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The Use Of Pulse Lavage For Wound Cleansing

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 main purpose of the procedure is to aid in the growth of granulation tissues. In order for this to happen, wound debris should be removed without damaging normal underlying tissues. Negative pressure of the suction will also cause stimulation of granulation tissue. Specialized instruments are used to for this procedure and these will be operated by skilled practitioners.

When doing the procedure, the pressure or force used can be adjusted depending on how much necrotic tissue needs to be removed. The specific type of instrument used can be regulated to control the force of lavage. Practitioners performing the procedure must be aware of any pain felt by the patient during the process to make necessary adjustments.

If there is pain, administration of analgesic medications would be necessary. Topical analgesic solution can be applied before the procedure to manage pain. The patient may take medications half an our prior to be relieved. If signs of infection begin to show, it is also necessary to administer antibiotics by adding it to the solution used.

In this case, the bag of saline solution should be warmed to help make the healing process faster. Physiologically, the wound bed may cool down which can slow down healing. To counteract this effect, it is advised to warm the saline solution before application. With this procedure done, patients can have better wound healing as the site becomes free of debris, tissue, and organisms.

This procedure costs less compared to other methods. For this reason, this is practiced in many clinical settings. This may be performed as bedside care in hospitals, long term care facilities, outpatient departments, physical therapy settings, and small clinics. Patients who need daily or weekly wound care can undergo this procedure. This can be performed as prescribed or whenever necessary.

With this procedure often performed nowadays, devices have been made for this exact purpose. Precision instruments are now designed for effective wound cleaning. These tools are used to remove foreign materials, bacteria, and necrotic tissue. While these are primarily intended for wound care, practitioners can also use these during orthopedic operations to debride surface of bones.

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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