Debridement of Decubitus Ulcers

Types of Decubitus Ulcer Debridements

The following are different types of decubitus ulcer debridement options for nursing home residents or hospital patients suffering with bedsores:

  • Autolytic debridement of Decubitus Ulcers
    • Lysis of necrotic tissue by the body’s white blood cells and enzymes.
    • Maintains the healthy skin tissue underneath or around the pressure ulcer
    • This option is a biological process that occurs in a moist environment
  • Chemical Debridement of Pressure Sores
  • Accomplished by placing enzyme creams or gels on the bedsore area:
    • Collagense (Brand name = Santyl®)
    • Papain with urea (Brand Names = Accuzyme®, Ethezyme®, Gladase®)
    • Sodium hypochlorite (Brand Names = Chlorpactin®, Dakin’s)
    • Regardless of the chemical debridement of the wound; ask your doctor if a generic pressure sore cream/gel is available to save you money.
  • Mechanical Debridement of Pressure Ulcers
    • Changing wound dressings from wet to dry (Wound care doctors usually frown on this option as it causes repeated trauma to the wound bed and is usually painful to the patient)
    • Whirlpool mechanical debridement of the sore (this whirlpool option risks contaminating other sores or getting harmful bacteria from other areas of the patients body. Whirlpooling debridement is contraindicated for some wounds such as venous stasis)
    • Pulse lavage (This is a very expensive option and usually not available for patients suffering with pressure sores. It requires a specialized wound care team and intense infection control)
  • Decubitus Ulcer Sharp Debridement
    • This is a more traditional approach that manner doctors recommend for pressure wound care. It involves sequential removal of avascular tissue, using sterile scalpel and narrow forceps. This can often prevent a Stage I or Stage II pressure ulcer from deteriorating further. It is important that the patient is able to clot properly. A blood test should be taken before this sharp debridement method is employed. Lastly, this can cause intense pain to the bedsore patient so it is important to medicate the patient before the procedure. Any movement during the procedure could cause an opening of the existing pressure wound.

Surgical debridements of decubitus ulcers are painful, costly and not a guarantee fix for the wound. If you or a loved one has developed a decubitus ulcer (pressure sore) in a nursing home or hospital, know your rights. Pressure sores are a tell tale sign of patient neglect. Learn more about decubitus ulcer lawsuits, click here. To find out more about what a decubitus ulcer is, click here. To learn more about us, click here.

If you have any questions about your potential pressure sore claim, contact Michael, a qualified pressure sore lawyer, at 561-316-7207.

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