TY - CHAP M1 - Book, Section TI - Wound Bed Preparation/Débridement A1 - Albaugh, Karen A1 - Loehne, Harriett A2 - McCulloch, Joseph M. A2 - Kloth, Luther C. PY - 2010 T2 - Wound Healing Evidence-Based Management, 4e AB - Over the years, the rationale for wound débridement has held the following unwavering goals: rid the wound of necrotic tissue, reduce the wound bacterial burden, and correct abnormal wound repair—all with the intention of facilitating the cascade of wound healing. With the introduction of "advanced" wound therapies, such as bioengineered skin and platelet-derived growth factors in the 1990s, it quickly became apparent that these therapies would not be effective unless a conducive environment for wound healing was established.1 Since 2000, the concept of wound bed preparation has given a more focused approach to wound management and, consequently, to the value of débridement in the successful care of patients with chronic wounds. Falanga and Sibbald were among the first to coin the term wound bed preparation.1,2 They have since defined the individual concepts within the model in numerous journal publications. At the crux of the model is the importance of débridement, bacterial control, and adequate moisture balance within the wound bed. These three points, at a minimum, are necessary to establish an environment conducive to healing. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - fadavispt.mhmedical.com/content.aspx?aid=1184831342 ER -