Wound Management. . The Goals. Create optimal conditions for the patient to heal themselves. Preserve function. Minimize complications. Improve the chances of a cosmetically pleasing result. What is a Wound?. Any break in the continuity of body tissue Examples:
Any break in the continuity of body tissue
grazes, burns, surgical incisions, stabs, leg ulcers, decubitus ulcers ( pressure sores)
1. Does the wound really need cleaning?
2. What is the safest method that causes no ill effects and maintains the wound temperature?
3. What is acceptable to the patient?
Wounds that are clean and healthy do not require cleaning and should be left alone
- tissue toxic
-did not reduce infection incidence.
although evidence is limited, there is no difference in wound infection rates with the use of tap water as an irrigation fluid.
Presence of prosthetic device(s) Class III
Patients in need of endocarditis prophylaxis Class III
Open joint or fractures associated with wound Class I
Human, dog, and cat bites Class II
Intraoral lacerations Class II
Immunocompromised patients Class III
Heavily contaminated wounds (eg, feces, etc) Class III