Wound-bed preparation: the importance of rapid and effective desloughing to promote healing

Milne, Jeanette

doi:10.12968/bjon.2015.24.sup20.s52

Cited by 15 publications

(13 citation statements)

References 17 publications

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“…As reported in the literature, this is an important step in wound healing management. 71 The removal of excess fibrin and necrotic skin, which inhibit the development of healthy new tissue, is of critical importance, as susceptibility to infection increases. Furthermore, necrotic tissues can also mask underlying infections.…”

Section: Discussionmentioning

confidence: 99%

A prospective case series evaluating the safety and efficacy of the Klox BioPhotonic System in venous leg ulcers

Nikolis¹,

Grimard²,

Pesant³

et al. 2016

CWCMR

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Purpose: To investigate the safety and efficacy of the BioPhotonic System developed by Klox Technologies in a case series of ten patients with venous leg ulcers. Patients and methods: Ten patients with chronic venous leg ulcers, having failed on at least one previous therapy, were enrolled into this case series. Results: Nine patients were evaluable for efficacy. A response (defined as decrease in wound surface area) was observed in seven patients (77.8%). Of these, four patients (44.4%) achieved wound closure on average 4 months (127.5 days) following the beginning of the treatment. Two patients did not respond to the investigational treatment. Quality of life improved over time throughout the study. Compliance was excellent, with 93.2% of visits completed as per protocol. Safety was unremarkable, with only four treatment-emergent-related adverse events, for which no specific intervention was required. Conclusion: The BioPhotonic System was shown to be safe and extremely well tolerated. It also demonstrated potential in terms of wound closure, wound surface area decrease, and wound bed preparation.

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Section: Discussionmentioning

confidence: 99%

A prospective case series evaluating the safety and efficacy of the Klox BioPhotonic System in venous leg ulcers

Nikolis¹,

Grimard²,

Pesant³

et al. 2016

CWCMR

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“…Necrotic tissue and slough are key contributors to wound chronicity and thus debridement is necessary for wound healing. 6,7 CSWD is an appropriate method of debridement when there is devitalized (necrotic) tissue such as slough or eschar, peri-wound callus or hyperkeratosis that can be clearly separated from viable tissue, where other types of debridement will not work, and/or where speed is of the essence. It can be used in conjunction with other methods of debridement.…”

Section: Benefits and Indicationsmentioning

confidence: 99%

“…CSWD leads to the release of cytokines and mediators of inflammation. 6,19 Determining whether to use CSWD or to implement other methods of debridement involves expert knowledge and critical thinking skills.…”

Section: Benefits and Indicationsmentioning

confidence: 99%

Sharp wound debridement: patient selection and perspectives

Harris¹,

Coutts²,

Raizman³

et al. 2018

CWCMR

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Conservative sharp wound debridement, as part of the wound bed preparation paradigm, can be performed in a wide variety of settings including the patients' home or community clinic settings, by health care professionals who perform within their scope of practice and have been certified to be competent. This paper reviews the components that must be in place to ensure safe delivery of conservative sharp wound debridement for an increased number of clinicians, with organizational support, based on practices in a Canadian context. Expected goals are a cleaner wound bed, with an increased percentage of viable tissue, decreased amount of wound exudate, corresponding decreased risk of wound infection and malodor, and improved periwound skin.

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“…The former -slough appears as moist, loose, yellow stringy dead tissue. Eschar, on the other hand has the appearance of blackish dry, thick tissue which may be leathery in consistency (Milne, 2015).…”

Section: Devitalised Tissuementioning

confidence: 99%

Wound bed preparation: A novel approach using HydroTherapy

Atkin

Ousey

2016

Br J Community Nurs

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Wounds that fail to heal quickly are often encountered by community nursing staff. An important step in assisting these chronic or stalled wounds progress through healing is debridement to remove devitalised tissue, including slough and eschar, that can prevent the wound from healing. A unique wound treatment called HydroTherapy aims to provide an optimal healing environment. The first step of HydroTherapy involves HydroClean plus™, this dressing enables removal of devitalised tissue through autolytic debridement and absorption of wound fluid. Irrigation and cleansing provided by Ringer's solution from the dressing further removes any necrotic tissue or eschar. Once effective wound bed preparation has been achieved a second dressing, HydroTac™, provides an ongoing hydrated wound environment that enables re-epithelialisation to occur in an unrestricted fashion. This paper presents 3 case studies of slow healing wounds treated with HydroClean plus™ which demonstrates effective wound debridement.

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Wound-bed preparation: the importance of rapid and effective desloughing to promote healing

Cited by 15 publications

References 17 publications

A prospective case series evaluating the safety and efficacy of the Klox BioPhotonic System in venous leg ulcers

A prospective case series evaluating the safety and efficacy of the Klox BioPhotonic System in venous leg ulcers

Sharp wound debridement: patient selection and perspectives

Wound bed preparation: A novel approach using HydroTherapy

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