Iodoform gauze is a type of sterile gauze that is treated with iodoform, an antiseptic. The gauze is commonly used to pack wounds and facilitate wound draining. Yards of iodoform gauze can come packaged in a bottle, and it needs to be carefully removed using sterile implements. Certain procedures should also be observed to maintain the iodoform gauze's integrity.
This type of gauze can be used to pack sinus or nasal areas. It can also help to pack the wounds associated with the removal of abscesses, boils, fistulas and similar tunneling wounds. The gauze allows for the draining of these types of wounds. For drainage purposes, a wound can be packed and not stitched, so that drainage can occur unimpeded.
Careful handling of iodoform gauze is necessary to protect its sterile properties. Sterile gloves, forceps and scissors should be used for proper handling. Medical professionals who want to use the gauze usually put on gloves, open the bottle containing the gauze, reach inside the bottle with forceps to retrieve an end of the gauze, pull it out and then cut the gauze with scissors. A bit of gauze can be left on the outside of the bottle to simplify future gauze cuttings.
To pack iodoform gauze, medical professionals use a cotton-tipped applicator to gently ease the gauze into a wound. The gauze is carefully folded into the wound, rather than shoved into the cavity. This can ensure that the wound is filled with an appropriate amount of gauze.
After packing a wound, medical professionals can leave about 1 inch (2.54 cm) of gauze outside of the wound. This remaining piece of gauze might be taped down against the skin. The purpose of leaving a piece of gauze outside the wound is so that the gauze can be easily removed later. Those who need to remove the gauze can do so by simply pulling on the piece of gauze until the rest of the connected gauze slips out of the wound. Removal and repacking of gauze can take place once a day.
Should a wound need to be repacked with fresh gauze, a medical professional can simply pull more gauze out of the bottle. There will a tab left outside of the bottle, so a non-sterile hand can pull fresh gauze out. Sterile scissors, however, will have to be used to cut the gauze free from the bottle. Another cut will be necessary on the end that the medical professional is holding to remove the part of the gauze strip that has been handled with a non-sterile hand.
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ceilingcat
Post 3 |
Iodoform gauze sounds interesting and all, but I'm pretty disgusted by the idea of having a large, gaping wound packed with gauze pads but not stitched up. Imagine how uncomfortable it would be, to have basically an open wound with gauze in it?
Also, the removal process sounds horrible. They just pull on the end of the gauze? What if it gets stuck to the inside of the wound or something?
Maybe I just have a really weak stomach, but I really hope to never experience this. |
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JessicaLynn
Post 2 |
@Azuza - It does sound like a good idea, doesn't it? A friend of mine had a staph infection, and she ended up with some pretty serious boils on her legs. From what I remember, her doctor used iodoform gauze to help fight the infection. The process they used to pack the wounds was pretty meticulous, and they changed the dressings once a day.
Really, I associate regular gauze sponges with something you have around the house and use for minor first aid needs. I wasn't surprised to hear there was something a little more high tech for use by doctors in hospitals. |
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Azuza
Post 1 |
Iodoform gauze sounds like a really good idea. I'm not a medical professional, so obviously I don't know about all of the different kinds of wound dressings. I know what gauze is, and I always thought it would be cool if there was some kind of antiseptic gauze! And there is.
It sounds like putting antiseptic gauze in place takes a bit more care than regular gauze though. You have to wear gloves and insert it a certain way. However, it seems like you would use iodoform gauze for more serious injuries. |