Description of a new combination of technics for the debridement of chronic wounds
Antonio Erasto Villar Rojas, Álvaro Rafael Villar Hernández, María Díaz Mateos

SUMMARY

In this article we present the clinical evolution of a patient with a pressure ulcer, stage IV, in the area of the sacrum. We describe the utilization of a new guideline of debridement by means of the combination of dressing the dressing of Hydrofiber technology with ionic silver (Aquacel^® Ag) and solution of polihexanida betaina (Prontosan^®) in wound with high bacterial load and of extremely complex managing. By means of the guideline of debridement described we obtained a favourable evolution of the pressure ulcer, considering the clinical characteristics of the patient and ulcer we obtained an excellent result in a short period of time. We consider that the guideline of debridement described can be of great usefulness in those patients with high proportion of desvitalizated tissue, which is needed of a rapid and slightly aggressive debridement, as well as in those patients with cavity injuries and of difficult access for the professional.

KEY WORDS

   Pressure ulcer, bacterial load, debridement, anti-infective agents, local.

Vol. 21 nº1-2010