Posts Tagged ‘Sharp Debridement’

Disappointed by Debridement

Friday, March 3rd, 2017

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

Plaintiffs often express shock and disbelief after eschar is removed, which often leaves a wound larger than the original size of the eschar.

Disappointed by Debridement

Wound photo: “Stage 4 decubitus displaying the Gluteus medius muscle attached to the crest of the ilium” by Bobjgalindo is licensed under CC BY 2.0

 

“We were in shock and couldn’t believe our eyes. It was like half her foot was gone.”

“My husband and I were horrified when we saw what they did.”

“My sister and I looked at each other, and I just kept asking why?”

“I had to leave the room and go the bathroom to cry when I saw what they did to my mother.”

You might think these quotes are from people who have witnessed a shocking crime or some sort of violence, but they are not. These are quotes from family members, now plaintiffs, who are suing for poor medical care related to a chronic wound. Their shock all had one thing in common—it came after seeing a wound that was surgically debrided.

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Wild On Wounds: It’s a Wrap!

Wednesday, September 21st, 2016

Wound Care Rocks: a wrap-up of 2016 Wild On Wounds (WOW) National Conference in Las Vegas.

Wild On Wounds 2016: It’s a Wrap!

Wound Care Rocks was the theme as clinicians gathered from all over the world for the 2016 Wild On Wounds (WOW) National Conference in Las Vegas. The goal? To keep up with current standards of care and learn from the best with 42 didactic and interactive sessions.

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Debridement Basics. How Many Methods Are There?

Monday, December 1st, 2014

beamsDebridement is the removal of necrotic, dead tissue from the wound bed. It also plays a vital role in the tissue management concept of Wound Bed Preparation.  Wound Bed Preparation is the comprehensive approach we use to get our chronic wounds to heal. There are two main categories of debridement:  selective and non- selective debridement.  Selective debridement are methods where only necrotic, non-viable tissue is removed from the wound bed. Non-selective debridement methods remove both necrotic tissue and viable living tissue.

There are 5 major debridement methods. They are known by the acronym BEAMS.  The Selective methods include:  Biological, Enzymatic and Autolytic debridement methods.  The non-selective methods are: Mechanical and Sharp debridement methods.

Biological debridement is also known as maggot debridement using sterile medical maggots to remove necrotic tissue. These sterile maggots debride necrotic tissue by liquefying and digesting it, they also kill and ingest bacteria while stimulating wound healing.

Enzymatic debridement is the use of collagenase ointment (Santyl) once daily to the wound bed. The ointment works from the bottom up to loosen the collagen that holds the necrotic material to the wound bed. It is a faster method than autolytic debridement, but slower than sharp debridement.

Autolytic Debridement is the slowest type of debridement. It uses the body’s own enzymes to assist in breaking down the necrotic tissue. This is achieved by using products that maintain a moist wound environment. This type of debridement is not appropriate for large amounts of necrotic tissue or infected wounds.

Mechanical debridement is a method that uses an external force to separate the necrotic tissue from the wound bed. This may be painful and removes non-viable as well as viable tissue.  Methods include wet to dry dressings, scrubbing, whirlpool and irrigation. Contraindications for mechanical debridement would be epithelializing and granulating wounds.

The fastest method of debridement is Sharp debridement. There are 2 types, Sharp surgical (done by a surgeon, physician or podiatrist) or sharp conservative (done at bedside by a trained clinician). It involves the use of scalpels, scissors, curettes or forceps.  Sharp surgical is a major procedure that sacrifices some viable tissue where sharp conservative is a minor procedure done at the bedside that removes non-viable tissue.

The debridement method used will be chosen on a variety of factors including the wound characteristics, amount of necrotic tissue in wound, efficiency and selectivity of the debridement method itself, pain management for your patient, the cost of the procedure, exudate levels of the wound, presence of or risk of infection, the patients care setting, and the patients overall medical condition all need to be taken into account.

It is also important to remember not every patient with necrotic tissue will always be a candidate for debridement. Be sure that you understand indications and contraindications for each debridement method when you are selecting the method for your patient.

Click Here for FREE WEBINAR – HOW TO: Debridement Options: BEAMS Made Easy use coupon code BEAMS through 12/31/15.

WCEI Interviews Wild On Wounds Conference Presenters on BlogTalkRadio

Wednesday, June 2nd, 2010

Scroll Through to select an Interview of one of our Wild On Wounds Speakers

Listen to internet radio with WCEI on Blog Talk Radio

http://www.wcei.net The Wound Care Education Institute invites our readers to become listeners of our BlogTalkRadio.com interviews. We have done a series of interviews with some of the top speakers to highlight their forthcoming sessions of  this year’s rapidly approaching Wild on Wounds Conference

To listen to s specific interview:

  1. Scroll through or hover your cursor over the BlogTalkRadio Player above and select the session by clicking on it.
  2. Once you have selected the session, click on the Arrow Button within the player to start the player and listen to the interview.

As a reminder,We encourage you to sign up and register for the Sharp Debridement Certificate Course that will be held at this year’s Wild On Wounds National Conference in Las Vegas NV September 23-25, 2010 at The Paris Hotel. This session gets filled up quickly.

For more information about becoming Wound Care Certified or taking our Skin and Wound Management Course, please visit our Registration Page