Preparing the Wound Bed – Debridement, Bacterial Balance, and ...

More documents

Recommendations

Info

management. In: Krasner D, Kane D, eds. Chronic Wound Care: A Clinical Source Book for Healthcare Professionals, 2nd ed. Wayne, Pa.: Health Management Publications, Inc.; 1997:152–157. 11. Lavery LA, Armstrong DG, Vela SA, Quebedeaux TL, Fleischli JG. Practical criteria for screening patients at high risk for diabetic foot ulceration. Arch Intern Med. 1998;158:157–162. 12. Armstrong DG, Lavery LA, Harkless L. Validation of diabetic wound classification. Diabetic Care. 1998;21:855–859. 13. Krasner D. Chronic wound pain. In: Krasner D, Kane D, eds. Chronic Wound Care: A Clinical Source Book for Healthcare Professionals, 2nd ed. Wayne, Pa: Health Management Publications, Inc.; 1997:336–343. 14. Ferris FD, Krasner DL, Sibbald RG. 12 toolkits for Successful Wound Care: A Case-Based Approach. In press. 15. Fletcher A, Cullum N, Sheldon TA. A systematic review of compression treatment for venous leg ulcers. BMJ 1997;315:576–580. 16. Kikta MJ, Schuler JJ, Meyer JP, et al. A prospective, randomized trial of Unna’s boots versus hydroactive dressing in the treatment of venous stasis ulcers. J Vasc Surg. 1988;7:478–483. 17. Rubin JR, Alexander J, Plecha EJ, Marman C. Unna’s boot verus polyurethane foam dressings for the treatment of venous ulceration: a randomized prospective study. Arch Surg. 1990;125:489–490. 18. Sikes E. Evaluation of a transparent dressing in the treatment of stasis ulcers of the lower limb. Journal of Enterostomal Therapy. 1985;12:116–120. 19. Steed DL, Donohoe D, Webster MW, et al. Effect of extensive debridement and treatment on the healing of diabetic foot ulcers. J Am Coll Surg. 1996;183:61–64. 20. Holm J, Andren B, Grofford K. Pain control in the surgical debridement of leg ulcers by the use of a topical lidocaineprilocaine cream, EMLA. Acta Derm Venereol. 1990;70:132–136. 21. Lok C, Paul C, Amblard P, et al. EMLA cream as a topical anesthetic for the repeated mechanical debridement of venous leg ulcers: a double-blind, placebo-controlled study. J Am Acad Dermatol. 1999;40(2.1):208–213. 22. Kennedy KL, Tritch DL. Debridement. In: Krasner D, Kane D, eds. Chronic Wound Care: A Clinical Source Book for Healthcare Professionals, 2nd ed. Wayne, Pa: Health Management Publications, Inc.; 1997:227–235. 23. Levenson L. Use of hyperbaric oxygen and a sterile hydrogel in the management of a full thickness dorsal foot ulcer. Poster presentation: Clinical Symposium on Wound Care; October 8–11, 1996, Atlanta, Ga. 24. Boxer AM, Gottesman N, Bernstein H, Mandl I. Debridement of dermal ulcers and decubiti with collagenase. Geriatrics. 1969;24:75–86. 25. Varma AO, Bugatch E. Debridement of dermal ulcers with collagenase. Surgery, Gynecology and Obstetrics. 1973;136:281–282. 26. Romanelli M, Piagessi A. Clinical importance of collagenase in diabetic foot ulcers. Presented at the 9th Annual Meeting of the European Tissue Repair Society, Bordeaux, France; 1999. 27. Krasner DL, Sibbald RG. Nursing management of chronic wounds: best practices across the continuum of care. Nurs Clin North Am. 1999;34(4):933–953. 28. Rodeheaver GT. Wound cleansing, wound irrigation, wound disinfection. In: Krasner D, Kane D, eds. Chronic Wound Care: A Clinical Source Book for Healthcare Professionals, 2nd ed. Wayne, Pa: Health Management Publications, Inc.; 1997:97–108. 