An overview of the common methods of wound debridement

Gwynne, B. J.; Newton, Mary

doi:10.12968/bjon.2006.15.sup4.22112

Cited by 22 publications

(14 citation statements)

References 11 publications

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“…It is also considered to be the safest method of debridement available because of its property of only removing devitalised tissue (Gwynne and Newton, 2006). However, debridement can take longer than other methods, requiring multiple dressing applications and can take several weeks depending upon the extent of necrosis/slough (Davies, 2004;Mosher et al, 1999;Davies et al, 2005).…”

Section: Promotion Of Autolytic Debridement By Wound Dressingsmentioning

confidence: 99%

Autolysis: mechanisms of action in the removal of devitalised tissue

Atkin

Rippon

2016

Br J Nurs

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Abstract:Chronic wounds affect millions of people worldwide. In the UK alone, the cost of their treatment is estimated to be between £4.5bn and £5.1bn. The implementation of wound bed preparation strategies remove the barriers to healing and wound debridement is a key component in preparing the wound bed for wound progression. This article aims to review one of the several debridement methods available to clinicians, autolytic debridement. Autolysis (i.e., autolytic debridement) uses the body's own enzymatic mechanisms -used in normal biological processes including acute wound healing -enables removal of devitalised tissue in order to remove the barriers to healing . This review is aimed to provide clinicians working in wound care a better understanding of the mechanisms and implications of autolytic debridement.

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Section: Promotion Of Autolytic Debridement By Wound Dressingsmentioning

confidence: 99%

Autolysis: mechanisms of action in the removal of devitalised tissue

Atkin

Rippon

2016

Br J Nurs

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“…Conservative sharp debridement can be used after cleansing to remove loosely adhering, devitalized tissue from superficial-to full-thickness abrasions, avulsions, blisters, incisions, and lacerations. 71,72 Strength of recommendation: C 21. Chemical debridement (eg, sodium hypochlorite, hydrogen peroxide, silver) should be avoided because some elements and compounds may damage viable tissue.…”

Section: Recommendationsmentioning

confidence: 99%

“…Chemical debridement (eg, sodium hypochlorite, hydrogen peroxide, silver) should be avoided because some elements and compounds may damage viable tissue. 71,73,74 Strength of recommendation: C …”

Section: Recommendationsmentioning

confidence: 99%

“…Conservative sharp debridement is the use of sterile scissors and forceps or tweezers to remove loosely adhering devitalized tissue that lies superficial to viable tissue on the wound bed. 71 Conservative sharp debridement of acute skin trauma is typically performed in a single visit and may be used on superficial-to full-thickness abrasions, avulsions, blisters, incisions, and lacerations. 72 Applicable state practice acts may allow ATs to perform this technique but should be verified.…”

Section: 70mentioning

confidence: 99%

“…Although chemicals may facilitate debridement, their use is controversial and not recommended for acute skin trauma. 71,73,74 Some authors have recommended chemicals for debridement of infected wounds 71 or with wet-to-moist debridement. 75 The effervescent effect of hydrogen peroxide may aid debridement, but hydrogen peroxide and sodium hypochlorite are thought to be cytotoxic to healthy granulation tissue.…”

Section: 70mentioning

confidence: 99%

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National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

Beam

Buckley

Holcomb

et al. 2016

Journal of Athletic Training

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Objective: To present recommendations for the cleansing, debridement, dressing, and monitoring of acute skin trauma in patients.Background: Acute skin trauma is common during participation in athletic and recreational activities. Clinical decisions and intervention protocols after injury vary among athletic trainers and are often based on ritualistic practices. An understanding of cleansing, debridement, and dressing techniques; clinical features of infection and adverse reactions; and monitoring of acute skin trauma is critical for certified athletic trainers and other allied health and medical professionals to create a local wound environment that promotes healing and lessens the risk of complications.Recommendations: These guidelines are intended to provide the certified athletic trainer and others participating in athletic health care with specific knowledge about and recommendations for the management of acute skin trauma.Key Words: abrasions, avulsions, blisters, incisions, lacerations, punctures, cleansing, debridement, nonocclusive dressings, occlusive dressings, infection, adverse reactions T raumatic injury to the skin is common among athletes participating in all sports.1 The exact frequencies of abrasions, avulsions, blisters, incisions, lacerations, and punctures are difficult to calculate because many patients do not seek medical attention after injury; for others, their activity level is initially unaffected, and the injury is not recorded on surveillance reports. Unreported skin trauma and inappropriate wound management can result in delayed healing, cross-contamination, bacterial colonization, and infection, adversely affecting the overall health and playing status of the patient. Managing acute skin trauma through appropriate cleansing, debridement, and dressing techniques can create an environment conducive to healing and lessen the risk of complications. 2,3Wound-management techniques have undergone drastic changes over the last 50 years, and other allied health care professions, organizations, and facilities have developed guidelines that serve as standards of care. [4][5][6] However, guidelines for the management of acute skin trauma by athletic trainers (ATs) are limited in the literature.1,7 The development and implementation of cleansing, debridement, and dressing techniques for acute skin trauma are critical for ATs to successfully deliver health care services to patients. The following review and recommendations provide information on the management of acute skin trauma and guidelines for ATs and other allied health and medical professionals who care for patients. RECOMMENDATIONSThis position statement is based on current research and literature with regard to the cleansing, debridement, dressing, and monitoring of acute skin trauma. We independently categorized the studies and literature using the Strength of Recommendation Taxonomy (SORT) developed by the American Academy of Family Physicians. 8 The taxonomy grades the quality of the data from the literature (level of evidence) and p...

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