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Many wounds require debridement to remove unhealthy tissue and facilitate healing, but mechanical debridement costs clinicians time and money while increasing the risk of patient discomfort.
Mechanical debridement requires sterile instruments as well as additional attention from the caregiver, and every time the wound bed is disturbed, the healing process is interrupted. Because of these factors, clinicians can benefit from using PolyMem brand wound dressings, which contain a mild, non-toxic cleansing agent that reduces the need for debridement during dressing changes.
In this issue of PolyMem QuadraFoam ® Quarterly, we explain how autolytic debridement, through the use of PolyMem ® dressings, can improve patients' comfort and simplify the wound care process.
Sincerely,
Roger Sessions, D.O., FACEP
Chairman and CEO
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QuadraFoam and Autolytic Debridement |
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“Autolysis is the disintegration and liquefaction of necrotic tissue by the patients’ leucocytes and endogenous enzymes. Autolysis, a selective method of debridement, occurs in a moist, vascular environment and leaves healthy tissue intact.“1
Many different types of debridement are available to the healthcare professional; including: autolytic, enzymatic, chemical, mechanical, sharp surgical debridement, and maggot therapy.2,3,4 Autolytic debridement is often chosen in the home or long-term care setting as it is a selective form of debridement, targeting only the non-viable tissues.2 Autolytic debridement requires a moist wound environment, which not all types of dressings can adequately supply.
PolyMem QuadraFoam dressings continuously cleanse, fill, absorb, and moisten wounds while helping reduce persistent wound-related and procedure-related pain.
The PolyMem QuadraFoam dressing formulation also helps enhance autolytic debridement at the wound site. Through the use of the semi-permeable thin film backing and the synergistic combination of the components, PolyMem QuadraFoam dressings help wounds maintain the ideal MVTR (moisture vapor transfer rate) conducive to autolysis. PolyMem dressings help the wound maintain an appropriate moist wound environment while reducing the risk that fluids will “pool” in the wound bed, possibly delaying wound healing. Glycerol and the surfactant in the PolyMem QuadraFoam dressings allow the dressing to be non-adherent to the wound bed. Additionally, these components help to break the bonds between the viable and non-viable tissues in the wound. The absorbing agents in the dressings draw the now liquefied, non-viable tissue into the dressing, so they are discarded during the dressing change process.
Many types of debridement cause patients pain during the process. Autolytic debridement can sometimes be painful for patients during dressing changes as well.2 PolyMem QuadraFoam dressings help to painlessly enhance autolytic debridement. These dressings help to decrease persistent wound-related pain by reducing inflammation at the wound site and inhibiting the nociceptor pain and edema responses, both of which are commonly associated with pain during dressing changes. The dressings also lock slough, debris, and drainage into the dressing with virtually no pain. PolyMem QuadraFoam dressings remove the slough, debris, and drainage with the dressing during dressing changes. Additionally, the absorbing components in the dressings draw wound fluid, which is known to contain natural growth factors and nutrients, to the wound site.
 PolyMem QuadraFoam dressings are a cost-effective solution to selective wound debridement. Clinical time and supplies are saved over the course of wound management. Dressing change procedure is to remove the old dressing and place a new PolyMem QuadraFoam dressing on the wound.
PolyMem QuadraFoam dressings are available in multiple shapes, sizes, thicknesses, with or without adhesive borders, and with or without antimicrobial silver.
Contact us to receive additional information on the PolyMem QuadraFoam formulation’s use for painless autolytic debridement or to have a representative visit you.
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Ferris representatives will be at:
● Wild on Wounds Conference, Las Vegas, NV September 23rd – 25th
Be sure to stop by our booth with questions or for information on PolyMem QuadraFoam dressings!
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Case Study |
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Click to Download
Find out how this third place poster at APWCA, featuring PolyMem QuadraFoam dressings, assisted with autolytic debridement of these pyoderma gangrenosum wounds.
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"Autolytic debridement uses the body's endogenous enzymes to slowly remove necrotic tissues from the wound bed. In a moist wound, phagocytic cells and proteolytic enzymatic enzymes can soften and liquefy the necrotic tissue that is then digested by macrophanges. Autolytic debridement can be facilitated with appropriate dressing in the superficial wound that contains litte necrotic tissue, or a larger, deeper pressure ulcer." 3
Review what the experts say about Autolytic Debridement in Wound Care Essentials: Practice Principles.
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1 Bryant R. Wound Infection: Diagnosis and Management in Acute and Chronic Wounds Nursing Management. Second ed. 2006, Mosby: St. Louis, MO. 179-188.
2 Weir D, Scarborough P, Niezgoda JA. Wound Debridement. In: Krasner DL, Rodeheaver GT, Sibbald RG, eds. Chronic Wound Care: A Clinical Source Book for Healthcare Professionals. 4th ed. Malvern, Pa: HMP Communications, 2007; 343-355.
3 Ayello EA, Baranoski S, Cuddingan J, Sibbald RG. Wound debridement in Wound Care Essentials Practice Principles. Second ed. Philadelphia: Lippincott Williams & Wilkins. 2008; 119-135.
4 Hess C. Types of Chronic Wounds in Skin and Wound Care. Sixth ed. Philadelphia: Lippincott Williams & Wilkins. 2008. 46-86.
Unless otherwise indicated, all trademarks are owned by or licensed to Ferris. © 2010, Ferris Mfg. Corp. 16W300 83rd Street,
Burr Ridge, IL, USA 60527
MKL-515,REV-0,0710
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