activated carbon fibres with high absorbance

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Carbon dressingCarbon dressing

• CCARBONISATIONARBONISATION – – taking taking place at hundreds of place at hundreds of Celsius degreesCelsius degrees

• Final outcome and Final outcome and product:product: micro porous micro porous structure of the carbon structure of the carbon fibre with high absorption fibre with high absorption capacitycapacity

• The size of the The size of the micropores beingmicropores being 0,6 - 0,6 - 0,8cm0,8cm 33 /g/g

• AABSORBENTBSORBENT that gets into that gets into close contact with the close contact with the wound bed actively retains wound bed actively retains micro organisms and micro organisms and chemical substanceschemical substances

• AABSORBENTBSORBENT that that prevents secondary prevents secondary infection infection

• AABSORBENTBSORBENT that shows that shows significant odour reducing significant odour reducing propertiesproperties

• Accelerates wound healingAccelerates wound healing

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Carbon dressingCarbon dressing• dressing is easy to apply and dressing is easy to apply and

remove remove • causes no trauma causes during causes no trauma causes during

change of dressingchange of dressing

• does not dry out and adhere to the does not dry out and adhere to the woundwound

• causes no secondary wound paincauses no secondary wound pain

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Carbon dressingCarbon dressing – Microbiological properties

• Absorbs microorganismsAbsorbs microorganisms

• Effectively prevents the Effectively prevents the growth of bacteriagrowth of bacteria

• EEliminates Pseudomonas liminates Pseudomonas aeruginosa, aeruginosa, Staphylococcus aureus, Staphylococcus aureus, Escherichia coli within 24 Escherichia coli within 24 hourshours

• RRepeatedly proven by epeatedly proven by clinical trialsclinical trials

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Carbon dressingCarbon dressing – indication areas

– DermatologyDermatology, aesthetic dermatology, aesthetic dermatology– SurgerySurgery, dermatosurgery, dermatosurgery– GynaecologyGynaecology– Dental medicineDental medicine– Oncology - exuding defectsOncology - exuding defects– Orthopaedic medicineOrthopaedic medicine– Some areas of internal medicineSome areas of internal medicine– Protection against poisonous substances and Protection against poisonous substances and

gassesgasses– War surgeryWar surgery

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Carbon dressingCarbon dressing – General EmploymentThe properties of this The properties of this

product and the product and the convenient form of convenient form of application allow its use application allow its use under various conditions:under various conditions:

• In infected defects it In infected defects it significantly improves significantly improves wound debridement, wound debridement, creates moist creates moist environment and environment and accelerates the healing accelerates the healing process in all stagesprocess in all stages

• According to the intensity According to the intensity of exudation, it may be of exudation, it may be left in the wound for left in the wound for several days, decreasing several days, decreasing the necessity of frequent the necessity of frequent dressing changesdressing changes

• Decreases the risk of Decreases the risk of nosocomial infectionsnosocomial infections

• Easy applicationEasy application

• Suitable to treat chronic Suitable to treat chronic wounds within the wounds within the outpatient departmentoutpatient department

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Carbon dressingCarbon dressing- - Use in DermatologyUse in Dermatology•   Management of lower leg ulcers of Management of lower leg ulcers of

various aetiology (mainly post various aetiology (mainly post thromboticthrombotic ) - ) - often with prominent exudation. In this case, the absorbance preconditions the creation of moist environment

• Diabetic defects – diabetic foot Diabetic defects – diabetic foot

• PressurePressure sores sores

• PyodermaPyoderma, Pyoderma gangrenosum, Pyoderma gangrenosum

• BurnsBurns

• Exulcerated necrobiosis lipoidica

• Exulcerated lichen sclerosus et atrophicus

• Other skin defects of various aetiologyOther skin defects of various aetiology

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Carbon dressingCarbon dressing – Treatment Method

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Carbon dressingCarbon dressing – Treatment Method

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Carbon dressingCarbon dressing - Dresing changes

• The time of application is to The time of application is to be determined according to be determined according to the condition of the area to the condition of the area to be treated, course of healing be treated, course of healing and the feelings of the and the feelings of the patientpatient

• In case of infected defects In case of infected defects the dressing is to be the dressing is to be changed every 6 – 12 hourschanged every 6 – 12 hours

• Following the improvement Following the improvement of the condition, the of the condition, the optimum time of optimum time of Carbon Carbon dressingdressing application is 24 – application is 24 – 72 hours72 hours

Deep wound therapyDeep wound therapy• It is advisable to moisten the It is advisable to moisten the

absorbent with physiological absorbent with physiological solution or sterile water in solution or sterile water in order for it to more properly order for it to more properly adhere to the wound bedadhere to the wound bed

• The area around the wound The area around the wound must be treated must be treated withwith indifferent indifferent preparations topreparations to prevent prevent possible possible impetigoimpetigo occurrence occurrence

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Carbon dressingCarbon dressing – Therapy effect• Ulcus cruris venosumUlcus cruris venosum - - Therapy commencement, condition Therapy commencement, condition

after after 4 4 weeksweeks

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Carbon dressingCarbon dressing – Therapy effect– Diabetic ulceration - Therapy commencement, condition after 26 Diabetic ulceration - Therapy commencement, condition after 26

days , complete healingdays , complete healing

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Carbon dressingCarbon dressing – Therapy effect• Diabetic ulceration - Therapy commencement, condition after Diabetic ulceration - Therapy commencement, condition after

2288 days days

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Carbon dressingCarbon dressing - dermatosurgery

How to stop the bleeding: How to stop the bleeding: The product is sold in a sterile packageThe product is sold in a sterile packageAfter the removal of the package, the After the removal of the package, the

product is to be pressed on the bleeding product is to be pressed on the bleeding area for approximately 15 secondsarea for approximately 15 seconds

After the bleeding has been stopped, the After the bleeding has been stopped, the wound is to be covered with sterile dressingwound is to be covered with sterile dressing

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Carbon dressingCarbon dressing

• Suitable to be further Suitable to be further used in human and used in human and veterinary medicineveterinary medicine

• Modern treatment Modern treatment material of the 21st material of the 21st centurycentury, , guarantees guarantees excellent therapy effect excellent therapy effect

• AAs well as benefit and s well as benefit and comfort for the patientcomfort for the patient

• Fully meets the Fully meets the requirements imposed on requirements imposed on products of this kindproducts of this kind

• The product is The product is recommended to be used recommended to be used not only in case of not only in case of hospitalisation hospitalisation

• BBut also in therapy of ut also in therapy of patients within the patients within the outpatient department outpatient department including /lay/ patients including /lay/ patients with chronic wounds (due with chronic wounds (due to simplicity of use) to simplicity of use)