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Chronic wound management

TIME – a practical wound care framework

TIME is a global wound care framework used to implement appropriate care plans and promote wound healing. The TIME framework can be used to apply wound bed preparation to practice. The correct implementation of TIME depends on patient and wound assessment.

TIME is not a sequential process, every wound is different; simultaneous attention to one or more of the components may be required.

B. Braun wound dressing portfolio in synergy with the TIME concept

Tissue management

Debridement and wound bed preparation

Prontosan® Wound Irrigation Solution

The solution is designed for cleansing, moistening, and decontamination of acute and chronic wounds, including burn injuries. It is available in 1000 ml bottles, 350 ml bottles, and 40 ml ampoules.

Prontosan® Wound Gel X

Provides long-lasting cleansing, moistening, and decontamination of acute and chronic wounds, including burn injuries. It supports the creation of an optimal moist environment for wound healing and may be preferred for large surface areas and burns. Available in 50 g, 250 g, and 1 oz tubes.

Prontosan® Debridement Pad

Effectively removes coatings, dead cell residue, debris, slough, and exudate. Available in packs of 3 and 10.

Inflammation and Infection control

Antimicrobial treatment

Askina® Calgitrol® Paste

Askina® Calgitrol® Paste is a sterile primary dressing consisting of an ionic silver alginate matrix in paste form, designed to treat chronic wounds which are infected or at high risk of infection. The paste form, due to its water content, provides immediate availability of silver ions. Additionally, the ionic exchange with the wound exudate, delivers a sustained release of ionic silver to the wound bed.1 It is supplied sterile in a 15 g tube. The tube has a cannula to aid application of the paste into tunnels, sinuses, and all deep wounds. 2

Askina® Calgitrol® Ag+

Askina® Calgitrol® Ag+ is a wound dressing that combines antimicrobial silver with strengthening cellulose fiber to manage wound infection and high exudate. The dressing promotes healing in a moist environment. When applied, Askina® Calgitrol® Ag+ responds by forming a gel on contact with wound exudate. The gelling formation traps, locks in and kills the bacteria away from the wound bed. It contains encapsulated nanoparticles of ionic silver encrusted into the strengthening cellulose fiber. The nanoparticles act as a reservoir of ionic silver and are released gradually in contact with wound fluid to kill bacteria and microorganisms within the dressing.Under the supervision of a healthcare professional, Askina® Calgitrol® Ag+ antimicrobial wound dressings may be used for:All agesModerately to heavily exuding woundsChronic wounds, e. g. leg ulcers, pressure ulcers and diabetic ulcersSurgical wounds, e. g. post-operative, wounds left to heal by secondary intent and donor sitesTraumatic wounds, e. g. abrasions and lacerationsPartial thickness burnsIf required, the dressings can be used in conjunction with a suitable moisture-retaining secondary dressing to keep the product in place and/or under compression.

Moisture balance

Restore moisture balance

Askina® Heel

Askina® Heel is a heel-shaped, two-layered, non-adherent foam dressing designed to cover the heel and the malleolus. The gentle polyurethane foam can reduce pressure on wounds in this area as well as provide a moist wound environment to promote wound healing. The waterproof outer layer protects the wound from dirt and bacteria. The product includes the option to use a foam security strap and two self-adhesive hooks that keep the dressing in place even during movement, avoiding the need to use an additional fixation device.Askina® Heel is indicated for the management of a wide range of moderately to highly exuding wounds, mainly for exudate absorption at the heel site.

Askina® Trachea

Askina® Trachea is a polyurethane foam dressing with a circular aperture especially designed to fit neatly around a tracheostomy tube or other drain. The dressing absorbs wound exudate through the polyurethane foam and provides a moist wound environment that promotes wound healing. The outer vapor-permeable polyurethane film layer protects the wound from dirt and bacteria.Askina® Trachea is designed for a wide range of moderately to highly exuding wounds, mainly for exudate absorption at the tracheostomy site.

