Wound cleansing for pressure ulcers

Moore, Zena; Cowman, Seamus

doi:10.1002/14651858.cd004983.pub2

Cited by 28 publications

(15 citation statements)

References 39 publications

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“…The cleanser resulted in 1.8-fold shorter healing time for every stage of ulcer [32]. However, overall, there is no good trial evidence to support use of any particular wound cleansing solution or technique for pressure ulcers [33].…”

Section: Cleaningmentioning

confidence: 99%

Techniques for Wound Healing with a Focus on Pressure Ulcers Elimination

Kuffler¹

2012

TOCVJ

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Pressure ulcers, also called decubitus ulcers, are a common challenge of humanity. They are wounds initiated by pressure on the skin that blocks circulation causing the skin and underlying tissues to die. Without care, pressure ulcers continue to grow in diameter and depth and are exceptionally difficult to heal. They have probably always existed, and are present on Egyptian mummies. Pressure ulcers are a serious health issue, very painful, a significant physiological challenge, can shorten the life of a patient, are an emotional and financial burden to the patient, those who deal with them, and in the United States alone annually costs in excess over $10 billion dollars for care and prolonged hospitalization. Pressure ulcers can develop with as little as two hours of pressure, and because even a brief lapse in avoidance of pressure leads to ulcers, they are frequently impossible to prevent, even for the most conscientious patient with an extensive support group and unlimited financial resources. Therefore, enormous effort is required to find effective and reliable techniques for preventing the initiation of ulcers and eliminating them once they develop. This review looks at the various approaches presently used and in development for the treatment of pressure ulcers, evaluates which may be best in eliminating ulcers, and discusses combinations of techniques that may be most effective in eliminating pressure ulcers.

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Section: Cleaningmentioning

confidence: 99%

Techniques for Wound Healing with a Focus on Pressure Ulcers Elimination

Kuffler¹

2012

TOCVJ

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“…[10][11][12] Moore suggests that wound cleansing is considered an important component of pressure ulcer care. 9 We applied closed irrigation suction to control infection through cleaning the wound fully. In our clinical practice, closed irrigation suction with the use of antibiotic saline to rinse dead space consisted of 24 hours of irrigation and interrupted drainage.…”

Section: Discussionmentioning

confidence: 99%

The Combination Application of Space Filling and Closed Irrigation Suction in Reconstruction of Sacral Decubitus Ulcer

Liang

Zhao

et al. 2014

International Surgery

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Dead space and poor drainage are the main reasons for intractable sacral decubitus ulcers. The objective of this study was to investigate the effects of treatment for sacral decubitus ulcer using space filling through muscle flap and closed irrigation. A total of 22 patients with serious sacral decubitus ulcer were treated with space filling through muscle flap and closed irrigation. After debridement of the decubitus ulcer, the infected areas over the bony prominence and osseous prominences were debrided. We elevated biceps femoris long head or semitendinosus and semimembranosus muscle. Pedicled by proximal part of muscle, the muscle flap was elevated to cover the ischial tuberosity. Transfusion systems of inflow and outflow drainage were placed between the muscle flap and ischial tuberosity. Wound healing and complications were observed. One wound dehiscence healed after secondary suturing. One wound gradually healed by dressing change after 3 weeks. The other cases had good results. Space filling and closed irrigation were complementary. The use of these two methods simultaneously is useful for the management of sacral decubitus ulcers.

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“…Bei feuchten Wunden empfiehlt sich ebenfalls die Anwendung einer Wundgaze. Ferner erfordert jeder Verbandswechsel eine gründliche Reinigung der Wunden mit Kochsalzlösung, Antiseptika oder Wundspüllösungen [32].…”

Section: Topische Therapieoptionenunclassified

Digitale Ulzerationen bei systemischer Sklerodermie

2014

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Digital ulcers (DU's) are one of the main symptoms of systemic scleroderma and occur in approximately 60% of all scleroderma patients. Due to possible complications such as infections, gangrene or amputation, they require regular medical attention and a good wound treatment by doctors and nursing staff. A definition of DU's has not yet been established. In 2009 the European League Against Rheumatism (EULAR) published guidelines for the treatment of DU's. An improvement of the healing of active ulcers has been described with Iloprost. Bosentan significantly reduced the frequency of occurrence of new DU's. In some small studies PDE-5 inhibitors appear helpful. Further studies with other therapeutic approaches will follow in the next few years.

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Wound cleansing for pressure ulcers

Cited by 28 publications

References 39 publications

Techniques for Wound Healing with a Focus on Pressure Ulcers Elimination

Techniques for Wound Healing with a Focus on Pressure Ulcers Elimination

The Combination Application of Space Filling and Closed Irrigation Suction in Reconstruction of Sacral Decubitus Ulcer

Digitale Ulzerationen bei systemischer Sklerodermie

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