Wound Dressing
Particulate Dextranomers
Basic Information
Procedure
Beads (eg, Debrisan, Johnson & Johnson Products Inc, New Brunswick, NJ), flakes (eg, Avalon, Summit Hill Laboratories, Avalon, NJ), and powders (eg, Intrasite, Smith & Nephew, Hull, UK; Intracell, Macleod Pharmaceuticals, Inc., Fort Collins, CO)
Best use appears to be for debridement of sloughing, exuding wounds. Should be discontinued when a healthy bed of granulation tissue develops. Contraindicated in dry wounds.
NOTE: Because particulate dextranomers are not biodegradable they should be rinsed from the wound with saline before the wound dries to avoid residue build-up and the subsequent development of a granuloma.
Intracell (Macleod Pharmaceuticals, Inc., Fort Collins, CO) is commercially available as a powder or gel.
Hydrophilic soluble powder “pulls” fluids up through wound tissues, bathing the wound from inside, encouraging moist wound healing.
Yields glucose from hydrolysis of polysaccharide, providing energy for cell metabolism to promote healing.
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