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A delicate balance to keep the correct amount of fluid at the wound interface needs to be achieved.

This can be done by the use of modern dressing materials which either lock the exudate within the body of the dressing or allow the safe passage of exudate through the dressing by means of its MVTR (moisture vapour transmission rate).

Similar to some fabrics that are used in athletic clothing and some types of socks, some dry dressings are made from materials that spread any wound exudate laterally over the entire fabric, rather than just soak through the material at the wound’s wettest spots.

This process, called wicking, can be found in a number of dry dressings, such as Medline’s ABD Pads and Smith and Nephew’s Exu-Dry pads, which can replace layers of gauze with one multi-layer contourable dressing.

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However, a moderate to heavy amount may indicate a high bioburden.

Excessive wound fluid can inhibit wound healing and can lead to maceration of the peri-wound skin, further breakdown, and excoriation and skin sensitivities if inappropriately managed as it can be corrosive in nature. Wound Infection is caused by multiplying pathogenic bacteria which cause a reaction in the patient.

The use of skin barrier preparations such as LBF should be considered to protect the delicate peri-wound area. Infection can be systemic, causing the patient to become ill or local, only affecting the wound bed and surrounding tissues.

Next we have the famous serosanguineous exudate, which is thin, watery, and pale red to pink in color.

It seems to be everyone’s favorite type of drainage to document, but unfortunately, it’s not what we want to see in a wound. So what types of drainage do you see being documented? Are you really seeing drainage that indicates trauma to the wound bed, or is the drainage type mislabeled?