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Chronic wound management

TIME – a practical wound care framework

TIME is a global wound care framework used to implement appropriate care plans and promote wound healing. The TIME framework can be used to apply wound bed preparation to practice. The correct implementation of TIME depends on patient and wound assessment.

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time concept graphic

TIME is not a sequential process, every wound is different; simultaneous attention to one or more of the components may be required.

B. Braun wound dressing portfolio in synergy with the TIME concept

Tissue management

Debridement and wound bed preparation

Inflammation and Infection control

Antimicrobial treatment

Askina® Calgitrol® Paste

Askina® Calgitrol® Paste is a sterile primary dressing consisting of an ionic silver alginate matrix in paste form, designed to treat chronic wounds which are infected or at high risk of infection.   The paste form, due to its water content, provides immediate availability of silver ions. Additionally, the ionic exchange with the wound exudate, delivers a sustained release of ionic silver to the wound bed.1   It is supplied sterile in a 15 g tube. The tube has a cannula to aid application of the paste into tunnels, sinuses, and all deep wounds. 2

Askina® Calgitrol® Ag+

Askina® Calgitrol® Ag+ is a wound dressing that combines antimicrobial silver with strengthening cellulose fiber to manage wound infection and high exudate. The dressing promotes healing in a moist environment.  When applied, Askina® Calgitrol® Ag+ responds by forming a gel on contact with wound exudate. The gelling formation traps, locks in and kills the bacteria away from the wound bed. It contains encapsulated nanoparticles of ionic silver encrusted into the strengthening cellulose fiber. The nanoparticles act as a reservoir of ionic silver and are released gradually in contact with wound fluid to kill bacteria and microorganisms within the dressing.Under the supervision of a healthcare professional, Askina® Calgitrol® Ag+ antimicrobial wound dressings may be used for:All agesModerately to heavily exuding woundsChronic wounds, e. g. leg ulcers, pressure ulcers and diabetic ulcersSurgical wounds, e. g. post-operative, wounds left to heal by secondary intent and donor sitesTraumatic wounds, e. g. abrasions and lacerationsPartial thickness burnsIf required, the dressings can be used in conjunction with a suitable moisture-retaining secondary dressing to keep the product in place and/or under compression.

Moisture balance

Restore moisture balance

Askina® Foam

Askina® Foam is a soft, two-layered, non-adherent dressing that is designed to absorb and retain moderate to high wound exudate while providing a moist wound environment to promote healing. The outer vapor-permeable polyurethane film physically protects the wound from water and bacteria.The soft and flexible polyurethane foam provides an excellent conformability to adapt to different wound locations on the body.Askina® Foam wound dressing may be used for: Moderately to heavily exuding woundsChronic wounds, e. g. pressure ulcers, leg and foot ulcersTraumatic wounds, e. g. first and second-degree burns, and surgical wounds

Askina® DresSil Active Heel

Askina® DresSil Active Heel is a heel multilayer silicone dressing with border designed to provide active exudate management. Its multilayer structure improves exudate retention and absorption while maintaining the adequate moisture level in the wound1. This may reduce the frequency of dressing changes, thereby saving nursing time and allowing more time to be dedicated to patients and their care2. Askina® DresSil Active Heel is designed for a wide range of exuding wounds such as:Pressure ulcersLeg and foot ulcersTraumatic wounds (e.g. skin tears)Surgical wounds It can also be used on dry/necrotic wounds in combination with gels. The dressing may also be used as part of a prophylactic therapy to help prevent skin damage, e.g. pressure ulcers. Material Askina® DresSil Active Heel, thanks to its multilayer structure, is designed to offer effective exudate management of chronic wounds: Layer 1: Semi-transparent film with 1 cm apart dots for the Active Exudate Monitoring SystemLayer 2: Superabsorbent layer to absorb and lock in exudateLayer 3: Exudate distribution layer to facilitate quick exudate movement from the foam to the superabsorbent layerLayer 4: Thin foam layer that enables vertical absorption while maintaining a moist environment conducive to wound healingLayer 5: Silicone layer to provide secure fixation while conforming to body contours

Askina® DresSil Active

Askina® DresSil Active is a multilayer silicone dressing with border designed to provide active exudate management. Its multilayer structure improves exudate retention and absorption while maintaining the adequate moisture level in the wound1. This may reduce the frequency of dressing changes, thereby saving nursing time and allowing more time to be dedicated to patients and their care2.  Askina® DresSil Active is designed for a wide range of exuding wounds such as:Pressure ulcersLeg and foot ulcersTraumatic wounds (e.g. skin tears)Surgical wounds It can also be used on dry/necrotic wounds in combination with gels. The dressing may also be used as part of a prophylactic therapy to help prevent skin damage, e.g. pressure ulcers.

Askina® DresSil

Askina® DresSil is a non-bordered, self-adherent soft silicone wound dressing. It absorbs exudate from the wound through silicone perforations and provides a moist wound healing environment to promote wound healing.  The wound contact layer made of silicone reduces pain and trauma during dressing changes, enhancing patient comfort. The waterproof outer layer protects the wound from dirt and bacteria. The soft polyurethane foam conforms to the natural contours of the body making the dressing comfortable to wear, while the waterproof outer layer protects the wound from dirt and bacteria. Askina® DresSil is designed for a wide range of exuding wounds, such as:  Leg and foot ulcersPressure ulcers  Traumatic wounds, e.g. skin tears  Secondary healing woundsMaterial  Askina® DresSil is composed of three layers:  Layer 1: Outer polyurethane filmLayer 2: Absorbent polyurethane foamLayer 3: Silicone adhesive 

Askina® DresSil Active Sacrum

Askina® DresSil Active Sacrum is a sacrum multilayer silicone dressing with border designed to provide active exudate management. Its multilayer structure improves exudate retention and absorption while maintaining the adequate moisture level in the wound1. This may reduce the frequency of dressing changes, thereby saving nursing time and allowing more time to be dedicated to patients and their care2. Askina® DresSil Active Sacrum is designed for a wide range of exuding wounds such as:Pressure ulcersLeg and foot ulcersTraumatic wounds (e.g. skin tears)Surgical woundsIt can also be used on dry/necrotic wounds in combination with gels. The dressing may also be used as part of a prophylactic therapy to help prevent skin damage, e.g. pressure ulcers. MaterialAskina® DresSil Active Sacrum, thanks to its multilayer structure, is designed to offer effective exudate management of chronic wounds:Layer 1: Semi-transparent film with 1 cm apart dots for the Active Exudate Monitoring SystemLayer 2: Superabsorbent layer to absorb and lock in exudateLayer 3: Exudate distribution layer to facilitate quick exudate movement from the foam to the superabsorbent layerLayer 4: Thin foam layer that enables vertical absorption while maintaining a moist environment conducive to wound healingLayer 5: Silicone layer to provide secure fixation while conforming to body contours

Askina® Calgitrol® Thin

Askina® Calgitrol® Thin is a thin sterile layer of ionic silver alginate matrix that that in the presence of wound exudate gels to form a moist wound environment conducive to natural healing conditions.

Askina® Sorb

Askina® Sorb dressing is a highly absorbent dressing composed of calcium alginate and sodium carboxymethylcellulose (CMC) fibers. The dressing can absorb large amounts of exudate and form a gel which maintains a moist healing environment. Askina® Sorb is available in sheet and rope forms. Askina® Sorb is indicated for moderately to heavily exuding wounds, such as diabetic foot ulcers, pressure ulcers, leg ulcers, superficial and partial thickness burns, donor sites, post-operative wounds and traumatic wounds.

Epithelial (edge) advancement

Promote epithelization and healthy skin

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