The Clean, Beefy-Red Wound Bed - polymem.com

1 8 OstomyWoundManagementPearls for PracticeOstomyWoundManagementAclean, Beefy-Red Wound bed often represents agood sign of Wound healing. However, manyinterventions may be necessary before awound reaches this point. As a general surgeon, I amoften asked to consult on wounds that clearly requiredebridement. Although many necrotic wounds canbenefit from surgical debridement, some patients arenot candidates for this procedure because of theiroverall condition, the care setting lacks access to a sur-geon or other appropriate licensed provider, or theoverall Wound treatment objective is not debridement strategy options offerspecific advantages and disadvantages. As clinicians,we must select the strategy that offers the patient thebest results with the least amount of pain, while stay-ing on course with the patient s overall treatmentobjective in their particular care setting.

2 When signs ofinfection or Wound deterioration are present, we mayturn to strategies that include autolytic, enzymatic, orother mechanical debridement to clean up a woundbed and remove nonviable tissue to facilitate optimumwound the appropriate debridement strategyshould be based on the clinical experience and com-petency, plus the where and who will manage thesepatients as they move through the healthcare continu-um. Your strategy can include a blend of approaches,such as a light surgical debridement along with appli-cation of autolytic agents combined with applicationof any number of suitable dressing , the final goal should be based on what willbenefit the patient most while maintaining a cost-effective approach.

3 Keeping this in mind, the beefy -redwound bed is not far behind. - OWMThe Clean, Beefy-Red Wound Bed Andrew M. Gorchynsky MD, FACSR esurrection Health Care, Chicago, ILPearls for Practice is made possible through the support of Ferris Mfg. Corp, Burr Ridge, IL ( ). The opinions and statements of the cli-nicians providing Pearls for Practice are specific to the respective authors and are not necessarily those of Ferris Mfg. Corp.,OWM, or HMPC ommunications. This article was not subject to the Ostomy Wound Management peer-review from Ferris Mfg. Wound treatment goals include autolytic debride-ment, PolyMem QuadraFoam dressings can providethe actions necessary to clean up a Wound bed. PolyMemdressings continuously fill, cleanse, absorb, and moistena Wound .

4 PolyMem dressings do not stick to the woundbed so their removal is atraumatic and , the dressings help relieve Wound pain byreducing the spread of the inflammatory response beyondthe margins of the involved site and into uninjured tissuessurrounding the a representative case study,2following surgicaldebridement the physician managed a pressure ulcer tocomplete closure in 4 months utilizing PolyMem Silver and PolyMem Wic Silver . Systemic antibiotics wereavoided due to patient s medical AJ, Newman A, Kahn AR, Ruggles T Eikmejer L. A polymeric membranedressing with antinociceptive properties: analysis with a rodent stab woundsecondary Pain. 2004;5(1):38 C. Huge sacral pressure ulcer closed in four months using silverpolymeric membrane dressings and Wound filler.

5 Poster presented at the ThirdWorld Congress of the World Union of Wound Healing Societies. Toronto,Ontario, Canada. June 13: Wound aftersurgical debridement. Painis 7 on a 0-10 scale andPseudomonas is 4+.Treatment with PolyMemWic Silver and PolyMemSilver is 30: Wound painis 0 without 14: Woundculture is negativeand the Wound isfully granulating andsubstantially Management September 2008 Vol. 54 Issue 9