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Ideas?
Sep 12, 2018 by Amy Smith, JD, RN, PHN
2 replies
Julie Lientz
MSN, MBA, RN, WCC, CWON
I would use a wound vac
Sep 12, 2018
Cathy Milne
APRN, MSN, CWOCN-AP
I, too, would consider NPWT..but use a debridement agent under the NPWT interface( meaning the foam or gauze over the non-viable tissue that is in contact with the wound bed) one could use non woven gauze dampened with an anti microbial agent ( Dakin’s, Hypochlorus acid,Acetic Acid) or an automatic agent (hypertonic saline such as Mesalt would be my choice here) or an enzymatic agent ( collagenase) to assist in faster removal of the non-viable tissue. If access to a NPWT device that provides intermittent or continuous irrigation, then the above would not be needed.....and the latter would be the preferred method.
Thanks for sending this in!
Cathy
Sep 12, 2018
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