The dressing change
At 27% TBSA, a dressing change is a procedure.
It is scheduled and staffed, and in the cohort behind the 62 patient study, removal required ketamine sedation. Every time the dressing comes away, the wound bed your team spent days protecting is disturbed again.
Adherence is the reason. A dressing that binds to granulating tissue takes some of that tissue with it, and the process restarts.
So the question is not only what a dressing absorbs. It is what it costs you to take it off.
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What changes on the unit
Three things XLTA® is built to do differently.
It comes away without taking the wound bed with it
Non-adherent layers on both faces, so orientation does not matter and neither side binds to granulating tissue.
One range covers the full exudate load
Three weights and seven sizes, trimmed to the wound and layered where drainage is heaviest.
It works mechanically, with nothing added
Unmedicated, predominantly natural fibres. No active ingredient to reconcile against grafts or systemic therapy.
Mechanism
Why the wound bed stays intact.
Exudate is drawn up out of the wound, moved sideways through the fibre network, and held there. A physical process, not a chemical one.
Hydrocapillary flow
Draws exudate up and away from the wound surface, so fluid is not sitting against tissue.
Horizontal dispersion
Spreads it laterally through the fibre matrix instead of pooling at the point of uptake.
Electrostatic sequestration
Charged fibres attract and hold bacteria, cytokines and MMPs inside the dressing.
In practice
Burns do not arrive in rectangles.
Cut with scissors to match the anatomy in front of you, including a facial mask for facial burns, secured with a fishnet bandage.
Facial mask
Facial burns
Joint shapes
Elbows and knees
Zig zag
Limbs and curves
XHeart, oval
Cavities, amputations
Teardrop
Between digits
Application
- Clean. Saline or an appropriate solution, aseptic technique.
- Apply. Cut to the wound and extend roughly two inches beyond the periwound. Either face down. Layer for heavy exudate.
- Cover. Any standard secondary dressing. The burn cohort used Melolin with a conforming bandage.
- Redress. Driven by saturation. Moisten before removal if the dressing has dried.
Formats
Every weight comes in 2″, 3″, 4″, 6×8″ and 8×8″ sheets, plus 4×39″ and 8×39″ rolls.
- Trim to fit
- Primary or secondary
- Layerable
- Daily to 3-day wear
- Unmedicated
Published results are a reason to look. Your own wounds are the reason to decide.
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