Best Practice in Surgery Surgical Wound Care Guideline A Clinical Practice Guideline developed by the University of Toronto’s Best Practice in Surgery in Collaboration with the LHIN Home and Community Care Toronto Central

Case Studies These slides were created to assist with the implementation of the Surgical Wound Care Guideline The App seen in these slides can be downloaded in the Apple and Google Play Store by searching “Best Practice in Surgery” These slides are meant for education purposes only

Case Study: Superficial- Infected Measurements: 12x1x0.5cm No tunneling Moderate amount of sero-purulent discharge On systemic antibiotics https://www.reddit.com_infected_incision

Wound Care App

Wound Care App con’d

Appendix B Superficial Wounds (skin and subcutaneous tissue) Wound Type Wound Product Exudate Nil-Low Exudate Moderate– Copious Exudate Infected Primary Contact Layer Antimicrobial gauze Antimicrobial Hydrogel Antimicrobial Sheet/Mesh Antimicrobial Alginate Antimicrobial Hydrofibre Cadexomer Iodine Gentian Violet/Methylene Blue Cover Dressings Antimicrobial Foam Absorbent Pad Non-adherent Sheet Foam   Non-infected Hydrogel Non-Adherent Sheet/Mesh Calcium Alginate Hydrofibre Absorbent Clear Acrylic Dressing Hydrocolloid Non-adherent Sheet Transparent Film .

Contact Wound Care Products Primary Contact Layer

Wound Care Cover Dressings

Case Study: Deep Non-infected

Wound Care App

Wound Care App Con’d

Appendix B Deep Wounds (deep soft tissue) Wound Type Wound Product Exudate Nil-Low Exudate Moderate – Copious Exudate Infected Primary Contact Layer Antimicrobial Hydrogel Antimicrobial Moistened Gauze Antimicrobial Alginate- (Manuka Honey Packing) Antimicrobial Sheet/Mesh Gentian Violet/Methylene Blue Antimicrobial Alginate-with Silver Antimicrobial Hydrofibre with Silver Hypertonic Packing Cover Dressings Antimicrobial Foam Absorbent Pad Foam Non-infected Hydrogel Moistened Packing Calcium Alginate Hydrofibre Hypertonic Moistened Gauze Non-adherent Sheet  

Contact Wound Care Products Primary Contact Layer

Wound Care Cover Dressings