Application guide Fig.2 Fig.4 and daily care BioBag Biomonde NL ordering... · Apply barrier...

2
• If debridement is near completion and no further NEW larval treament is required, plan follow on dressing treatment to be completed at end of day 4 • On removal, double bag and treat as clinical waste in line with your local Grade A Clinical Waste Disposal Protocol • Do not immerse in water. Do not occlude. Larvae (BioBag) 4 Day Treatment Cycle Larval Debridement Therapy Daily care • Daily change of the secondary dressings where possible is recommended and when strikethrough is present • Avoid sustained, direct pressure as this may occlude the larvae. Short periods for the purposes of mobilisation are permissible • Check larvae are viable at secondary dressing changes – movement of larvae and presence of dark red exudate indicate the larvae are alive • Re-apply barrier where necessary to the peri- wound area • Ensure damp gauze is replaced on top of the BioBag at each secondary dressing change • Ensure that all outer/secondary dressings are not occlusive and are permeable to the air • After 72 hours, reassess wound to decide on further treatment. If a further NEW larval treatment is required, schedule a new order Application guide and daily care BioBag www.biomonde.com Application of larvae Assess and reorder (if required) Remove and dispose 24hrs 0hrs 48hrs 72hrs 96hrs Daily Care Daily Care Daily Care Daily Care Daily Care Repeat as required BM197_01_0413 1. Materials required • BioBag or combination of BioBag sizes, suitable for the wound size • A wound dressing pack • Barrier cream or Zinc paste to protect intact peri-wound skin (Sudocreme or other suitable) • An absorbent (non-occlusive) dressing pad and a lightweight retention bandage • Sterile saline for irrigation of wound or dressing residues & moistening the primary swab. 2. Preparation 1. Prepare the peri-wound area and wound bed, irrigate to remove residue and loose material 2. Protect intact skin around the margin of the wound by applying a thin layer of the barrier cream/bandage. (fig.1) 3. Applying larvae to the wound 1. Remove the BioBag from the transport vial 2. Place onto wound so that where possible the wound margin is covered. Fold/double back excess net of the bag away from peri-wound skin (fig.2) 3. Place a saline moistened gauze swab over the BioBag dressing (especially if it is a very dry wound) (fig.3) 4. Secure well with a secondary dressing to avoid slippage and to ensure surface contact of BioBag is maintained (fig.4) • Ancillary dressings should be selected in order to manage exudates • All outer dressings MUST be non-occlusive as the larvae need oxygen to survive • Very wet outer dressings may occlude and suffocate the larvae. BioBag dressing Larvae application guide (BioBag) Apply barrier cream/bandage Barrier Wound Skin Fig.1 Place a moistened gauze swab over the BioBag dressing Fig.3 Apply the BioBag dressing Fig.2 Absorbent pad Secure the dressing Fig.4 See overleaf for sizing guide and ordering information.

Transcript of Application guide Fig.2 Fig.4 and daily care BioBag Biomonde NL ordering... · Apply barrier...

Page 1: Application guide Fig.2 Fig.4 and daily care BioBag Biomonde NL ordering... · Apply barrier cream/bandage Barrier Skin Wound Fig.1 Place a moistened gauze swab over the BioBag dressing

• IfdebridementisnearcompletionandnofurtherNEWlarvaltreamentisrequired,planfollowondressingtreatmenttobecompletedatendofday4

• Onremoval,doublebagandtreatasclinicalwasteinlinewithyourlocalGradeAClinicalWasteDisposalProtocol

• Donotimmerseinwater.Donotocclude.

Larvae (BioBag) 4DayTreatmentCycle

Larval Debridement Therapy

Daily care

• Dailychangeofthesecondarydressingswherepossibleisrecommendedandwhenstrikethroughispresent

• Avoidsustained,directpressureasthismayoccludethelarvae.Shortperiodsforthepurposesofmobilisationarepermissible

• Checklarvaeareviableatsecondarydressingchanges–movementoflarvaeandpresenceofdarkredexudateindicatethelarvaearealive

• Re-applybarrierwherenecessarytotheperi-woundarea

• EnsuredampgauzeisreplacedontopoftheBioBagateachsecondarydressingchange

• Ensurethatallouter/secondarydressingsarenotocclusiveandarepermeabletotheair

• After72hours,reassesswoundtodecideonfurthertreatment.IfafurtherNEWlarvaltreatmentisrequired,scheduleaneworder

Applicationguideanddailycare

BioBag

www.biomonde.com

Application of larvae

Assess and reorder(if required)

Remove and dispose

24hrs0hrs 48hrs 72hrs 96hrs

Daily CareDaily CareDaily Care Daily Care Daily Care

Repeat as required

BM197_01_0413

1. Materials required

• BioBagorcombinationofBioBagsizes,suitableforthewoundsize

• Awounddressingpack

• BarriercreamorZincpastetoprotectintactperi-woundskin(Sudocremeorothersuitable)

• Anabsorbent(non-occlusive)dressingpadandalightweightretentionbandage

• Sterilesalineforirrigationofwoundordressingresidues&moisteningtheprimaryswab.

2. Preparation

1. Preparetheperi-woundareaandwoundbed,irrigatetoremoveresidueandloosematerial

2. Protectintactskinaroundthemarginofthewoundbyapplyingathinlayerofthebarriercream/bandage.(fig.1)

3. Applying larvae to the wound

1. RemovetheBioBagfromthetransportvial

2. Placeontowoundsothatwherepossiblethewoundmarginiscovered.Fold/doublebackexcessnetofthebagawayfromperi-woundskin(fig.2)

3. PlaceasalinemoistenedgauzeswabovertheBioBagdressing(especiallyifitisaverydrywound)(fig.3)

4. SecurewellwithasecondarydressingtoavoidslippageandtoensuresurfacecontactofBioBagismaintained(fig.4)

• Ancillarydressingsshouldbeselectedinordertomanageexudates

• AllouterdressingsMUSTbenon-occlusiveasthelarvaeneedoxygentosurvive

• Verywetouterdressingsmayoccludeandsuffocatethelarvae.

BioBag

dressing

Larvae application guide (BioBag)

Applybarriercream/bandage

Barrier

WoundSkin

Fig.1 PlaceamoistenedgauzeswabovertheBioBagdressing

Fig.3

ApplytheBioBagdressingFig.2

Absorbentpad

SecurethedressingFig.4

See overleaf for sizing guide and ordering information.

Page 2: Application guide Fig.2 Fig.4 and daily care BioBag Biomonde NL ordering... · Apply barrier cream/bandage Barrier Skin Wound Fig.1 Place a moistened gauze swab over the BioBag dressing

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