scholarly journals Tissue viability: the role of wound bed preparation in wound management

2002 ◽  
Vol 4 (3) ◽  
pp. 92-94
Author(s):  
D Wilson

     

2020 ◽  
Vol 2 (3) ◽  
pp. 01-03
Author(s):  
Ravi Chittoria

Pressure ulcer or pressure sore is one of the complications seen in bedridden patients. Management of these ulcers is often challenging. But there is no well-established method that accelerates the wound healing rate. Various adjunctive methods are used for wound bed preparation before definitive reconstruction plan is made. Here we describe our experience in the role of insulin therapy as an adjunct in the management of pressure sores.


MRS Bulletin ◽  
1991 ◽  
Vol 16 (9) ◽  
pp. 26-32 ◽  
Author(s):  
S.A. Barenberg

The Biomaterials Industry Subpanel was chartered by the National Research Council (on behalf of the National Academies of Sciences and Engineering) to address the needs and opportunities in materials science and engineering as perceived by the biomaterials industry. This report represents an initial overview and should not be considered definitive.The Committee examined the short-term, intermediate, and long-term needs of the industry and how external factors such as regulations, lack of standards, and international competition influenced the industry. The industry is heterogeneous and was subsequently defined by the following market segments: artificial organs, biosensors, biotechnology, cardiovascular/blood products, drug delivery, equipment/devices, maxillofacial, ophthalmology, orthopedics, packaging, and wound management.Each of these market segments then addressed the:Role of materials in the industry,Current materials and material needs,Material opportunities and impact,Industrial needs/issues,International competition/foreign initiatives, andRole of the U.S. government.


2021 ◽  
Vol 26 (Sup3) ◽  
pp. S6-S13
Author(s):  
Valentina Vanzi ◽  
Elena Toma

Dermatoporosis is a chronic cutaneous insufficiency/fragility syndrome with a high prevalence in older adults. Dermatoporotic skin becomes thin and fragile and tends to tear. It may lead to deep dissecting haematomas (DDHs) as a final stage of dermatoporosis, which is a clinical emergency. Management can be challenging, as patients with lower-limb haematomas are frequently older and affected by multiple comorbidities, or are probably on medications that negatively influence wound healing. This article describes the essential role of nurses in prevention, early recognition and wound management of DDHs in patients with dermatoporosis.


2015 ◽  
Vol 2 (5) ◽  
pp. 277 ◽  
Author(s):  
RaviKumar Chittoria ◽  
DeviPrasad Mohapatra ◽  
DineshKumar Shivakumar ◽  
Arjun Ashokan ◽  
FrijiMeethale Thiruvoth ◽  
...  
Keyword(s):  

2019 ◽  
Vol 28 (9) ◽  
pp. 608-622 ◽  
Author(s):  
Claas Roes ◽  
Leanne Calladine ◽  
Clare Morris

Objective: Best practice in wound bed preparation and biofilm-based wound management includes debridement to create a clean wound bed and to assist in minimising the redevelopment of biofilm. Biofilm that is not removed inhibits healing and redevelops if not prevented from doing so with topical antimicrobial agents. Monofilament fibre debriding technology (MFDT) is used for effective and rapid mechanical debridement of loose material, slough and biofilm. The objective of this evaluation was to determine the clinical effect and consequential levels of health professional and patient satisfaction with the results of a biofilm pathway that included MFDT to achieve debridement. Methods: This non-comparative, open label evaluation was conducted in static and non-static wounds that required debridement. MFDT was used to debride in a two-week evaluation of a biofilm pathway. Wounds were debrided three times in week one and twice in week two. Each debridement was followed by treatment with an antimicrobial dressing. Other care included secondary dressings and compression delivered according to local practice, guidelines and formularies. After the clinical evaluation, health professionals were invited to complete an online survey of the clinical outcomes and their satisfaction with the biofilm pathway. Results: There were 706 health professionals who provided answers to the survey questions. Wound types evaluated were leg ulcers (67.4%), pressure ulcers (10%), dehisced surgical wounds (1.7%), diabetic foot ulcers (7.4%) and other wounds (13.4%). Of the wounds, 9% were reported as non-static despite the eligibility criteria. Not all wounds followed the pathway. The most frequently-used antimicrobial was silver. Non-antimicrobial products used included all-in-one dressings, other secondary dressings and compression. There was a change in 77% of wounds overall after two weeks. Change was reported almost equally for both static and non-static wounds. Health professionals who did or did not follow the pathway were ‘completely satisfied’ or ‘satisfied’ with the overall clinical outcome 96% and 95%, respectively. Of the patients, 77% were ‘completely satisfied’ or ‘satisfied’ with healing after following the pathway, as reported by the treating health professional. Conclusion: The biofilm pathway that includes MFDT appears effective. Wounds managed on the pathway were debrided effectively and healing progressed to the satisfaction of both health professionals and patients.


2005 ◽  
Vol 15 (3) ◽  
pp. 6-10 ◽  
Author(s):  
Menna Lloyd-Jones ◽  
Trudie Young

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