Instructions for use

Diabetic patients should protect themselves against any injury, because their wounds are healed slowly and often turn to complicated, non-bleeding chronical defects. Sad to say, the negligence of such wounds and development of such conditions are very often resulting in limbs amputation.

TECASORB is tested as an extremely helpful just in wounds of such diabetic patients:

Timely determination of wound type, even if only the surface area of the skin is injured, is very important. The sooner TECASORB treatment is initiated the easier will the wound be healed. These non-standard wounds have tendency not to heal at all, if no intensive treatment is applied – too many diabetic patients learned this calamitous fact too late…

The glycemia (blood sugar) should be observed and maintained within physiological borders.

Before TECASORB application, a thorough washing of the wound must be performed, eventually also carefull revitalization of the wound (debridement). A specialist must treat the wound; presence of infection must be considered, eventually the corresponding ATB therapy has to be administered.

TECASORB can be succesfully used as primary cover of the surgical wounds after an operation, especially if there is high risk of wound dehiscence (microbial infection was found during the operation).

Advantage of TECASORB for surgery is that it reduces post-surgery sepsis, especially in high-risk cases. As a matter of course, it helps to prevent infectious decomposition of the wound in all cases. Such decomposition is a serious complication resulting often in long-term hospitalization, necessity to administer antibiotics, higher soreness and suffering of the pacient. The economical effect of routine TECASORB application as a primary cover for surgical wounds can be evaluated very easily in every workplace.

The wound can stay with the dressing as long as the external surface of the difuse layer TECASORB does not change color, which would indicate that the sorption capacity of the carbon textile is exhausted. When TECASORB is replaced, the wound needs neither cleaning nor desinfecting. If the dressing is saturated, it just has to be replaced. Many surgeons are used to perform the first replacement on the 2^nd or 3^rd day after the surgery. No objections could be made to this routine. Nevertheless, the practical experience shows that when the surgeon uses TECASORB on several few pacients and persuades himself/herself that healing proceeds well, he/she does not consider necessary to uncover the wound so soon and gradually comes to the conclusion that just a visual inspecion of the external surface of the double layer is sufficient. Any change on the surface is namely very reliable indication of a possible complication…

One of the key qualities of TECASORB application is that it reduces the inflamatory elements in the suture line. This reduces exudate formation and reduces bleeding from the wound. And this results in lower risk of a secondary infection. TECASORB helps to significantly reduce the post-surgery infectious complications in the surgical wound, protecting the patient and also the money of the insured population. And what is more important, it reduces the post-surgical sepsis risk and related complications.

   After the first aid, especially after thorough cooling with cold water, TECASORB can be used to treat burns of any degree. The third-degree burns require surgery at first, to remove the eschar. As soon as the necrotic tissue is removed from this type of burns, TECASORB can be used.

TECASORB should never stick to the wound – the invironment has always to be wet, therefore preventing the sticking.

Chemical burns have to be washed well with flowing water, before TECASORB treatment is started. For large burns, sufficient fluid and proteins must be provided during the hospital care. The blisters have to be removed as soon as possible, so that the optimal conditions for re-epitalization are assured. If the blisters are leff over, they hinder the proper funcion of TECASORB. The wound treated by removal of the necrotic cover is healed significantly faster and the healing process is well balanced, as soon as the exudate from the blister is sorbed

   TECASORB is used in all types of the skin ulcers, both acute and chronic. This is no cure-all healing. The reason is that a chronic ulcer is a formation that is easily mis-treated, due a small mistake, but this causes a long-term “unhealing” condition. The biology of some neglected ulcers is changed as a result of the permanent vicious circle. Only a smal change can disrupt such a vicious circle. TECASORB can help to improve healing in all such places where the own ability of the skin cover, i.e. the healing potencial, is maintained.

Total sepsis is not a contraindication for TECASORB – in fact, TECASORB helps to handle it in combination with antibiotics and neutralization of the primary deposit.

If there is a pain when TECASORB is applied, it can indicate proper function of TECASORB. Advice the pacient so that he/she tries to relieve the pain by intermittent application combined with analgetics or physical means relieving the pain. If there are persuasive indications of succesful healing after several days, in contrary to the history of the previous healing attempts, you have to hold on. Our experience is that even if the wound was not healed before, more than 95% of such wounds are fully healed.

TECASORB can be applied into deep defects, so that the sorption layer covers all the concavity of the defect, which is then filled with an additional tampon maintaining the dampness, made of cotton or a soft non-wowen textile.

Before TECASORB application, animal bites (but also human bites) require a thorough washing of the wound and removal of the saliva and dirt. Initially, analgetics and total ATB therapy have to be administered. If the bitting animal is suspected for rabies, the corresponding therapy has to be started right away. TECASORB is applied in conformance to usual standard as a cover. The sooner it is applied, the better. The therapy also includes the specific reinoculation.

Spider toxins are known to have an extremelly long and delayed effect. The result is occurrence of large necrotic wounds, frequently with devastating effect. TECASORB is able to reduce this progressive and extreme harm.

In any case, it is necessary not to rely on TECASORB only, but to perform – responsibly and thoroughly – all the standard measures and healing actions, for example to administer corticoids, ATB etc. Same principles must be applied also for snakebites, poisonous fish bites and other see animal bites, mites and insect bites. Toxic insect bites have to be cooled fast, so that local blood circulation is reduced and the organism`s reaction the bite is slowed. This reduces damage to the tissues.

If you use TECASORB onto a wound caused by a poisonous spider, where the toxin has already caused the necrosis, it must be taken into consideration that the healing process will include also demarcation and removal of the necrosis. In these cases, TECASORB seemingly causes “increasing” of the wound.

For bites at seeside, injuries from see animals, sting from yellyfish and the like: The injured body part must be put into hot water, as hot as possible for the pacient to tolerate. The toxins from see animals are active up to 25 °C. Higher temperatures denaturate the toxic proteins very fast and inactivate them. This procedure immediatelly reduces the extent of harm and soreness. The necrotic tissue must be removed before TECASORB is applied.

This TECASORB application gives excellent results and it is strongly recommended as a standard treatment         for all injuries in finger and toe ends. Easy aplication of TECASORB on this type of the injury and possibility of easy and proper dressing replacement at home is very effective method to treat this type of injury. Unique characteristics of the cover allow for good expectations as to the renewal of properly formed nail matrix and good quality of the new nail, in very different types of injuries. TECASORB usage in this application allows the possibility to reduce or prevent the eventual corrective surgeries – this method is both effective and affordable treatment.

Before treatment with TECASORB, the devitalized (dead, necrotic) tissue has to be removed. Any deep defects and cavities in decubitus have to be fully filled with TECASORB, so that immediate contact of the sorption layer to the entire wound surface is assured. Such deep defects need to have replaced the dressing more often and to be washed with physiological saline solutions, if putrid secretion continues on their surface. However, no pressure has to be applied onto the wound surface, because this would support the devitalization. A circular pillow or a slightly inflated tube (for small motocycle) can be used. Such elimination of the direct pressure and re-positioning of the pacient are the basic prerequisites for fast healing…

Do not end this TECASORB treatment till the time, when the defect is fully healed.

TECASORB can be safely applied to pacients with disintegrated, secondary infected tissue defects that occurred in consequence of ulcerous growth. This product can eliminate odor, remove the inflamation symptoms and relieve the pain. Of course, malignity cannot be healed with TECASORB.

    Also in people suffering from AIDS, a significant improvement can be attained and their immune system can be relieved. Of course, these pacients need specific medication – antibiotics, antivirotics and the like.