A critical review of irrigation techniques in acute wounds.

International Wound Journal
Justin S Chatterjee

Abstract

Irrigation is a fundamental concept to the care of acute wounds and therefore of prime importance in all surgical specialties. A significant amount of research has been done in search of the most effective irrigation technique over the last three decades. There is evidence to show that irrigation is beneficial in the management of acute traumatic and elective wounds, but exactly which techniques and irrigation pressures needed for optimal outcome are still undetermined. A significant number of the studies to date lack the rigid scientific design needed in a climate of evidence-based medicine. There are substantial methodological flaws and a lack of standardisation between many studies hindering the ability to draw scientific conclusion and compare different studies. There are few randomised, controlled studies on human wounds, and extrapolation from animal studies must be done with caution. Investigation into different irrigation pressures for different levels of contamination is lacking. This would possibly produce a more logical approach for clinically managing acute wounds rather than a blanket treatment for all acute wounds irrespective of the level of contamination. Further research in this direction with greater attention...Continue Reading

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Citations

Sep 5, 2008·The New England Journal of Medicine·Adam J Singer, Alexander B Dagum
Mar 2, 2013·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Rahul ShettySandeep Dawre
Aug 29, 2012·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Andrew StorerAnnMarie Papa
Oct 26, 2010·Emergency Medicine Clinics of North America·Carlos F García-GubernMichael C Bond
Mar 7, 2015·The Veterinary Clinics of North America. Small Animal Practice·Jacqueline R Davidson
Oct 30, 2016·Wilderness & Environmental Medicine·John B LuckSusanne J Spano
Feb 27, 2018·Clinical Orthopaedics and Related Research·Hongyi ZhuXianyou Zheng

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