The role of wound-bed preparation in managing chronic pressure ulcers

Romanelli, Marco; Mastronicola, Diego

doi:10.12968/jowc.2002.11.8.26428

Cited by 18 publications

(12 citation statements)

References 34 publications

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“…Where local infection is suspected, the use of topical antimicrobial dressings and wound management products are considered. The presence of devitalised tissue delays the healing process by keeping the wound in the inflammatory phase of wound healing; removal of devitalised tissue helps to prevent the spread of infection [10] .…”

Section: Discussionmentioning

confidence: 99%

Comparative study of EUSOL and Silverstream in healing of pressure sore in traumatic spinal cord injury patients

Vk¹

2018

Int. J. Orthop. Sci.

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Pressure sore is among the most common long-term secondary medical complication in persons with spinal cord injury. The majority of morbidity problems and the most frequent cause of death were sepsis associated with genitourinary and pressure ulcer sequelae. Healing of bed sore is great challenge. We studied two dressing material (eusol and silverstream) in healing of bed sore. 22 bed sore patient were randomly allocated in two groups and the result of their dressing were compared in followup. There was faster rate of healing in grade 2 and grade 3 bed sore with silverstream as compared to eusol, but result was not statistically significant(p>0.05). However in grade 4 bedsore patient healing was poor with both dressing materials and almost always require plastic surgery intervention for healing.

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Section: Discussionmentioning

confidence: 99%

Comparative study of EUSOL and Silverstream in healing of pressure sore in traumatic spinal cord injury patients

Vk¹

2018

Int. J. Orthop. Sci.

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“…In the light of this criterion, if all the elements of TIME algorithm will be considered and properly applied, the wound healing probabilities will increase (34,35).…”

Section: Discussionmentioning

confidence: 99%

Wound bed preparation of difficult wounds: an evolution of the principles of TIME

2007

International Wound Journal

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In the last few years, considerable progress has been made in the treatment of chronic ulcers, thanks to new therapy methods. Wound bed preparation is a modern approach for the removal of local barriers to healing by optimising debridement, reduction of bioburden and exudate management through the TIME principles, which have been introduced by the International Advisory Board on Wound Bed Preparation. However, this protocol does not evaluate the state of the repair process and therefore does not suggest the ideal therapeutic choice for each single patient. The revised TIME-H concept considers also the supposed healing time, H, and gives a score that correlates the wound condition with the incidental concomitance with medical pathologies related to the therapeutic measures, thus guiding the clinician towards a practical and systematic approach in the treatment. By applying this scheme to our situation, the average healing time was considerably reduced. The formulation of the new protocol TIME-H for a critical assessment of treatment scheme, which also includes the general conditions of the patient, represents a more rational and adequate approach for an accurate prognosis and therefore for a more suitable therapeutic choice in the treatment of difficult wounds.

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“…Each technique has its advantages and disadvantages. Depending of degree of exudation as well as colonization/infection of the wound, this step is followed choosing from a variety of dressings that best suited to the individual case [5].…”

Section: Discussionmentioning

confidence: 99%

Skin grafting of a chronic leg ulcer with combined Versajet™‐V.A.C. therapy

Stetter¹,

Plaza²,

Driesch³

2006

J Deutsche Derma Gesell

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A new method for surgical wound debridement is the Versajet hydrosurgery technique. This technique uses a high velocity jet of sterile saline with a speed up to 1,078 km/h (670 miles/h). By using the Venturi effect (fluid speeds up in a restriction, reducing its pressure and producing a partial vacuum), a simultaneous vacuum is created across the operating window of the handpiece. The application of this high velocity fluid jet to a chronic wound enables precise debridement without collateral tissue damage. The vacuum-assisted closure (V.A.C.) therapy is used for chronic wounds to induce faster wound healing. This system creates a vacuum-induced negative pressure to a specific wound area resulting in an accelerated formation of granulation tissue in the wound bed. We present a patient who experienced rapid wound healing when both of these techniques were combined to clean the wound. After split-thickness skin grafting, V.A.C. therapy was continued. The result was excellent graft acceptance with complete wound healing. This case is unique in that a combination of both therapies resulted in complete wound healing.

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The role of wound-bed preparation in managing chronic pressure ulcers

Abstract: The relatively modern concept of wound-bed preparation draws together elements of current practice, including various methods of 'maintenance debridement' and the use of antibiotics and antiseptic agents, to speed up healing of chronic wounds.

Cited by 18 publications

References 34 publications

Comparative study of EUSOL and Silverstream in healing of pressure sore in traumatic spinal cord injury patients

Comparative study of EUSOL and Silverstream in healing of pressure sore in traumatic spinal cord injury patients

Wound bed preparation of difficult wounds: an evolution of the principles of TIME

Skin grafting of a chronic leg ulcer with combined Versajet™‐V.A.C. therapy

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