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Clinical
Application Guide for Successful Healing
What to Look
for in Wound Therapy for your patients with Non Healing
Foot Ulcers
End-Diastolic
Compression
Poor blood circulation is
a significant factor in nearly all recalcitrant foot lesions,
causing a deficit of oxygen and nutrients together with a build
up of fluid and waste metabolites. End-diastolic compression
using Circulator Boot™ equipment is an essential technique for
any clinic that treats at-risk patients. The system includes a
control unit which is connected to the boot and times the
pneumatic compression pulses, typically 85 mm Hg pressure, to
occur at end-diastole. This increases blood flow in the feet and
legs to induce angiogenesis. It disperses antibiotics through
the tissues and is often the only technique that is
effective against deep infections. The Circulator Boot is
arguably the overall most efficient and cost-effective therapy
for foot lesions, especially when infection is present and other
wound-closure methods have failed. Because of its high
clinical intensity it should be used first before other
therapies or surgeries.
Bio
Stimulation Laser
With an output power of
at least 250 mW visible and 250 mW infra red light, plus the
ability to uniformly scan the entire wound with an applied dose
of 3 to 4 Joules/cm2,
Low-Level Laser Therapy (LLLT) stimulates granulation tissue and
augments collagen synthesis to accelerate healing.
Galvanic
Stimulation
In this form of electro
therapy, a pulsed-DC current, passing though the wound bed by
means of conductive dressings, accelerates wound healing. It
will usually turn around a stubborn wound to produce
healing, and will significantly shorten the healing time in
wounds that would eventually heal anyway.
TENS and
Interferential Stimulators
Electro therapy using nerve stimulation (TENS) or interferential
current techniques can accelerate wound healing by
relieving the swelling and increasing blood flow to the feet.
Vacuum-Assisted
Closure
A mild vacuum applied intermittently to the wound by means of an
airtight dressing can aid in wound closure. . . .
Local
Antibiotic Injection
An adjunct to end-diastolic compression therapy, the therapist
injects a suitable antibiotic directly into and around the
infected tissues using an ultra-fine needle prior to a therapy
session. The cardio-synchronous compression pulses act to
disperse the antibiotics for effectively eliminating even the
most difficult cases of cellulitis and osteomyelitis.
Multi
Electrolyte Soak
Another adjunct to end-diastolic compression therapy, "Sea
Soaks" provides the essential micronutrients needed to aid
in healing. In a soak solution for the foot during a therapy
session, and along with antibiotics and hydrogen peroxide, this
provides a soft debridement that largely replaces the
sharp debridement sessions which can otherwise be damaging to
delicate infected tissues.
In
clinical testing, what do the researchers say about
end-diastolic pneumatic compression?
"Excellent outcomes in patients with severe
peripheral arterial occlusive disease suggest that the
wound care community consider expanded utilization of
this modality." — Zink, J. 2003.
About local antibiotic injection?
"Both osteomyelitis and soft tissue infections can
be successfully treated without any surgical
interventions." — Dillon, RS. 1986.
About laser therapy for pain control and tissue repair?
Laser therapy has a positive treatment effect on tissue
repair processes and also, on pain control." —
Parker, J. Meta-analysis. 2000. |
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