Wound management  in synergy with T.I.M.E concept

Product Quick Finder

Choose a category or subcategory

T.I.M.E – a practical wound care framework

T.I.M.E 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.

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 T.I.M.E concept

Treatment guide

Level of exudate: low

Necrotic tissue or eschar consists of an accumulation of dead cells, tissue and cellular debris. Removal of wound eschar through appropriate debridement techniques (surgical or medical) is a prerequisite for the wound healing processes to start.  

Remark: sharp debridement can bring about haemorrhage. Conversely, eschar is normally not the result of haemorrhage but much more often of ischaemia.

Therapeutical objectives: Removal of dry necrotic tissue

Procedure / Action: 

  • Hydrating the wound with hydrogel
  • Mechanical or surgical debridement

Wound bed preparation: Only a clean wound can heal

Secondary wound dressing: Askina® Derm

Dressing replacement frequency: up to 3 days

 

Level of exudate: low

Dry, fibrinous tissue is a result of dead cells and must be removed.

Therapeutical objectives: Fibrinous tissue removal and exudate management

Procedure / Action: 

  • Mechanical or surgical debridement if needed
  • Wound cleansing and setting a moist environment to promote autolytic debridement

Wound bed preparation: Only a clean wound can heal.

Primary wound dressings: Askina® Foam and Askina® Heel

Secondary wound dressingAskina® Pad and bandage, tape

Dressing replacement frequency: daily

Level of exudate: medium to high

Fibrinous tissue is the result of an accumulation of dead cells, these tissues must be removed.
These wounds can produce various amounts of exudate, that must be managed.

Therapeutical objectives: Fibrinous tissue removal and exudate management

Procedure / Action: 

  • Mechanical or surgical debridement if needed
  • Wound cleansing, encouraging a moist environment to promote autolytic debridement

Wound bed preparation: Only a clean wound can heal.

Primary wound dressings:

Secondary wound dressing: Askina® Pad and bandage, tape

Dressing replacement frequency: daily

Level of exudate: medium to high

The wound is yellow and red due to the presence of fibrin and newly formed red granulating tissues.

Therapeutical objectives: Fibrinous tissue removal and exudate management

Procedure / Action: 

  • Wound cleansing, encouraging a moist environment to promote autolytic debridement

Wound bed preparation: Only a clean wound can heal.

Primary wound dressings:

Secondary wound dressing: Askina® Pad and bandage, tape

Dressing replacement frequency: daily

Level of exudate: medium

The wound is red, with predominant newly formed granulating tissue.

Therapeutical objectives: Exudate management and promote granulation

Procedure / Action: 

  • Wound cleansing and maintaining a moist environment
  • Protect newly formed tissue and of surrounding skin

Wound cleansing and wound bed preparation: Prontosan® Wound Irrigation Solution

Primary wound dressings:

Secondary wound dressing: bandage, tape

Dressing replacement frequency: every 1 to 3 days

Level of exudate: low

The wound is pale pink, with a newly formed, fragile, epithelializing tissue.

Therapeutical objectives: Remaining exudate absorbtion and to encourage epithelialization

  • Wound cleansing
  • Protect newly formed tissue and of surrounding skin

Wound cleansing and wound bed preparation: Prontosan® Wound Irrigation SolutionProntosan® Wound GelProntosan® Wound Gel X

Primary wound dressings:

Secondary wound dressing: bandage, tape

Dressing replacement frequency: every 3 to 5 days

Level of exudate: none

Therapeutical objectives:

  • Encourage epithelialization
  • Protect newly formed tissue

Primary wound dressing:

Secondary wound dressing: bandage, tape

Dressing replacement frequency: up to 7 days

Level of exudate: medium to high

The wound is characterized by pain, erythema, edema, heat, a high level of exudate and odor. Healing is delayed.

Therapeutic objectives:

  • Reduce bacterial load
  • Manage exudate
  • Control odor

Procedure / actions: Wound cleansing, preventing contamination from external bacteria, balance moist wound environment

Wound cleansing and wound bed preparation: Prontosan® Wound Irrigation SolutionProntosan® Wound GelProntosan® Wound Gel X

Primary wound dressings:

See also Silver dressings.

Secondary wound dressing: Askina® CarbosorbAskina® Pad, bandage, tape

Dressing replacement frequency: daily