Advanced Dressings in Pressure Ulcers

Preparation of the wound bed is essential to accelerate endogenous healing of hard to heal wounds and to promote the effectiveness of other therapeutic measures. Dressings are intended to protect the wound, to promote healing, to absorb exudate and stop bleeding, reduce odor, promote the growth of new tissue, avoid trauma during removal on the wound bed and on the perilesional skin. We can classify the medications according to the composition, the mechanism of action of each, and the clinical situation. The characteristics of an ideal dressing are known: permeability for fluid and gas but not for bacteria; thermal insulation; comfort; reduction of the frequency of application; pain management during dressing or during dressing removal. The proper use (best practice) of dressings and adequate prevention result in a reduction of frequency of application and a optimization of the dedicated health personnel, reducing both healing time and costs.