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September 20, 2021  
FORUMS: Read-Only

Topic Title: Debridement
Created On: 08/23/2002 02:17 PM
 08/24/2002 12:46 PM

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I'm assuming the debridement technique you were using was the wet to dry normal saline gauze. It would depend on the appearance of the wound bed. If the wound bed is beefy red granulation tissue then it should no longer need to be debrided and the treatment should change. If ther is still eschar in the wound bed then yes you would disturb the process. My suggestion would be to premedicate the patient wiht pain meds. prior to treatment. I personally find that type of debridement to really out dated. There are other methods that work much better.
 08/23/2002 02:17 PM

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I am a student nurse and I was wondering if anyone could answer this question. I've changed dressings where I had to use the debridement procedure, and I was told to take out the gauze leaving it dry thus removing the top layer of the wound bed. I couldn't help but notice that the procedure was very unpleasant to the patient, as gentle as I was trying to be. I was wondering if it was possible to use normal saline before taking out the gauze, making it much more comfortable for the patient, or would that "kill the purpose" of the debridement technique? Some tissue was still removed by wetting the gauze, but maybe not as much as if the gauze stayed dry. I asked my teacher about it but she told me she wasn't sure either and should look into it. I still haven't found an answer in books and maybe a wound care specialist could answer this. Thank you very much.
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