Effective against a broad spectrum of microorganisms. Aquacel Ag is an absorbent wound dressing made from sodium carboxymethyl cellulose and impregnated with 1.2% silver. 1. This action helps generate a moist wound healing environment that aids in removing necrotic tissue and the granulation process. Initially it may be necessary to change the dressing every 24 hours. x 2 in. It is a highly absorbent wound dressing with good antimicrobial properties, which is similar to Aquacel Ag [4]. However, I'm often asked: what really is the difference? 2. 50: 9239: Kendall Calcium Alginate . It is a moisture retentive topical dressing which can release silver within the dressing for up to 14 days [3]. The silver in the dressing kills wound bacteria held in the dressing. We often have heavily exudating wounds for many different reasons. Prevents adjacent skin from experiencing maceration. The content is not intended to substitute manufacturer instructions. Dressings, as opposed to cream formulations, are designed to have a more controlled and prolonged release of silver during wear-time. Is silver calcium alginate the same as Aquacel AG? Requires a secondary dressing a semi-permeable film dressing or a hydrocolloid dressing may be appropriate. AQUACEL Foam dressing has a soft absorbent Foam pad, an AQUACEL interface, a gentle silicone adhesive, and a waterproof/bacteria barrier. choosing a selection results in a full page refresh. Create a material that holds onto and deactivates bacteria present in the wound exudate; taking off the dressing then removes the bacteria and other microorganisms. Practical Treatment of Wound Pain and Trauma: A Patient-Centered Approach. Time to re-epithelialization was longer in Aquacel Ag group than in Alginate Silver group. Indications: Contraindications: Directions for Use: Tegaderm Alginate Ag dressing is indicated for use as a primary wound dressing in the management of moderate to heavily . The petroleum jelly will help keep the wound moist and prevent the dressing from sticking to the wound or scab. When removing the alginate dressing, use saline to dampen it first and avoid damage to the (the wound bed/granulation tissue). Once in contact with the wound bed, this calcium alginate dressing does not take on a gel consistency. 50: 9240: Kendall Calcium Alginate Dressing, 4 in. Cloth. AQUACEL Ag with Hydrofiber (Aquacel Ag), silver impregnated antimicrobial dressing is a soft, sterile, non- woven pad or ribbon dressing composed of sodium carboxymethylcellulose and 1.2% ionic silver which allows for a maximum of 12mg of silver for a 4 inch x 4 inch dressing. ZeniFIBER Ag is a silver alginate dressing composed of natural fibers from seaweed combined with silver to provide exudate control and reduction of bacterial growth in the dressing while maintaining a moist environment and reducing wound odor. Cover with secondary dressing. When should my dressing be changed? Alginates. For clean wounds and closed surgical incisions, silver confers no benefit. Research has shown that AQUACEL improves healing time compared to standard calcium alginate dressings. Under the supervision of a health care professional, the AQUACEL EXTRA Hydrofiber Wound Dressing with Strengthening Fiber may be used for the management of leg ulcers, pressure injuries (stages 2-4) and diabetic ulcers; surgical wounds (post-operative, donor sites, dermatological); partial-thickness (second-degree) . Click here to learn more! Forms: Sheets, ropes . SILVERCEL Non-Adherent is a next generation product that is closely related to the silver-containing alginate dressing, SILVERCEL. Abenas Calcium Alginate Dressing with Silver is made of natural fibers derived from seaweed. Both materials share common characteristics: Theyre both highly absorptive, hemostatic primary dressings designed to hold onto high amounts of exudate. It is a highly absorbent wound dressing with good antimicrobial properties, which is similar to Aquacel Ag [4]. Aquacel Ag 15.4 16.7 17.0 18.0 18.7 18.6 - 87.6 % Silvercel 11.6 11.8 11.8 11.8 11.9 . Al ginate or Calcium alginate . Is sodium selenite the same thing as sodium alginate? AQUACEL Ag Advantage dressings are antimicrobial primary dressings for use in acute and hard-to-heal wounds that are infected or at risk of infection with varying exudate levels. Speaking about calcium alginate, one probably shouldn . On exposure to high levels of wound exudate, Silvercel retained its shape and mechanical strength, and remained at the site of application. Your Price: $29.88. During the bodys normal healing process, non-viable tissue is removed from the