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Important Information Concerning Pulse Lavage Treatment For Wounds

By Paulette Short


Proper cleansing and debridement of an open wound is a vital part of wound care management. It facilitates the healing process, and prevents infections from occurring due to bacteria and other foreign bodies that may use the wound as a portal of entry. Research has been conducted on a method of debridement referred to as pulse lavage, where the wound is cleaned with water, unlike traditional methods that require keeping the area dry.

There are many reasons a wound may be sustained. For instance, an individual who is in a nursing home or who is immobile may develop bedsores due to the fact that he or she cannot rise from bed to complete daily living activities or ambulate. Other injuries of this type may be the result of cuts, burns, or any one of many other unfortunate occurrences.

Pulse lavage refers to the delivering of a water-based solution for the purpose of irrigating a wound. This is typically done under a specific level of pressure, and the solution is passed through a device that is run by electricity. The irrigation results in simultaneous pressure being applied to the area and is followed with suction, the latter of which removes the irrigation solution from the wound. This cleansing method eliminates debris and infectious agents from the wound's surface.

Delivering suction and irrigation simultaneously is also possible. With this technique, the water irrigates one section of the area, while suctioning is performed on another section of the wound. However, for very small wounds, this technique may be challenging to implement.

This kind of cleaning and debridement technique is known by many different names. The latter include pulsatile, jet, or mechanical lavage, as well as "high pressure irrigation". All refer to the same procedure. Plain water may be used as the irrigation solution, or other substances may be added according to what the patient's physician, surgeon, or wound care specialist thinks is best.

The military also uses this type of irrigation method. Using this procedure to debride and clean contaminated wounds that patients received in combat was determined to be a highly effective option for such individuals. In fact, the technique was first used in the 1960s on military personnel, and shortly thereafter it was performed on civilians. Although further studies are currently being conducted on its level of effectiveness and safety, this method is now universally accepted by most health care practitioners.

This technique is associated with different irrigation pressure levels. Some clinical researchers claim that only low-pressure should be applied when irrigating a wound, while other state that high-pressure irrigation is not any more dangerous than the aforementioned pressure. The level of pressure used will depend on the severity of the wound, as well as the advice of the patient's attending physician. In addition, research has indicated that the tissue surrounding the injury will be protected from foreign bodies, such as bacteria, following pressurized irrigation.

It is likely that pulse lavage will be used for many years to come on numerous patients. More studies are being conducted in order to fine tune the techniques used. Anyone suffering from a wound should consider speaking to his or her primary care practitioner about this cleansing method.




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