34 OstomyWound Management 29. De Haan B, Ellis H, Wilkes M. The role of infection in wound healing. Surgery, Gynecology and Obstetrics. 1974;105:283. 30. Pollack S. The wound healing process. Clin Dermatol. 1984;2:8. 31. Altemeier W, Culbertson W. Surgical infection. In: Moyer C, et al (eds). Surgery, Principals, Practice, 3rd ed. Philadelphia, Pa: JB Lippincott Co; 1965. 32. Dow G, Browne A, Sibbald RG. Infection in chronic wounds: controversies in diagnosis and treatment. Ostomy/Wound Management. 1999;45(8):23–40. 33. Levine NS, Lindberg RB, Mason AD, Pruitt BA. The quantitative swab culture and smear. A quick simple method for determining the number of viable aerobic bacteria on open wounds. J Trauma. 1976;16:89–94. 34. Cutting KF, Harding KGH. Criteria for identifying wound infection. Journal of Wound Care. 1994;3(4):198–201. 35. Browne AC, Sibbald RG. Bacterial burden assessment of diabetic neuropathic foot ulcers (DNFU) prior to the application of Dermagraft ® . Presented at: First World Wound Healing Congress, September 10–13, 2000; Melbourne, Australia. 36. Krasner D, Cooling M, Hyder T, et al. Sterile versus Nonsterile Wound Care: An Interactive Monograph for Healthcare Professionals. Toronto, Ontario, Canada: Dumex Medical Surgical Products Ltd.; 1998. 37. Eltringham I. Mupiricon resistance and methicillin-resistant Staphylococcus aureus (MRSA). J Hosp Infect. 1997;35:1–8. 38. Sapico F, Witte J, Canawati H, et al. The infected foot of the diabetic patient: quantitative microbiology and analysis of clinical features. 1984 Rev Infect Dis. 1984;6(Suppl 1):S171. 39. Cameron J. The importance of contact dermatitis in the management of leg ulcers. Journal of Tissue Viability. 1997;5(2):182–185. 40. Sibbald RG, Coutts P, Browne AC, Coehlo S. Acticoat , a new ionized silver-coating dressings: its effect on bacterial load and healing rates. Poster presented at: First World Wound Healing Congress, September 10–13, 2000; Melbourne, Australia. 41. Geronemus RG, Robins P. The effect of two new dressings on epidermal wound healing. Journal of Dermatological Surgery. 1982;8:850–852. 42. Bergstrom N, Bennet MA, Carlson CE, et al. Clinical Practice Guideline Number 15: Treatment of Pressure Ulcers. Rockville, Md: US Department of Health and Human Services. Public Health Service. Agency for Health Care Policy and Research; 1992. AHCPR Publication 95-0652. 43. Ovington LG. Dressings and adjunctive therapies: AHCPR guidelines revisited. Ostomy/Wound Management. 1999;45(suppl 1A):94S–106S. 44. Kim YC, Shin JC, Park CI, Oh SH, Choi SM, Kim YS. Efficacy of hydrocolloid occlusive dressing technique in decubitus ulcer treatment: a comparative study. Yonsei Med J. 1996;37(3):181–185. 45. Xakellis GC, Chrischilles EA. Hydrocolloid versus saline gauze dressings in treating pressure ulcers: a cost-effective analysis. Arch Phys Med Rahabil. 1992;73(5):463–469. 46. Mulder GD, Altman M, Seeley JE, Tintle T. Prospective randomized study of the efficacy of hydrogel, hydrocolloid, and saline solution-moistened dressings on the management of pressure ulcers. Wound Repair and Regeneration. 1993;1(4):213–218. 47. Stotts N. Co-factors in impaired wound healing. In: Krasner D, Kane D, eds. Chronic Wound Care: A Clinical Source Book for Healthcare Professionals, 2nd ed. Wayne, Pa: Health Management Publications, Inc.;1997:64–72.
