AQUACEL® Ag Burn
AQUACEL® Ag Burn dressing is specially designed for use on partial-thickness burns (PTBs). 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).
• Can be left in place on partial-thickness burns and donor sites up to 21 days or until clinically indicated, thus minimizing the number of dressing changes
• Gels on contact with the wound, reducing pain while in situ and helping to reduce pain and trauma upon removal
• Conforms closely to the wound bed minimizing the spaces where bacteria thrive
• Harmful exudate components are locked away in dressing to prevent infection
• Contains ionic silver for broad-spectrum antimicrobial activity
• Maintains an optimal healing environment
• Allows mobility while the dressing is in place
• Strong integrity when wet
• Minimal shrinkage
Under the supervision of a health care professional, AQUACEL® Ag Burn may be used for the management of: partial-thickness (second-degree) burns; diabetic foot ulcers, leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) and pressure ulcers/sores (partial- and full-thickness); wounds as an effective barrier to bacterial penetration of the dressing as this may help reduce infection; surgical wounds left to heal by secondary intention such as dehisced surgical incision; surgical wounds that heal by primary intention such as dermatological and surgical incisions (e.g., orthopedic and vascular); traumatic wounds; wounds that are prone to bleeding, such as wounds that have been mechanically or surgically debrided and donor sites; oncology wounds with exudate, such as fungoides-cutaneous tumors, fungating carcinoma, cutaneous metastasis, Kaposi’s sarcoma, and angiosarcoma; management of painful wounds; infected wounds.
Not for use on third-degree burns. AQUACEL® Ag Burn should not be used on individuals who are sensitive to or who have had an allergic reaction to the dressing or its components.
Caution: Sterility is guaranteed unless pouch is damaged or opened prior to use.
This device is for single-use only and should not be re-used. Re-use may lead to increased risk of infection or cross contamination. Physical properties of the device may no longer be optimal for intended use.
During the body's normal healing process, non-viable tissue is removed from the wound (autolytic debridement), which could initially make the wound appear larger.
The wound should be inspected during dressing changes and appropriate treatment given if there are: a) signs of infection (increased pain, increase redness, wound drainage), b) bleeding, c) a change in wound color and/or odor, d) irritation (increased redness and/or inflammation), e) maceration (skin whitening), f) hypergranulation (excessive tissue formation), g) sensitivity (allergic reaction), h) no signs of healing.
In the management of partial-thickness burns and donor sites, adherence to the wound bed of AQUACEL® Ag Burn is a desired characteristic (see Directions for use).
If you have difficulty removing the dressing, it should be soaked with sterile water or sterile saline until it removes easily. (For partial-thickness burns, please refer to the Partial Thickness Burns section of the package insert).
Because AQUACEL® Ag Burn provides a moist environment that supports the growth of new blood vessels, the delicate newly formed blood vessels may occasionally produce blood stained wound fluid.
AQUACEL® Ag Burn is not compatible with oil-based products, such as petrolatum.
Appropriate supportive measures should be taken where indicated (e.g., use of graduation compression bandaging in the management of venous leg ulcers or pressure relief measure in the management of pressure ulcers, systemic antiobiotics and frequent monitoring in the treatment of wound infection, control of blood glucose for diabetic ulcers, etc.)
In partial-thickness (second-degree) burns, consider alternate (surgical) procedures if the wound has not re-epithelialized after 14 days.
AQUACEL® Ag Burn is not intended for use as a surgical sponge.
The use of AQUACEL® Ag Burn has not been studied in wounds due to herpes simplex or impetigo.
While it has been observed that certain silver-containing products may cause skin discoloration following prolonged use, clinical studies with AQUACEL® Ag Burn have shown no such skin discoloration.
|Absorptive dressing format||●|
|Alginate dressing format|
|Antimicrobial effects up to 3 days|
|Antimicrobial effects up to 48 hours|
|Antimicrobial effects up to 7 days||●|
|Collagen dressing format|
|Composite dressing format|
|Contact layer dressing format|
|Foam dressing format|
|Gauze or non-woven dressing format|
|Gelling fiber dressing format|
|Hydrogel (amorphous) dressing format|
|Hydrogel (impregnated) dressing format|
|Hydrogel (sheet) dressing format|
|Impermeable to outside contaminants|
|Impregnated dressing format|
|Moisture vapor permeable|
|Secondary dressing required||●|
|Super absorbent polymers|
|Sustained release formula|
|Transparent film dressing format|
|Wound filler dressing format|
|Educational Material Available||●|
|Free Samples/Trials Available||●|
|Published Clinical Article Available|
Partial-thickness (second-degree) burns and donor sites:
Before applying the dressing, cleanse the wound area with an appropriate wound cleanser. AQUACEL® Ag Burn should overlap at least 2cm (1") onto the skin surrounding the burn, donor site or other adjacent Silver Hydrofiber® Dressing reinforced with Nylon. AQUACEL® Ag Burn may be covered, if desired, with a secondary dressing such as a sterile absorbent pad, then secured appropriately e.g., with a retention bandage. If a secondary dressing is used, remove periodically and inspect the dressing while it remains in place on the wound. All dressings should be inspected frequently. Dressings should be changed as clinically indicated (e.g., saturation, leakage or increased discomfort). For partial-thickness (second-degree) burns and donor sites, AQUACEL® Ag Burn may be left in place for up to 21 days or until clinically indicated. If the wound is infected, frequent inspection of the wound may be necessary. If necessary, lightly spray to moisten the dressing over the joint with sterile water or sterile saline to aid exercise/mobilization.
Assessment of adherence:
AQUACEL® Ag Burn should be inspected for adherence to the burn or donor site. Remove the secondary cover dressing, if applicable, and inspect the dressing for possible adherence. If the dressing is adhered, ensure that the dressing remains intact; any areas that have not adhered should be left intact unless removal is clinically indicated. Where a dressing or part of a dressing has been removed, apply a new dressing over the top of the existing adhered dressing. If the dressing is not adhered it should be removed if it is saturated or leaking, otherwise it can be left in place.
Removal of the dressing:
The dressing should be changed as clinically indicated. To aid removal of the complete dressing, pre-moisten with either sterile saline or sterile water. As the wound re-epithelializes, AQUACEL® Ag Burn will detach or be easily removed.
Acute and chronic wounds (excluding partial-thickness burns and donor sites):
Before applying the dressing, cleanse the wound area with an appropriate wound cleanser. AQUACEL® Ag Burn should overlap at least 1cm (1/2") onto the skin surrounding the wound. AQUACEL® Ag Burn is recommended to be used with:
- A moisture retentive cover dressing in lightly to moderately exuding wounds e.g. DuoDERM™ range of dressings
- A non-adhesive cover dressing or a gauze pad, in heavily exuding wounds e.g. Versiva™ XC™ Gelling foam Dressing (in oncology wounds a secondary dressing of high absorbency may be required)
- For dry wounds refer to section below
See individual cover dressing package inserts for complete instructions for use. Remove AQUACEL® Ag Burn when clinically indicated (i.e., saturation, leakage, excessive bleeding, increased pain) or after a maximum of seven days. All wounds and dressing should be inspected frequently.
Dry and minimally exuding wounds:
Place AQUACEL® Ag Burn on the wound and then wet with sterile saline or sterile water over the wound area only. The vertical absorption properties of AQUACEL® Ag Burn will help to maintain the moist area over the wound only and reduce the risk of maceration. Cover the dressing with a moisture retentive dressing to avoid drying out of the dressing and subsequent dressing adherence to the wound.