wound (autolytic debridement), which could initially make the wound appear larger. Exposure to wound exudate dissolves the silver and stimulates the release of silver ions. 3 Examples: Algisite, Kaltostat, SeaSorb Highly absorbent fiber derived from brown seaweed; some convert to a gel when in contact with exudate; atraumatic removal if remain moist; hemostatic properties; silver also available (refer to antimicrobial section) Partial to full thickness wounds in each phase of wound healing. It is a highly absorbent wound dressing with good antimicrobial properties, which is similar to Aquacel Ag [4]. On exposure to high levels of wound exudate, Silvercel retained its shape and mechanical strength, and remained at the site of application. For patients living with diabetic foot ulcers, AQUACEL dressings allowed the area to heal in 53 days compared to 58 for calcium alginate and significantly lessened wound depth. Allow these dressings to treat various high-exudate wounds, including infected injuries, tunneling and cavity wounds, sinuses, surgical incisions and venous insufficiency ulcers. Suggest your calcium alginate alternative. Effective against a broad spectrum of microorganisms over a period of up to 14 days, based on in vitro testing (which is beyond indicated wear time . Alginate Silver is a material contains calcium alginate and silver alginate. Remove the Aquacel Ag when clinically indicated (i.e., leakage, excessive bleeding, increased pain) or after a maximum of seven days. Change every 1 to 3 days depending on amount of exudate. Hydrogel Ag is an antimicrobial wound gel that combines the unique properties of silver sulfadiazine with this Aloe Vera-based hydrogel. 2021-juni-17. AquaRite Extra CMC is a highly absorbent CMC fiber wound dressing that converts into a clear, soothing gel sheet when exposed to exudate or other liquids. They are designed to enhance clinical outcomes and facilitate patient mobility. Is alginate silver better than aquacel AG for skin grafts? On contact with exudate, these dressings form a moist gel through the process of ion exchange. Maintains dressing integrity for one piece removal. The document below contains a table delineating the inhibitory action of wound dressings containing metals such as silver when used in combination with collagenase Santyl. If the wound bed is relatively dry, it is recommended that AQUACEL Ag Dressing is placed in the wound and then moistened with sterile saline over the wound area only. Aquacel Ag dressing combines 1.2% silver to Aquacel Hydrofiber, which is distributed throughout the dressing material. What are the main outcomes of US involvement in the Korean War? Enzymatic Activity of C. collagenase Interactions Aquacel Ag Foam with Silver Algidex AG Foam Silver Alginate Foam Dressing. Evidence Summary: Wound Management: Dressings Alginate, Wound Practice and Research, vol. AQUACEL Foam dressing is designed for: Exuding wounds. Find other alternatives to calcium alginate. Making The Case For Cost-Effective Wound Management. Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website ("Content") are for informational purposes only. The fibers forms a soft gel, which creates a moist environment and . Rating: 100%. Reduces wound pain and pain during dressing changes. Use as a primary dressing on shallow wounds. AQUACEL EXTRA wound dressing is composed of two layers of Hydrofiber Technology stitched together. Help lessen pockets around the wound bed where bacteria can thrive and prevent the wound from healing. conform to a range of wound types and depths. For medium- to heavy-exudate wounds, Hydrofiber and calcium alginate dressings are two common solutions. 6 Cost effectiveness should always be considered when selecting a dressing, however the least expensive dressing may not be the most cost effective. In order to make a brief comparison of alginate dressings versus gelling fiber dressings, I've constructed a chart based on what I've learned at Cleveland Clinic's R.B. The dressing can be left in place for up to seven days subject to regular clinical assessment and local dressing protocol. Lower extremity wounds manifest in a multitude of ways, with numerous causative or trigger factors. