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Using Pulse Lavage For Wound Management

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 very important for obvious reasons. These must be properly managed so that the patient can begin with the healing process. Proper management also reduces the risk for infection. Necrotic tissues and bacteria must be removed from the wound bed to make way for the healing process. This way, open wounds can gradually repair and completely heal.

The purpose of this method is to help granulation tissues grow. For this to take place, debris found on the wound should be eliminated without causing harm to normal underlying tissues. The suction also produces negative pressure which stimulates granulation tissues. Trained practitioners are the ones to perform the procedure using specialized instruments.

When performing this technique, practitioners can adjust the pressure they use depending on the extent of necrotic tissue to be removed. The instrument used may be adjusted to have the right amount of force for the lavage. Those who are performing the procedure should check if pain is felt by the person in order to make adjustments as needed.

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 technique costs less unlike other methods. For such reasons, this is used in different clinical settings. Some hospitals practice this as part of their bedside care. This is also applied in long term care settings, small clinics, and outpatient departments. Patients who need wound cleaning daily, weekly, or whenever necessary can be treated by practitioners.

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 of utmost importance for any patient with a condition. When dealing with wounds, one significant procedure is pulse lavage which helps promote better healing. Patients would require effective methods that would manage their condition. With experienced practitioners performing this procedure, this can be done correctly thereby allowing faster recovery of the patient.




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