Askina® Foam

Askina® Foam is a soft, two-layered, non-adherent dressing that is designed to absorb and retain moderate to high wound exudate while providing a moist wound environment to promote healing. The outer vapor-permeable polyurethane film physically protects the wound from water and bacteria.The soft and flexible polyurethane foam provides an excellent conformability to adapt to different wound locations on the body.Askina® Foam wound dressing may be used for: Moderately to heavily exuding woundsChronic wounds, e. g. pressure ulcers, leg and foot ulcersTraumatic wounds, e. g. first and second-degree burns, and surgical wounds

Askina® DresSil Active Heel

Askina® DresSil Active Heel is a heel multilayer silicone dressing with border designed to provide active exudate management. Its multilayer structure improves exudate retention and absorption while maintaining the adequate moisture level in the wound1. This may reduce the frequency of dressing changes, thereby saving nursing time and allowing more time to be dedicated to patients and their care2. Askina® DresSil Active Heel is designed for a wide range of exuding wounds such as:Pressure ulcersLeg and foot ulcersTraumatic wounds (e.g. skin tears)Surgical wounds It can also be used on dry/necrotic wounds in combination with gels. The dressing may also be used as part of a prophylactic therapy to help prevent skin damage, e.g. pressure ulcers. Material Askina® DresSil Active Heel, thanks to its multilayer structure, is designed to offer effective exudate management of chronic wounds: Layer 1: Semi-transparent film with 1 cm apart dots for the Active Exudate Monitoring SystemLayer 2: Superabsorbent layer to absorb and lock in exudateLayer 3: Exudate distribution layer to facilitate quick exudate movement from the foam to the superabsorbent layerLayer 4: Thin foam layer that enables vertical absorption while maintaining a moist environment conducive to wound healingLayer 5: Silicone layer to provide secure fixation while conforming to body contours

Askina® DresSil Active Sacrum

Askina® DresSil Active Sacrum is a sacrum multilayer silicone dressing with border designed to provide active exudate management. Its multilayer structure improves exudate retention and absorption while maintaining the adequate moisture level in the wound1. This may reduce the frequency of dressing changes, thereby saving nursing time and allowing more time to be dedicated to patients and their care2. Askina® DresSil Active Sacrum is designed for a wide range of exuding wounds such as:Pressure ulcersLeg and foot ulcersTraumatic wounds (e.g. skin tears)Surgical woundsIt can also be used on dry/necrotic wounds in combination with gels. The dressing may also be used as part of a prophylactic therapy to help prevent skin damage, e.g. pressure ulcers. MaterialAskina® DresSil Active Sacrum, thanks to its multilayer structure, is designed to offer effective exudate management of chronic wounds:Layer 1: Semi-transparent film with 1 cm apart dots for the Active Exudate Monitoring SystemLayer 2: Superabsorbent layer to absorb and lock in exudateLayer 3: Exudate distribution layer to facilitate quick exudate movement from the foam to the superabsorbent layerLayer 4: Thin foam layer that enables vertical absorption while maintaining a moist environment conducive to wound healingLayer 5: Silicone layer to provide secure fixation while conforming to body contours

Askina® DresSil Active

Askina® DresSil Active is a multilayer silicone dressing with border designed to provide active exudate management. Its multilayer structure improves exudate retention and absorption while maintaining the adequate moisture level in the wound1. This may reduce the frequency of dressing changes, thereby saving nursing time and allowing more time to be dedicated to patients and their care2. Askina® DresSil Active is designed for a wide range of exuding wounds such as:Pressure ulcersLeg and foot ulcersTraumatic wounds (e.g. skin tears)Surgical wounds It can also be used on dry/necrotic wounds in combination with gels. The dressing may also be used as part of a prophylactic therapy to help prevent skin damage, e.g. pressure ulcers.