48. Day AL, Dombranski S, Farkas C, et al. Managing sacral pressure ulcers with hydrocolloid dressings: results of a controlled, clinical study. Ostomy/Wound Management. 1995;41(2):52–65. 49. Baccari G, Boschetti E. Ferite, ustioni e piaghi medicate con spugnoa di poliuretano. Communication of the Sixth National Congress of the Societa Italiana di Chirurgia d’Urgenza e Pronto; June 9–11, 1977, Padua, Italy. 50. Turner TD. The development of wound management products. In: Krasner D (ed). Chronic Wound Care: A Clinical Sourcebook for Healthcare Professionals. King of Prussia, Pa.: Health Management Publications, Inc.; 1990: 31–46. 51. Gensheimer D. A review of calcium alginates. Ostomy/Wound Management. 1993;39:34–38,42–43. 52. Gacesa P. Alginates. Carb Polymers. 1988;8:1–22. 53. Blair SD, Jarvis P, Salmon M, McCollum C. Clinical trial of calcium alginate haemostatic swabs. Br J Surg. 1990;77:568–570. 54. Barnett SE, Varley SJ. The effects of calcium alginate on wound healing. Ann R Coll Surg Engl. 1987;69:153–155. 55. Peppas NA (ed). Hydrogels in Medicine and Pharmacy, vols 1–3. Boca Raton, Fla: CRC Press; 1987. 56. Thomas S. Wound Management and Dressings. London, England: The Pharmaceutical Press; 1990. 57. Falanga V. Occlusive wound dressings: Why, when, what? Arch Dermatol. 1988;124:872–877. 58. Friedman SJ, Su WP. Management of leg ulcers with hydrocolloid occlusive dressings. Arch Dermatol. 198:120;1329–1336. 59. Thomas S (ed). Handbook of Wound Dressings. London, England: Journal of Wound Care; 1994. 60. Alper JC. Use of the vapour permeable membrane for cutaneous ulcers: details of application and side-effects. J Am Acad Dermatol. 1984;11:858–866. 61. Margolis DJ, Verlin JA, Strom BL. Risk factors associated with the failure of a venous leg ulcer to heal. Arch Dermatol. 1999;135(8):920–926. 62. Margolis DJ, Gross EA, Wood CR, Lazarus GS. Planimetric rate of healing in venous ulcers of the leg treated with pressure bandage and hydrocolloid dressing. J Am Acad Dermatol. 1993;28(3):418–421. 63. Tallman P, Muscare E, Carson P, Eaglestein WH, Falanga V. Initial rate of healing predicts complete healing of venous ulcers. Arch Dermatol. 1997;133(1):1231–1234. 64. Rheinwald JG, Green H. Serial cultivation of strains of human epidermal keratinocytes: the formation of keratising colonies from single cells. Cell. 1975;6:331-344. 65. Chen WYJ, Abatangelo G. Functions of hyaluronan in wound repair. Wound Repair and Regeneration. 1999;7:79–89. 66. Krasner D, Sibbald RG. Wound management: best chronic wound care practices for the hyperbaric practitioner. In: Hyperbaric Medicine Practice, 2nd ed. Flagstaff, Ariz.: Best Publishing Company; 1999: 395–429. 67. Krasner DL, Sibbald RG. Diabetic foot ulcer care: assessment and management. In: Bowker JH, Pfeifer MA (eds). Levin and O’Neill’s The Diabetic Foot, 6th ed. Philadelphia, Pa.: Mosby/WB Saunders Harcourt Health Services; 2000:283–300.
Page 1 and 2: Preparing the Wound Bed - Debrideme
Page 3 and 4: pressure ratio of 0.8 (eg, ankle sy
Page 5 and 6: Nociceptive Pain (normal nerve func
Page 7 and 8: Non-Healable Wounds Active debridem
Page 9 and 10: Recommendation 6 Assess the Wound f
Page 11 and 12: The pathogenicity of MRSA may not b
Page 13 and 14: Safe and Effective Selected Use Cau
Page 15 and 16: Absorbent Membrane Dressing Categor
Page 17: important as a catalyst very early

Preparing the Wound Bed – Debridement, Bacterial Balance, and ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?