Best Practice Recommendations for Preparing the Wound Bed

Sibbald, R. Gary; Orsted, Heather L.; Coutts, Patricia; Keast, David

doi:10.1097/01.asw.0000280204.88754.1e

Cited by 32 publications

(58 citation statements)

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“…Wounds can be debrided through surgical, sharp, autolytic, enzymatic, mechanical or larval methods. Topical pressurised oxygen therapy can then deliver pressurised oxygen directly to the surface of the wound, allowing oxygen penetration to achieve its maximum benefit (7,11,12,14,15).…”

Section: Discussion Of the Evidencementioning

confidence: 99%

“…There are many cofactors, such as nutrition and hydration that should also be considered. Once these have been addressed, topical pressurised oxygen therapy can be adjunctive with the primary treatment strategies (11,14).…”

Section: Discussion Of the Evidencementioning

confidence: 99%

“…Patient concern is a key component of the wound bed preparation model (Figure 4) and supports patient adherence to therapy (14). Patient and caregiver concerns such as pain management, dressing removal and reapplication, signs and symptoms of infection, equipment usage – including proper application, troubleshooting, cleaning and maintenance – should all be considered and addressed with the patient and their caregivers (10).…”

Section: Discussion Of the Evidencementioning

confidence: 99%

“…The dressing should address the needs of the wound with a focus on its ability to support debridement, bacterial and moisture balance (Figure 3). Because the dressing needs to be removed and reapplied once or twice a day the dressing should not cause trauma with frequent removal (14).…”

Section: Discussion Of the Evidencementioning

confidence: 99%

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Evidence‐based practice standards for the use of topical pressurised oxygen therapy

Orsted

Poulson²,

Baum

et al. 2012

International Wound Journal

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Whenever a new therapy enters the wound care arena it is mandatory to deliver the best evidence to clinicians, healthcare administrators and policy makers to support integration of the technology into clinical practice. While this can often be problematic when novel therapies lack a large body of supporting evidence, methods that incorporate the use of expert opinion do exist to evaluate existing evidence and create consensus statements that can help guide decisions. Topical pressurised oxygen therapy is a method of delivering pressurised and humidified oxygen directly to the wound bed to support the healing of chronic and hypoxic wounds. This article will present the process by which the evidence was identified and evaluated as well as present standards based on the evidence related to topical pressurised oxygen therapy. We will show, through the use of the evidence, how this therapy can be a non invasive safe approach for wound management for selected patients in all clinical care settings.

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Section: Discussion Of the Evidencementioning

confidence: 99%

Section: Discussion Of the Evidencementioning

confidence: 99%

Section: Discussion Of the Evidencementioning

confidence: 99%

Section: Discussion Of the Evidencementioning

confidence: 99%

See 2 more Smart Citations

Evidence‐based practice standards for the use of topical pressurised oxygen therapy

Orsted

Poulson²,

Baum

et al. 2012

International Wound Journal

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“…Product selection for the management of STs should be dependent on a comprehensive assessment of the patients and their wounds. Dressing selection should be based on choosing a dressing that will maintain a moist wound environment, be appropriate in accordance to the local wound environment, protect the peri‐wound skin, control or manage exudate, control or manage infection, optimise caregiver time and minimise pain . Best practice supports that a skin flap/pedicle should be approximated if possible, and covered with one of the following type of dressings: hydrogel, alginate, lipido‐colloid‐based mesh, foam dressings, soft silicone, absorbent clear acrylic dressing or non‐adherent impregnated gauze mesh dressing applied depending on wound bed characteristics .…”

Section: Discussionmentioning

confidence: 99%

A descriptive cross‐sectional international study to explore current practices in the assessment, prevention and treatment of skin tears

LeBlanc

Baranoski

Holloway

et al. 2014

International Wound Journal

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This study presents the results of a descriptive, cross-sectional, online international survey in order to explore current practices in the assessment, prediction, prevention and treatment of skin tears (STs). A total of 1127 health care providers (HCP) from 16 countries completed the survey. The majority of the respondents (69·6%, n = 695) reported problems with the current methods for the assessment and documentation of STs with an overwhelming majority (89·5%, n = 891) favouring the development of a simplified method of assessment. Respondents ranked equipment injury during patient transfer and falls as the main causes of STs. The majority of the samples indicated that they used non-adhesive dressings (35·89%, n = 322) to treat a ST, with the use of protective clothing being the most common method of prevention. The results of this study led to the establishment of a consensus document, classification system and a tool kit for use by practitioners. The authors believe that this survey was an important first step in raising the global awareness of STs and to stimulate discussion and research of these complex acute wounds.

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Maggot Therapy for Wound Debridement

Opletalová

Blaizot²,

Mourgeon³

et al. 2012

Arch Dermatol

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To study the efficacy of bagged larvae on wound debridement compared with conventional treatment. Design: Randomized, multicenter, controlled, prospective phase 3 trial with blinded assessment of outcome measures by a single observer. Setting: Two hospital referral centers in Caen and Lyon, France. Patients: Random sampling of 119 patients with a nonhealing, sloughy wound 40 cm 2 or smaller, less than 2 cm deep, and an ankle brachial index of 0.8 or higher. Intervention: During a 2-week hospital stay, patients received either maggot debridement therapy (MDT) or conventional treatment. At discharge, conventional dressings were applied and a follow-up visit occurred at day 30. Main Outcome Measure: Percentage of slough in wounds at day 15. Results: There was a significant difference between groups at day 8 (54.5% in the MDT group and 66.5% in the control group) (P = .04). The mean percentage of slough at day 15 was 55.4% in the MDT group and 53.8% in the control group (P=.78). Conclusions: Although MDT shows no significant benefit at day 15 compared with conventional treatment, debridement by MDT is significantly faster and occurs during the first week of treatment. Because there is no benefit in continuing the treatment after 1 week, another type of dressing should be used after 2 or 3 applications of MDT.

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Best Practice Recommendations for Preparing the Wound Bed

Cited by 32 publications

References 0 publications

Evidence‐based practice standards for the use of topical pressurised oxygen therapy

Evidence‐based practice standards for the use of topical pressurised oxygen therapy

A descriptive cross‐sectional international study to explore current practices in the assessment, prevention and treatment of skin tears

Maggot Therapy for Wound Debridement

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