1- treatment options for wounds- SA

Question 1

Name the 5 groups of wound debridement

Answer 1

Surgical
Mechanical (wet-to-dry)
Autolytic (Honey)
Enzymatic
Biological (Maggots)

Question 2

What is the most ideal lavage solution used?

Answer 2

Lactated ringers solution/ Hartmanns- has ideal pH and is compatible with tissue

Question 3

What do wet-to-dry dressings do?

Answer 3

Mechanically debride the tissue = converts chronic granulation bed to a healthy one

Question 4

What is topical negative pressure wound therapy?

Answer 4

Mechanical pump that is connected to the wound providing a partial vacuum to the wound
Draws exudate off = reducing oedema in the surrounding tissues

Question 5

Advantages of topical negative pressure wound therapy?

Answer 5

Reduces bacteria colonisation
Promotes granulation tissue development
Increases rate of cell mitosis
Spurs migration of epithelial cells within the wound
Increases blood flow

Question 6

Why is Manuka honey good for wounds?

Answer 6

Antibacterial effect
Healing stimulating properties
Osmotic effect = draws the fluid from wound area & thus bacteria

Question 7

What are the 2 most most popular wound debridement methods in small animal?

Answer 7

Scraping with scalpel blade & wet-to-dry dressing
As they are the cheapest and the quickest to have an effect

Question 8

What is surgical debridement

Answer 8

remove biofilm and devitalised tissue