RT Book, Section
A1 Albaugh, Karen
A1 Loehne, Harriett
A2 McCulloch, Joseph M.
A2 Kloth, Luther C.
SR Print(0)
ID 1184831342
T1 Wound Bed Preparation/Débridement
T2 Wound Healing Evidence-Based Management, 4e
YR 2010
FD 2010
PB McGraw-Hill Education
PP New York, NY
SN 9780803619043
LK fadavispt.mhmedical.com/content.aspx?aid=1184831342
RD 2024/04/19
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.