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Debridement

Most patients with hard-to-heal wounds experience great suffering, both physically and mentally. Effective wound care requires an understanding of the patients’ underlying diseases, knowledge of the physiology of wound healing and the need for effective wound healing. The definition of a hard-to-heal wound is a wound that has not healed in 6 weeks. An acute wound usually follows the wound healing process without complications, as a wound that is hard to heal stops in the inflammation phase.

To achieve a good wound treatment with a good and long-term result, it is important to have a planned wound treatment strategy.

A TREATMENT STRATEGY SHOULD INCLUDE THE FOLLOWING:

  • Make the correct wound assessment
  • Treat the root cause
  • Provide adequate pain relief
  • Strive for a clean granulated wound
  • Take control - over bacteria and biofilm
  • Minimizes the number of care givers performing wound dressing on the patient
  • Basic hygiene routines / plan change of dressing
  • Continuous follow-up / documentation

When treating a wound, you need to understand what is healthy as opposed to necrotic tissue to achieve a good result. Fibrin and necrosis delay wound healing and prevent granulation and epithelialization. Fibrin and necrosis increase bacterial growth and give rise to biofilm, odor and the risk of wound infection.

All wounds contain bacteria and therefore debridement is an important part of wound treatment. Debridement is the medical removal of necrotic, damaged or infected tissue. Removing devitalized tissue from the wound reduces the risk of wound infection and facilitates wound healing.

  • Fibrin - a protein that forms threads
  • Necrosis - dead tissue
  • Granulation tissue - healthy red tissue that contains new blood vessels with easily bleeding buds

THE MOST COMMON DEBRIDEMENT METHODS:

  • Autolytic debridement – to achieve a moisture in the wound that dissolves fibrin and necrosis. This can be achived for example by the use of occlusive and semi-occlusive dressings.
  • Mechanical debridement – to remove devitalized tissue and biofilm using, for example, scissors, tweezers, scalpel, wound spoon and curette.
  • Chemo-mechanical debridement – has a chemical mode of action that loosens devitalized tissue which is then mechanically removed. ChloraSolv is a new, unique product on the market that effectively loosens devitalized tissue and creates an antimicrobial environment for the wound. 1 2 ChloraSolv quickly and effectively reduces bacteria in biofilm.3
  • Surgical debridement – performed by a doctor in a hospital when the patient needs a comprehensive debridement.
In order to be able to perform a detailed mechanical debridement, one should always secure an adequate pain relief for the patient. Local anesthetics such as Xylocain® and EMLA® are most commonly used before debridement.

Biofilm

Biofilm is an aggregate or cluster of microorganisms, such as bacteria, that together form a protective film where the bacteria can cooperate. The most common bacteria that form biofilm are staphylococci, streptococci, enterococci and pseudomonas.

Biofilm protects the bacteria from external and internal factors such as the body’s own immune system, temperature, antibiotics and antiseptic products. The importance of debridement has received a lot of attention recently as it has been shown that debridement is a very effective method of removing biofilm.

ChloraSolv®

ChloraSolv is a new debridement gel consisting of buffered hypochlorite and provides a gentle method for easy debridement.

  • Debridement that is beneficial for the natural healing.1
  • Has antimicrobial properties.1
  • Quickly and effectively kills bacteria in biofilm, in vitro.3
Learn more

EVERYTHING YOU NEED TO KNOW ABOUT CHLORASOLV®

Debridement is essential for effective wound healing. ChloraSolv is a unique and gentle debridement product.

Debridement with Hilde Ingebretsen (Swedish)

RN, MsN, Vo internal medicine and infection at Danderyd Hospital, Sweden.

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Product presentation by Annika Nordström (Swedish)

RN, Key Account Manager, Product Specialist, at RLS Global. 

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