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The Chronic Wound Up Close: Debridement Strategies

Presenter: James McGuire, DPM, PT, LPed, FAPWHc

Wound debridement is the foundation for healing in chronic wounds. Excessive debridement is a detriment to healing, whereas proper removal of accumulated non-viable tissue or foreign material from the wound bed maintains a healthy progressive healing trajectory and avoids wound chronicity. This webinar will provide clinicians with expert information on wound debridement, including when it is appropriate to debride a wound and when it is not.


Debridement and Wound Tissue:

What’s Healthy and What’s Not?

Identifying wound tissue types is imperative for effective care of patients with chronic wounds. This illustrated and referenced white paper provides a clear overview of skin anatomy and physiology, the types of wound tissue and other structures found within wounds, the TIME model of wound bed preparation, and evidence-based principles and techniques of debridement. A detailed table of debridement methods, their selectivity, and their mechanisms of action is also included.

Quick Facts – Debridement and Chronic Wounds

Download Quick Facts – Debridement and Chronic Wounds and share it within your facility. This two-page fact sheet was created to support staff education on on debridement and chronic wound management. The print-friendly format is perfect for posting on the bulletin board or distributing to your nursing staff at in-service.

How Much Do You Know About Wound Debridement?

Take our 10-question quiz to find out!

Terms to Know: Debridement and Wound Care

Autolytic debridement: A method of debridement that uses the body’s own enzymes and the moisture trapped beneath the dressing to liquefy non-viable tissue. Although it is the safest method, it is also very slow and therefore not the best option for wounds with large amounts of necrotic tissue.

Biofilm: A complex microbial community containing bacteria and fungi. The microorganisms synthesize and secrete a protective matrix that attaches the biofilm firmly to a living or non-living surface. The biofilm contributes to underlying wound infection, chronic inflammation, and delay in healing, and it is present in 60% of chronic wounds and 6% of acute wounds.


Restoring Balance in Chronic Wounds

The wound healing cascade is a complex process that follows a strict sequence of molecular events. The complex series of events depend on one another and must take place in a timely and orderly…

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How Debridement Helps in Managing Chronic Wounds

In chronic wounds, debridement can be used to remove dead and necrotic tissue or to remove foreign material. Debridement has repeatedly been shown to expedite…

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The Goals of Wound Debridement

Wound chronicity is a major concern, and removing barriers with each stage of healing is paramount. Debridement may occur naturally by the body’s own ability to slough off dead tissue; however, often this tissue…

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Debridement Options: Considerations in Selecting Debridement Methods

A wound specialist’s job is to outline the options available for treatment. It is the patient’s job to choose a treatment option. Patients do not even have to select the…

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Debridement and Chronic Wounds

Debridement is the foundation of wound bed preparation and is used to promote wound healing. In chronic wounds, debridement is used to return the wound to an acute status. There are five major methods of wound debridement: biological, enzymatic, autolytic, mechanical and surgical. Not every method od debridement is right for every patient; wound care clinicians should be familiar with the methods of debridement and for which patients they are most appropriate.

Debridement is vital to wound bed preparation and wound healing. Watch this brief overview video to learn more about chronic wounds and the educational resources made available on chronic wound management.

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