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Debridement
Integ
Question | Answer |
---|---|
What is the definition of debridement? | The removal of necrotic tissue and other foreign material or debris from the wound. |
Which debridement type targets a specific area of the wound? | Selective debridement |
Which debridement type involves the general removal of tissue in the wound? | Non-selective debridement |
What are the goals of debridement? | 1. Create a clean wound environment and decrease bacterial growth 2. allow penetration of topicals 3. supports granulation and epithelialization 4. removal of non-viable tissue |
What are the risks of not debriding? (4) | infection, osteomyelitis, sepsis, amputation |
What are the indications for debridement? | black eschar and yellow slough |
This indication means a full thickness wound, may be moist or dry and may be controversial to remove from the heel. | Black eschar |
This necrotic tissue can result from debridement of black eschar and indicates bacterial growth. | Yellow slough |
What are the contraindications to debridement? | granulation wounds, requires surgical debridement, full thickness wound, gangrene, stable necrotic heel ulcers |
What are the 3 types of selective debridement? | autolytic, enzymatic and sharp |
What are the 4 types of non-selective debridement? | Scrubbing, wet-to-dry, whirl pool, electrical stimulation |