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". This action means that. . AQUACEL Ag Advantage incorporates two powerful technologies Hydrofiber and MORE THAN SILVER that work together synergistically to effectively manage biofilm within the dressing. This website uses cookies to improve your experience while you navigate through the website. Preliminary results suggest that the dressing provides improvement in healing time, enhanced reduction in ulcer area and depth, total healing at eight weeks, as well as synergistic effects in . WHRI3857 MA236, 2013, Data on le, ConvaTec Inc. 16. & McNichol L. L. WOCN Society Core Curriculum, Wound Management (2016). Qin, Yimin. Leave at least 2.5 cm outside the wound for easy retrieval. Minimize infection and blistering and improve patient satisfaction with AQUACEL Ag Surgical. Protects the wound bed. Save my name, email, and website in this browser for the next time I comment. For patients discharged from the acute care setting, the road home can be laden with potholes and speed bumps. Sodium selenite is an inorganic salt with the formula Na2SeO3 containing the elements sodium, selenium, and oxygen. Alginate Silver is a material contains calcium alginate and silver alginate. 7777 West Side Ave North Bergen, NJ 4. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Select the correct dressing Alginate is a heteropolysaccharide made from two randomly arranged uronic acid and sugar molecules (i.e., G blocks and M blocks). There were no significant differences between the two treatment groups with respect to cosmetic outcome and infection rate. Posted by Manny Aguila on October 20, 2020. Lower Extremity Wounds: Is It Venous, Arterial, Neuropathic, or a Combination? Conclusions: In infected wounds, silver is beneficial for the first few days/weeks, after which nonsilver dressings should be used instead. Calcium Sodium Alginate dressing is an alginate dressing indicated as a primary dressing for moderately to highly exuding chronic and acute wounds, and for wounds with minor bleeding.. On contact with exudates the dressing gradually forms a firm, moist gel which is highly absorbent. This type of advanced wound care dressing uses polysaccharides or xerogel sourced from brown seaweed or kelp, with the goal of drawing in exudate and keeping it away from the wound bed. 4 CMC dressings are available in rope and sheet form and the fiber strength of these dressings makes them suitable for loosely packing sinus cavities. AQUACEL Ag with Hydrofiber (Aquacel Ag), silver impregnated antimicrobial dressing is a soft, sterile, non- woven pad or ribbon dressing composed of sodium carboxymethylcellulose and 1.2% ionic silver which allows for a maximum of 12mg of silver for a 4 inch x 4 inch dressing. Conclusions: Based on these results, we find that Alginate . , Cuticell BSN Medical Inc., an Essity Company. calcium alginate vs aquacell. To hold onto exudate and create a moist healing environment, AQUACEL EXTRA calcium alginate dressings use Hydrofiber Technology. Ideal for wounds that are at risk of infection: abrasions, minor cuts, scalds and burns. It does not store any personal data. by DermaRite Industries, LLC. Do not use Aquacel on dry wounds. Hydrocolloids. Today, the AQUACEL family includes a wide range of wound dressings - including AQUACEL Foam Pro, AQUACEL Extra, AQUACEL Foam, AQUACEL Surgical and AQUACEL Burn. Product description. The typical. Aquacel Agdemonstrated superior antibacterial activity, compared to other silver-containing dressings, particularly nanocrystalline silver-containing dressing.18,20,21Its fluid handling properties, moisture retention, and conformability were also superior. Helps balance moisture levels within the wound bed. Help encourage autolytic debridement to aid the wound-healing process. Commonly used in children under one year of age instead of xeroform. When to use Melgisorb Ag Melgisorb Ag is indicated for the management of all moderate to heavily exuding partial to full thickness wounds including post-operative wounds, trauma wounds, leg ulcers, pressure ulcers, diabetic ulcers, graft and donor sites, cavity wounds and superficial and partial thickness burns. Required fields are marked *. It attracts cells, such as fibroblasts and keratinocytes, to the wound, which encourages debridement, angiogenesis, and reepithelialization. What is the best dressing for Sloughy wounds? These characteristics mean that, depending on the wound and a medical providers recommendations, dressings can be left on for multiple days, therefore reducing the number of total changes required. If the wound continues to grow lar, If you have difficulty removing the dressing, it should be soaked with water or sterile saline until it removes easily. Alginate Silver is a material contains calcium alginate and silver alginate. Requires a secondary dressing a semi-permeable film dressing or a hydrocolloid dressing may be appropriate. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Is silver calcium alginate the same as Aquacel AG? Carboxymethylcellulose (CMC) dressings are highly absorptive textile fiber dressings derived from natural cellulose sources and are commonly known as CMC gelling fiber dressings. September 23, 2020, Providers absolutely have to understand.WHAT IS ALLOCATION? It is a highly absorbent wound dressing with good antimicrobial properties, which. Even after your wound looks closed and repaired, its still healing. All wounds/incisions should be monitored frequently. Help keep the wound bed moist to prevent dehydration. Beyond these similarities, understand the differences between, This type of advanced wound care dressing uses polysaccharides or xerogel sourced from brown seaweed or kelp, with the goal of drawing in exudate and keeping it away from the wound bed. Aquacel Ag (ConvaTec, Princeton, NJ, USA) is a new hydrofiber wound dressing consisting of soft non-woven sodium carboxymethylcellulose fibers integrated with ionic silver. Best part its significantly less for our providers. Providers absolutely have to understand.WHAT IS ALLOCATION? If the wound bed is relatively dry, it is recommended that AQUACEL Ag Dressing is placed in the wound and then moistened with sterile saline over the wound area only. Conclusions: Based on these results, we find that Alginate Silver is better than Aquacel Ag to cover the skin graft donor site. Lessens cross-infection and wound-infection risks both while worn and during removal. However, due to composition and strength, both Hydrofiber and calcium alginate dressings are not designed for use with no- to low-exudate wounds. Are non-adherent, conformable and can be cut and manipulated in the wound bed. All anti-microbial activity occurs within the dressing. Every 5 to 7 days, unless strikethrough of exudate occurs earlier. Protect your patients with AQUACEL EXTRA Calcium Alginate Dressings. Details. The most popular hydrofiber dressing in the market has been a staple for advanced wound care services for many years. AQUACEL Ag Surgical dressings combine ConvaTecs proprietary Hydrofiber Technology and hydrocolloid technologies with the antimicrobial action of ionic silver. The cookie is used to store the user consent for the cookies in the category "Performance". 99 ($4.00/Count) FREE delivery Thu, Nov 3 on $25 of items shipped by Amazon. The most popular hydrofiber dressing in the market has been a staple for advanced wound care services for many years. It is a moisture-retention dressing, which forms a gel on contact with wound fluid and has antimicrobial properties of ionic silver. Aquacel Ag is an absorbent wound dressing made from sodium carboxymethyl cellulose and impregnated with 1.2% silver. It might look pink and stretched or puckered. Dressing change. It is a moisture-retention dressing, which forms a gel on contact with wound fluid and has antimicrobial properties of ionic silver. 3M Health Care. This dressing absorbs high amounts of wound fluid and bacteria and creates a soft, cohesive gel that intimately conforms to the wound surface, maintains a moist environment and aids in the removal of non-viable tissue from the wound (autolytic debridement). Alginate dressings are nonocclusive to semiocclusive, highly absorbent, and made to manage moderate to large amounts of exudate (Fig. The cookie is used to store the user consent for the cookies in the category "Other. Dressing OptionsType Of DressingDressing Name ExamplesFoam DressingAllevyn (Smith & Nephew), Biatain (Coloplast), Mepilex/Mepilex Border (Molnlycke), Tegaderm foam(3M)Calcium Alginate and Hydrofibre*Aquacel/Ribbon (ConvaTec); also a hydrofibre dressing*, Kaltostat (ConvaTec)**HydrocolloidTegasorb (3M)5 more rows. Provides a gelling action to protect the wounds tissue, including while in place and during dressing changes. HydraLock SA There were no significant differences between the two treatment groups with respect to cosmetic outcome and infection rate. Place a 2" x 2" Aquacel dressing in the square above. If there is no improvement, the silver dressing should be discontinued and the treatment regimen reassessed (International Consensus Group, 2012). This combination: Sodium alginate is an . is a hydrogel dressing that allows for autolytic and osmotic debridement to aid in tissue granulation and keep moisture in check. Conclusions: Based on these results, we find that Alginate Silver is better than Aquacel Ag to cover the skin graft donor site. noun A clear occlusive non-adhering wound dressing made of knitted cellulose acetate fabric and impregnated with a specially formulated petrolatum emulsion, which is designed to help protect the wound while preventing the dressing from adhering to it. Alginate Silver is a material contains calcium alginate and silver alginate. The vertical absorption of the dressing will help to maintain the moist area over the wound only and reduce the risk of periwound maceration. The silver in the dressing kills wound bacteria held in the dressing. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. 26-27. What are the five major reasons humans create art? Conclusion: Both dressings performed well in terms of minimizing post-operative wound complications. x 5-1/2 in. Askina Calgitrol matrix formulation combines calcium alginate and silver alginate with 10% of bounded water. There were no significant differences between the two treatment groups with respect to cosmetic outcome and infection rate. Aquacel Ag is an absorbent wound dressing made from sodium carboxymethyl cellulose and impregnated with 1.2% silver. x 4 in. Merry, A., Absorbent Hydrofiber and Calcium Alginate Foam Dressings. Antimicrobial activity against CA-MRSA and prevention of biofilm reformation by AQUACEL Ag+ Extra dressing. Despite possible theoretical disadvantages, water has to be considered when a product licence states that 0.9% saline cannot be used, for example when using Acticoat silver dressings. Hydrogels and hydrocolloids are additional dressing choices that may be effective in removing slough. The product in the smaller box does the same job but longer and better. Is calcium alginate with silver the same as Aquacel AG? A superabsorbent dressing can be used on a variety of wounds including pressure ulcers, venous ulcers, diabetic foot ulcers, trauma wounds or arterial ulcers. All anti-microbial activity occurs within the dressing. She values the importance of taking an interprofessional approach with wound care and prevention overall, and involves each member of the health care team as much as possible. 4" X 4" (10CM X 20CM). 2008-2023 HMP Global, Inc. All rights reserved. Ideal for wounds that are at risk of infection: abrasions, minor cuts, scalds and burns. by . What is a calcium alginate dressing? Silver, a known antimicrobial agent, also has been added to many wound products, including calcium alginate. Help remove necrotic tissue from the wound bed during dressing changes. Scientific Background Report. Unit: 5/pack. WHRI3875 MA239, 2013, Data on file, ConvaTec Inc. *AQUACEL Ag Advantage is not a drug. When using Aquacel Ag ribbon in cavity wounds, leave at least 2.5cm (1 inch) outside the wound for easy retrieval. If an adhesive border is not present, these dressings will require a secondary bandage or adhesive to secure the product to the wound site. References: Do not use Aquacel on dry wounds. Dressing change. Sterile water can be used as long as a task is performed efficiently and without exposing or immersing the wound unnecessarily. Remove AQUACEL Ag SURGICAL Dressing when clinically indicated (i.e., leakage, excessive bleeding, suspicion of infection or at seven days). Kendall Calcium Alginate Dressing, 2 in. These cookies track visitors across websites and collect information to provide customized ads. Hydrogels and hydrocolloids are additional dressing choices that may be effective in removing slough. Calcium alginate and CMC gelling fiber dressings: Are designed for use in moderately to heavily draining wounds. There are dressings specifically designed to promote autolytic debridement, which include thin films, honey, alginates, hydrocolloids, and PMDs. For partial thickness burns (second degree burns), Aquacel Ag dressings may be left in place for up to 14 days or until clinically indicated. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or product usage. Aquacel AG is listed as having an approximate inhibition of 7% when used in combination with Santyl. Melgisorb Ag is an antimicrobial alginate dressing made with carboxymethylcellulose (CMC). Aquacel Ag is an absorbent wound dressing made from sodium carboxymethyl cellulose and impregnated with 1.2% silver. AQUACELAg dressing may be secured with tape while dressing gels Cover AQUACEL Ag dressing with cover dressing (eg. Take on a gel consistency once in contact with exudate and can be shaped to the wound bed. Top. The DURAFIBER Ag dressing is substantial equivalent to Convatec, Aquacel Ag Wound Dressing (K(080383). These dressings are available in a variety of shapes, sizes and thicknesses. My thesis aimed to study dynamic agrivoltaic systems, in my case in arboriculture. , Curity Sodium Chloride Dressing. Melgisorb Ag is able to manage high volumes of exudate. Your body