Askina® DresSil Border Lite

Askina® DresSil Border Lite is a thin and highly conformable silicone foam dressing designed to protect and manage moist wound healing environments of moderate, mild and non-exuding chronic and traumatic wounds. The thin polyurethane foam allows the dressing to gently adapt to hard-to-dress areas while the silicone wound contact layer reduces pain and trauma during dressing changes and enhances patient comfort. The waterproof outer layer, with a discreet skin-like color, protects the wound from dirt and bacteria. Askina® DresSil Border Lite may be used for:Hard-to-dress areasChronic wounds such as leg and foot ulcers, pressure ulcersTraumatic woundsPartial thickness burns

Askina® DresSil

Askina® DresSil is a non-bordered, self-adherent soft silicone wound dressing. It absorbs exudate from the wound through silicone perforations and provides a moist wound healing environment to promote wound healing. The wound contact layer made of silicone reduces pain and trauma during dressing changes, enhancing patient comfort. The waterproof outer layer protects the wound from dirt and bacteria. The soft polyurethane foam conforms to the natural contours of the body making the dressing comfortable to wear, while the waterproof outer layer protects the wound from dirt and bacteria. Askina® DresSil is designed for a wide range of exuding wounds, such as: Leg and foot ulcersPressure ulcers Traumatic wounds, e.g. skin tears Secondary healing woundsMaterial Askina® DresSil is composed of three layers: Layer 1: Outer polyurethane filmLayer 2: Absorbent polyurethane foamLayer 3: Silicone adhesive

Askina® Sorb Rope

Askina® Sorb Rope is the rope version of Askina® Sorb. It is a sterile primary wound dressing made of fibers containing 85% of calcium alginate and 15% of carboxymethylcellulose (CMC).When in contact with wound exudate, the alginate-CMC fibers are fast gelling, resulting from an ionic exchange between calcium ions from the dressing and sodium ions from theexudate, so as to form a soft moist gel conducive to natural healing.

Askina® Sorb

Askina® Sorb dressing is a highly absorbent dressing composed of calcium alginate and sodium carboxymethylcellulose (CMC) fibers. The dressing can absorb large amounts of exudate and form a gel which maintains a moist healing environment. Askina® Sorb is available in sheet and rope forms. Askina® Sorb is indicated for moderately to heavily exuding wounds, such as diabetic foot ulcers, pressure ulcers, leg ulcers, superficial and partial thickness burns, donor sites, post-operative wounds and traumatic wounds.

Askina® Sorb Rope

Askina® Sorb

Askina® Carbosorb

Askina® Carbosorb provides a combination of a superabsorbent wound dressing and activated charcoal. Most wounds have a slight odor, and malodor is the most distressing and socially isolating symptom associated with wounds. With Askina® Carbosorb, you can manage excess exudate and malodor at the same time and have therefore more time to care for your patients.Box of 10.

Epithelial (edge) advancement

Promote epithelization and healthy skin

Linovera®

Chronic wounds are a major global medical concern,1 significantly impacting patients’ quality of life,2 while also affecting close family and relatives. Chronic wounds also cause considerable financial burden3 on the healthcare system and society.Topical preventive measures such as Linovera® oil are needed to avoid higher healthcare expenditures and preserve patients’ health. They can be used with the goal of promoting integrity of the skin and providing essential moisturizing.4HOFA-containing topical formulations have become an ideal therapeutic option that is part of the clinical protocols for nursing action in the prevention and treatment of ulcers.5 Linovera® is a skin care oil composed of: Hyperoxygenated fatty acids (HOFA) originated from sunflower oil naturally rich in linoleic acid,6 an essential fatty acid important in the maintenance of epidermal integrity and the natural skin’s water barrier.7 Some of the HOFA properties can increase skin resistance, reduce dehydration, reduce friction and pressure forces8 and improve microcirculation.9Vegetable extracts formulated to provide additional benefits such as skin conditioning, humectant, and tonic, enhancing the activity of the product. Thanks to its content of HOFA and vegetable extracts, Linovera® oil can be useful in the prevention of skin breakdown (e.g. prevention of stage 1 pressure ulcers) or in the management of already impaired skin,8,10 helping to provide the best care for your patients. CompositionHyperoxygenated fatty acids derived from sunflower oil (emollient)Aloe Barbadensis extract (skin conditioning, emollient, humectant)Asian Centella oil extract (skin conditioning, skin tonic, soothing agent)Rosemary essential oil (organoleptic) IndicationsLinovera® oil is indicated: For patients whose skin integrity is at riskFor prevention of pressure ulcers, vascular ulcers and diabetic foot ulcersFor treatment of stage 1 pressure ulcers

