HOW TO USE SELF-ADAPTIVE DRESSING The method for using the Self-Adaptive dressing is the same for ALL types of wounds:
Selecting a right size is simple but THE MOST CRITICAL step:
Select the appropriate size of Enluxtra Self-Adaptive Wound Dressing, allowing for at least a 3/4 inch skin overlap around the wound (the more overlap, the better, see Fig.1).
Apply the dressing to the wound with the printed side facing out.
If the wound is elongated, align the dressing so that it is placed diagonally along the longest central line of the wound.
See the movie to memorize "One Inch Rule"
Allow for more skin overlap in the direction of the natural exudate flow to help the dressing to trap and lock in the flowing exudate. See the picture below (Fig.2), which depicts a case when exudate is spreading down.
It is better NOT to cut Enluxtra Self-Adaptive Dressings. The more skin around the wound is protected by the dressing, the better
However, you may trim the dressing edges if its edge interferes with nearby body parts (Fig.3).
NOTE: Trimmed dressing performance is not guaranteed for non-exuding wounds: the dressing may have to be changed more often.
Make sure that the dressing is in contact with the wound bed. If you are not sure that the dressing is touching the deep wound bed (see Fig.4), press it from outside with folded gauze pads and wrap over (see Fig.5), or use a wound filler for cavity or tunneling wounds (see Fig.6).
DO NOT use Enluxtra Self-Adaptive Dressings as a wound filler!
Enluxtra Application on Full Thickness Heel Wound (Model)
Enluxtra Self-Adaptive dressing application on a model (trimming for tight spaces).
Enluxtra Application Demo on Coccyx Model
In cases where incontinence is involved, the dressing edges must be closed by water-resistant adhesive tape:
Place the dressing in a diagonal direction on coccyx wounds
If the wound size is larger than the available dressing size, you can use 2 or more dressings placed on the wound side by side and taped together.
RECOMMENDED DRESSING CHANGE FREQUENCY
ATTENTION! MUST READ BEFORE USING ENLUXTRA! When you start ENLUXTRA on a new wound, always follow these steps:
Assess wound conditions. If slough is present, use the Slough Removal Protocol (see below).
Apply the appropriately sized ENLUXTRA dressing onto the wound allowing at least ¾ inch of dressing margin/overlap onto the skin or at least 1 inch for high drainage. The larger dressing size, the higher its absorbing capacity.
Keep the first dressing on the wound for 2-3 days.
Remove the dressing, assess the wound conditions. If the wound conditions are improving, apply a new ENLUXTRA dressing. You may start reducing the frequency of dressing changes gradually to once a week or even once per 10 days as the wound heals.
Question: How will I know when to change Enluxtra?
Answer: It is time to change Enluxtra when the exudate, visible through the backing film, gets close to the edge of the dressing.
If wound conditions are NOT improving and any of the following symptoms are present:
- leakage from under the dressing edge -- use larger size of Enluxtra; - foul odor -- check if the dressing stays in a good contact with the wound bed; - buildup of slough -- check if the dressing stays in a good contact with the wound bed; - worsened peri-wound skin and wound edge -- use larger size of Enluxtra. Do NOT use skin preps with Enluxtra.
Also it is possible that pre-existing infection could be present and should be addressed. The dressing has to be changed more frequently until you see signs of improvement. Then you can start reducing the dressing change frequency.
If the drainage is controlled and the wound has healthy granulation with leveled edges but appears to be not healing, this indicates that:
- the wound may need offloading - underlying conditions have to be addressed - patient is not compliant - other factors exist that are unrelated to the dressing.
For more information contact us with your questions at: firstname.lastname@example.org or call (888) 519-2297
SLOUGH REMOVAL PROTOCOL: ENLUXTRA is able to gradually remove wound slough and reduce odor.
Slough consists of solid and viscous components. These components are absorbed by the dressing along with the exudate fluid. The absorbed components are removed as the dressing is changed. Odor reduction follows concurrently. Typically the process takes 3-6 dressing changes to remove slough and odor completely. During the slough removal process, change the dressing every 2-3 days to avoid dressing overload by the solid slough components. Follow these steps:
Rinse a wound with sterile saline before each dressing application.
Change dressing 2-3 times a week for the first 1-2 weeks or until slough and odor are removed.
Then the dressing may be changed weekly until the wound is healed.
A video (raw footage, no cuts) of fresh ENLUXTRA application to the infected wound in Dr.Wolcott clinic. Just to give a general idea about how to use ENLUXTRA.
CHANGING SELF-ADAPTIVE DRESSINGS
1. Select the appropriate size of Self-Adaptive Wound Dressing, allowing for adequate skin overlap (not less than 2cm or 3/4”).
2. Wash your hands with warm water and soap and put on gloves if ordered by your healthcare practitioner.
3. Carefully remove the soiled dressing and discard.
4. Clean the wound according to your healthcare practitioner’s instructions and discard cleaning materials.
5. If ordered by your healthcare practitioner, take off the gloves, discard them, wash your hands using warm water and soap, and put on clean gloves.
6. If prescribed, apply ointments to the wound.
7. Peel open the Self-Adaptive Wound Dressing pouch and remove the dressing, touching only the edges.
8. Apply the dressing with the printed side facing out from the wound. Allow for more dressing overlap in the direction of the natural exudate flow.
9. Secure the dressing in place as instructed by your healthcare practitioner.
10. Discard all soiled products.
11. Take off the gloves and discard them, then wash your hands with warm water and soap.
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PRECAUTIONS AND WARNINGS
Sterile unless damaged or opened
Store at temperatures below 100°F
CONSULT A CLINICIAN IF YOU NOTICE ANY OF FOLLOWING