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When Not To Use Advanced Wound Care Modalities

Gary M. Rothenberg, DPM, CDE, CWS | 9,578 reads | 0 comments | 04/19/2013

The statistics are alarming. The morbidity and mortality associated with lower extremity wounds are high, and we are constantly exposed to new options to help heal our patients. The toolbox for the wound care clinician has expanded exponentially in the past decade and it seems as though we are learning more and more daily about the basic science behind wound care.

Key Considerations For Utilizing Silver Dressings

By Chad Friedman, DPM, Elizabeth Bass, DPM, and John Steinberg, DPM | 18,906 reads | 0 comments | 05/03/2006

Given the increasing prevalence of antimicrobial resistance, there is a growing interest in emerging wound care products that contain silver. Topical silver has a broad range of antimicrobial activity and has been used extensively to help treat high-risk burn patients.

Accelerating Wound Healing

hmpadmin | 5,287 reads | 0 comments | 06/03/2003

Are chronic wounds throwing you for a loop? If so, you may want to consider using CellerateRX, a new wound care gel and powder that reportedly helps to jumpstart the healing process. Advanced Wound Care, the manufacturer of the product, says CellerateRX has an array of indications ranging from diabetic ulcers and surgical wounds to pressure ulcers and second-degree burns. The company notes that CellerateRX promotes and accelerates cellular regeneration by replicating the natural fibroconnective template.

A Guide To Compression Dressings For Venous Ulcers

Nancy Slone-Rivera, MS, ANP-C, CWON, CFCN, and Stephanie C. Wu, DPM, MSc | 66,136 reads | 1 comments | 01/25/2012

Given the relatively common incidence of venous insufficiency and the high likelihood of recurrence with venous leg ulcers, these authors offer a thorough review of the literature and share their insights on compression modalities ranging from inelastic (short stretch) bandages to intermittent pneumatic compression therapy.

The largest randomized, multicenter, controlled trial on negative pressure wound therapy (NPWT) concluded that NPWT is more effective than advanced moist wound therapy in facilitating the closure of diabetic foot ulcers and reducing secondary amputations.

Study Says NPWT More Effective Than Moist Dressings For DFUs

Brian McCurdy, Senior Editor | 17,314 reads | 0 comments | 04/03/2008

Negative pressure wound therapy (NPWT) is more effective than advanced moist wound therapy in facilitating the closure of diabetic foot ulcers and reducing secondary amputations. These are the findings of researchers who recently published the largest randomized, multicenter, controlled trial on NPWT.

Pertinent Insights On Antimicrobial Dressings And Infection Control

Clinical Editor: Kazu Suzuki, DPM, CWS | 20,728 reads | 0 comments | 04/23/2012

These expert panelists debate the use of antimicrobial dressings versus regular wound dressings, the efficacy of antiseptics and whether sterile gloves are useful in reducing the risk of infection.

Questioning The Evidence Behind The Use Of Silver Dressings

Warren S. Joseph DPM FIDSA | 4,685 reads | 1 comments | 07/30/2010

A few months ago, Robert Kirsner, MD, PhD, and Stephanie Wu, DPM, invited me to write a chapter on “Antimicrobial Therapy” in their upcoming Wound Healing Society Yearbook. The design of the chapter is a review of a recently published primary study and two or more secondary studies.

Can New Hemostatic Dressings Facilitate Sharp Debridement In High-Risk Patients?

Clark Schierle, MD, PhD, and Julie Krol, MS, PA-C | 17,989 reads | 0 comments | 06/26/2009

   Sharp debridement is a critical step to promote healing and allow the body to repair chronic wounds as naturally and healthily as possible. Removing necrotic tissue and biofilm from the surface of chronic wounds converts chronic wounds into acute ones, effectively “resetting” the wound healing cascade and allowing the healing process to take place.

Honey-Based Dressings: Can They Have An Impact For Diabetic Foot Ulcers?

By Wendy Tyrrell MEd, DPodM, MChS, and Rose A. Cooper, PhD | 45,010 reads | 0 comments | 03/03/2007

     Honey is an ancient wound remedy that is reappearing in clinical practice in developed countries. The availability of licensed wound care products in Europe, New Zealand and Australia is prompting healthcare practitioners in conventional medicine to consider the use of honey within their treatment armamentarium. Ulcer remedies such as honey are necessary as the prevalence of diabetes rises.

Expert Tips On Wound Bed Preparation

By Alexander M. Reyzelman, DPM, and Justin A. Tidwell, DPM | 9,869 reads | 0 comments | 07/03/2003

Treating chronic lower extremity ulcerations successfully depends on how well one understands the complex and dynamic interaction of multiple factors that contribute to the slow or non-healing nature of these ulcerations. Wound bed preparation, which is essential to managing difficult ulcerations, involves exudate reduction, appropriate debridement and the reduction of the wound’s bioburden. Indeed, removing the local barriers to healing will prepare the wound bed to support the activities necessary for wound healing.