Here - EWMA 2013

POSTER PRESENTATIONS
P 301
Hyperbaric Therapy: Adjuvant treatment in wound healing
Poster: Education
Antonio Moreno-Guerín Baños 1 , Yolanda Pelaez Nora 2 , Enrique Perez-Godoy Diaz 1 ,
Rafael Ruíz Fito 2
1 Diputacion (Sevilla, Spain);
2 Hospital Universitario Virgen del Rocio (Sevilla, Spain).
Aim:
– To evaluate effects of Hyperbaric Oxygenation as an adjunctive therapy in treatment of
hard to heal wounds.
– To give effective information and scientific evidences from Hyperbaric Chambers.
Methods: Systematic review of the literature and records of a working hyperbaric
chamber. To expose the different types of chambers, and also the adequate treatment of
hard healing wounds.
Results: We elaborated a visual guideline: 1.- Design of a decision tree for the
treatment of the wound therapy. 2.- Steps to follow for the application of hyperbaric
therapy. 3.- To avoid errors in the management.
Conclusion: The creation of a protocol for a sequential algorithm of wound care,
together with the standardised care plans, provides us with an excellent instrument to
improve the wound healing. Hyperbaric oxygenation is a safe adjuvant treatment in the
world of the complicated wounds.
POSTER: EDUCATION
P 302
THE EFFECT OF MOIST WOUND HEALING
Poster: Education
Britta Østergaard Melby 1
1 Videncenter for Sårheling,Bispebjerg Hospital (Copenhagen, Denmark).
Aim: The aim is to critically analyze Winter´s (1962) and Dyson´s (1988) studies on
moist wound healing (MWH) which have had a big influence on the understanding of
wound care, treatment and development of dressings for wound care.
Methods: The analysis was undertaken in connection to master studies at an English
University. The skin integrity & tissue repair executive (ES) proforma was used as a tool
to aid the critiquing process.
Results: Both studies have analysed the effect of MWH in acute wounds in pigs and
stimulated interest in moist wound healing. The findings of both studies support each
other as they demonstrate, that a simple change in physical conditions at the wound
surface can have a marked effect on rate of epithelisation (Winter 1962), and excised
wounds in a moist environment heal more rapidly and in a more orderly manner than dry
wounds. Both dermal and epidermal repair is accelerated (Dyson 1988).
Conclusions: The clinical relevance of these studies is that dressing treatment options
need to be moist, but they do not discuss how moist? Today, we know that too much
moisture delays wound healing and prolong the inflammatory response. Winter’s findings
have been known for many years, still knowledge about MWH is not fully adapted by all
practitioners. Nurses still have to teach patients to keep their dressing on so that they
can obtain MWH, less pain and scaring. The multinational dressing industry has created
advances in wound treatments, and dressings have become more advanced and
expensive.
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