Describe the four different types of debridement surgical mechanical autolytic and enzymatic
Introduction[edit | edit source] Show The concept of preparing the wound bed to promote reepithelialization of chronic wounds has been applied to wound management for more than a decade. The 4 general steps to follow for better preparation are compassed in the acronym DIME.
The primary goal of debridement is:
Image R:Aggressive debridement of Necrotizing fasciitis Indications[edit | edit source]The indication for debridement is the removal of devitalized tissue such as necrotic tissue, slough, bioburden, biofilm, and apoptotic cells. Image R: diabetic ulcer prior to debridement. Debridement is recognized as a major component of wound management to prepare the wound bed for reepithelialization. Devitalized tissue:
Types of Debridement[edit | edit source]Several types of the debridements exist. These include surgical debridement, biological debridement, enzymatic debridements, and autolytic debridement.
Conclusion[edit | edit source]
References[edit | edit source]
What are the four methods of debridement?These include surgical debridement, biological debridement, enzymatic debridements, and autolytic debridement.
What is enzymatic debridement?Enzymatic debridement is performed by the application of a prescribed topical agent that chemically liquefies necrotic tissues with enzymes. These enzymes dissolve and engulf devitalized tissue within the wound matrix.
What is autolytic debridement?Autolytic debridement is the lysis, or breakdown, of damaged tissue at a wound site by the body's natural defence system by enzymes that digest specific components of body tissues or cells, e.g. proteins, fibrin and collagen (Ramundo 2007).
What is a mechanical debridement?Mechanical debridement is one of the oldest forms of wound debridement. This method uses a procession of moist to wet dressings, which are then manually removed. This causes non-selective debridement of necrotic tissue and slough (and sometimes healthy tissue as well).
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