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Wound Management By Pulse Lavage

By Teri Farley


Pulse lavage is type of mechanical hydrotherapy that makes use of saline solution to debride and clean wounds. The solution is pressurized to irrigate necrotic tissues and wound debris. This is often used along with suction to remove the irrigation solution. In many clinical settings, this procedure is performed in patients with deep wounds to allow successful healing.

Wound cleaning is vital to patient for obvious reasons. Wounds need to be managed properly in order for the patient to start healing. Risk for infection can also be reduced if there is proper management. Bacteria and necrotic tissues must be removed effectively to pave way for healing to occur. Open wounds can then start healing until the patient recovers fully.

The primary purpose of this procedure is to promote growth of tissue. For this to happen, other debris on the wound must be removed without harming normal underlying tissues. The negative pressure from the suction can also stimulate granulation of tissue. This procedure is done with the use of specific instruments to be operated by trained practitioners.

When performing the procedure, the force or pressure applied may be adjusted depending on the amount of necrotic tissue that has to be removed. Adjustments can be made through the instrument used for the lavage. Practitioners in charge of the procedure should know if the patient feels any pain before, during, or after the procedure to make adjustments as necessary.

In the event that the patient has pain, analgesics can also be administered. Prior to the procedure, application of topical analgesic solution may be necessary as well. Patients who are likely to experience pain during the process can be given pain medications half an hour before the procedure. If there are signs of infection, antibiotics can also be added.

In addition, the saline solution used should be warmed to speed up the healing process. The wound bed cools physiologically and this may slow down healing. This effect can be countered by warming the saline solution prior to application. Once the procedure is completed, patients will be able to heal better with their wound free from necrotic tissue, organisms, and debris.

This procedure costs less compared to other methods. For this reason, this is practiced in many clinical settings. This may be performed as bedside care in hospitals, long term care facilities, outpatient departments, physical therapy settings, and small clinics. Patients who need daily or weekly wound care can undergo this procedure. This can be performed as prescribed or whenever necessary.

Since this procedure is done numerous times for different patients, devices are now designed specifically for this purpose. There are many precision instruments available today intended for wound cleaning. These tools can remove bacteria, necrotic tissue, and foreign materials effectively. Although these are primarily used for wound care, these are also used during orthopedic surgeries to debride bone surfaces.

Healing is very important for any patient suffering from any condition. When it comes to wounds, it is also important to realize the significance of pulse lavage. Patients would need effective methods to manage their condition. With skills of healthcare practitioners, this procedure can be performed the correct way thereby helping patients heal faster.




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