continues to repair and strengthen the area. For many patients, the fear of the unknown after being newly diagnosed with a wound or the exacerbation By Holly Hovan MSN, GERO-BC, APRN, CWOCN-AP. There were no significant differences between the two treatment groups with respect to cosmetic outcome and infection rate. Calcium alginate dressings are made from sodium alginate extracted from brown seaweed and processed with calcium salts into nonwoven biodegradable dressings. Do not use Aquacel on dry wounds. As wound care clinicians, we are aware that part of the process of consulting requires a comprehensive wound assessment, looking at wound characteristics, causative factors, and drainage. 50: 9236: Kendall Calcium Alginate Dressing Plus, 4 in. Cuttable Silver Calcium Alginate Dressing: a sterile, non-woven pad composed of a high calcium alginate and silver particles, which absorbs wound exudate.Dressing size: 4 in x 4 in, 5 . Holds together wet or dry for easy and intact removal. We also use third-party cookies that help us analyze and understand how you use this website. It is a moisture retentive topical dressing which can release silver within the dressing for up to 14 days [3]. Longer wear time reduces clinician labor costs, a significant factor in overall wound care costs. 0 Comment . Alginates. Alginate Dressings | Calcium Alginate Dressings for Wounds. This action means that calcium alginate dressings can hold up to 20 times their weight in wound fluid. KerraCel is also available in an, https://www.woundsource.com/blog/comparing-alginate-and-gelling-fiber-dressings, https://www.halodme.com/post/introducing-an-alginate-or-hydrofiber-to-the-highly-exudating-wound-bed#:~:text=A%20calcium%20alginate%20dressing%20is,the%20wound%20shape%20and%20depth, https://www.healthproductsforyou.com/c-hydrofiber-dressings.html, https://www.convatec.com/advanced-wound-care/aquacel-dressings/hydrofiber-technology/, https://www.woundsource.com/product-category/dressings/alginates, https://www.sciencedirect.com/topics/medicine-and-dentistry/alginate-dressing, Acute to Chronic: The Importance of Assessing Non-Healing Wounds. Lowers the risk of peri-wound maceration. DermaGinate/Ag Calcium Alginate Dressing with Antibacterial Silver is a topical wound dressing for moderately to highly exudating partial- to full-thickness wounds including pressure injuries, diabetic ulcers, post-operative wounds, trauma wounds, leg ulcers, grafts, and donor sites. Qin12*, Yimin, et al. ZeniFIBER Ag absorbs exudate and forms a gel like covering over the wound. The Aquacel Ag should overlap 5 cm (2 inches) onto the skin surrounding the burn or other adjacent Aquacel Ag. The difference between the two is that SILVERCEL Non-Adherent has an ethylene methyl acrylate (EMA) outer film layer that uses EasyLIFT Precision Film technology. Cloth dressings are the most commonly used dressings, often used to protect open wounds or areas of broken skin. DermaGinate/Ag Calcium Alginate Dressing with Antibacterial Silver is a topical wound dressing for moderately to highly exudating partial- to full-thickness wounds including pressure injuries, diabetic ulcers, post-operative wounds, trauma wounds, leg ulcers, grafts, and donor sites. Required fields are marked *. (. It is a highly absorbent wound dressing with good antimicrobial properties, which is similar to Aquacel Ag [4]. Item# 04992505INM. Dressing OptionsType Of DressingDressing Name ExamplesFoam DressingAllevyn (Smith & Nephew), Biatain (Coloplast), Mepilex/Mepilex Border (Molnlycke), Tegaderm foam(3M)Calcium Alginate and Hydrofibre*Aquacel/Ribbon (ConvaTec); also a hydrofibre dressing*, Kaltostat (ConvaTec)**HydrocolloidTegasorb (3M)5 more rows. Use advanced wound dressings such as films and hydrogels (keeps the wound moist to fasten the healing process). $19.99 $ 19. How long can silver alginate stay on wound? Have questions? Every 5 to 7 days, unless strikethrough of exudate occurs earlier. Neither dressing needs to be moistened before application. gauze) Dressing may be left in place up to 14 days Change secondary dressing more frequently if saturated Directions for Use on a Partial-Thickness Burn AQUACEL Ag with Hydrofiber is a soft, sterile, antimicrobial AQUACEL Surgical is designed to stay in place for up to 14 days or more, subject to clinical assessment. 3, 2003, pp. In the presence of wound exudate, hydrocolloids absorb liquid and form a gel, which maintains moisture at the wound bed and so provides an ideal wound-healing environment in wounds that are not already very wet.

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