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Wound DebridementAka: Decubitus Ulcer Debridement, Sharp Debridement, Mechanical Debridement, Autolytic Debridement, Enzymatic Debridement
- Goal
- Preserve granulation tissue (pink)
- Debride fibrin tissue (white, yellow, or green tissue)
- Debride necrotic tissue (black wound)
- Full thickness burn (third degree burn)
- Pressure Sore (Stages 3 or 4)
- Gangrenous ulcer
- Exceptions: Stable healing ulcer with dry eschar
- Dry eschar does not require debridement
- Debridement indications
- Edema or erythema
- Fluctuance
- Discharge
- Techniques
- Sharp debridement
- Scalpel or scissors to remove devitalized tissue
- Indications
- Removing adherent eschar
- Devitalized tissue in extensive ulcer
- Urgent debridement in advanced Cellulitis or Sepsis
- Follow-up sharp debridement
- Apply clean, dry dressings for 8-24 hours
- Restart wet-to-moist (or wet-to-dry) dressings
- Debridement under Anesthesia Indications
- Indicated for extensive stage 4 Decubitus Ulcers
- Consider bone biopsy to assess for Osteomyelitis
- Mechanical Debridement
- Wet-to-Dry Dressing
- Hydrotherapy (Occlusive Wound Dressing)
- Wound irrigation
- Dextranomers
- Enzymatic debridement
- Autolytic debridement
- In vivo enzymes self-digest devitalized tissue
- Synthetic dressing applied to cover wound
- Contraindicated for infected wounds
- Sharp debridement