Linovera® Emulsion

Chronic wounds are a major global medical concern,1 significantly impacting patients’ quality of life,2 while also affecting close family and relatives. Chronic wounds also cause considerable financial burden3 on the healthcare system and society.Topical preventive measures such as Linovera® Emulsion are needed to avoid higher healthcare expenditures and preserve patients’ health. They can be used with the goal of promoting integrity of the skin and providing essential moisturizing.4HOFA-containing topical formulations have become an ideal therapeutic option that is part of the clinical protocols for nursing action in the prevention and treatment of ulcers.5Linovera® Emulsion is a light emulsion moisturizing cream composed of:Hyperoxygenated fatty acids (HOFA) originated from sunflower oil naturally rich in linoleic acid,6 an essential fatty acid important in the maintenance of epidermal integrity and the natural skin’s water barrier.7 Some of the HOFA properties can increase skin resistance, reduce dehydration, reduce friction and pressure forces8 and improve microcirculation.9 Vegetable extracts formulated to provide additional benefits such as skin conditioning, humectant and tonic, enhancing the activity of the product.How Linovera® Emulsion can be usedThanks to its content of HOFA and vegetable extracts, Linovera® Emulsion can be useful in the prevention of skin breakdown (e.g. pressure ulcers, vascular ulcers, and diabetic foot ulcers) or in the management of already impaired skin8,10 helping to provide the best care for your patients.With its creamy consistency, Linovera® Emulsion is easy to apply on large body areas, such as limbs and feet11.CompositionHyperoxygenated fatty acids derived from sunflower oil (emollient)Aloe Barbadensis extract (skin conditioning, emollient, humectant)Asian Centella oil extract (skin conditioning, skin tonic, soothing agent)Rosemary essential oil (organoleptic)Ginkgo biloba (skin conditioning)IndicationsLinovera® Emulsion is indicated: For patients whose skin integrity is at riskFor prevention of pressure ulcers, vascular ulcers and diabetic foot ulcersFor treatment of stage 1 pressure ulcersFor large skin surfaces, such as whole lower limbs

Askina® Derm Lite

Askina® Derm Lite film dressing is a transparent, semipermeable polyurethane film with hypoallergenic acrylic pressure-sensitive adhesive.The dressing is indicated for IV sites, catheters, and fixation of drainage tubes. It can also be used for fixation of other dressings such as alginate dressings, foam dressings, etc.

Askina® Barrier Cream

Askina® Barrier Cream is a white concentrated cream that provides protection to skin from body fluids. It protects dry, chafed, red, or irritated skin by moisturizing the skin and providing a long-lasting barrier.(1)

Ally® Barrier Film Spray

Ally® Barrier Film Spray is intended to prevent skin breakdown caused by moisture/stoma effluents, to protect peristomal skin at risk from maceration and excoriation and to maintain the integrity of newly healed skin to stop secondary skin breakdown. Ally® Barrier Film Spray is especially recommended for people with irritated or sensitive peristomal skin.

Askina® Barrier Film Swabs

Askina® Barrier Film Swabs are sterile foam applicators with a polymeric solution which offer between 48-72h of protection to intact or damaged skin. The non-stinging solvent forms a uniform film when applied to the skin. It is a multiple use device that is intended for single patient use.(1)

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