Wounds : a compendium of clinical research and practice · 2025
Nonhealing wound debridement using a finger-mounted debridement tool.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Castillo-Garcia Elvis
Аннотация
BACKGROUND: Chronic wound management consisting of debridement of nonhealing wounds can reduce bacterial bioburden and remove devitalized tissue. However, traditional debridement tools such as curettes, scissors, forceps, and scalpels can result in patient discomfort, particularly in difficult to access areas of tunneling and undermining.
OBJECTIVE: To evaluate the efficacy of a novel finger-mounted debridement tool in the treatment of nonhealing wounds.
MATERIALS AND METHODS: The finger-mounted debridement tool was assessed in 11 patients. Patients and clinicians were asked to rate their experience following debridement with the device.
RESULTS: The debridement time was 43 ± 14 seconds for an average wound area of 9.06 ± 9.04 cm² prior to debridement. Clinicians rated ease of use and wound accessibility as 5, the highest rating. No bleeding or minimal amounts of bleeding was observed in 92% of wounds post-debridement. In a survey, 67% of patients reported no pain and 33% reported a pain level of 2 to 6 out of 10 possible. Compared with traditional debridement tools, the finger-mounted debridement tool alone was preferred by 56% of patients and the finger-mounted debridement tool with traditional debridement tools was preferred by 33%. Of the patients who responded to the survey, 67% reported being less anxious, 78% perceived faster procedure time, and 89% perceived easier wound access. Providers reported that the device was easy to use and the wounds were more accessible than with traditional tools.
CONCLUSION: The finger-mounted debridement tool proved to be an effective wound debridement tool that required less time, improved wound accessibility in challenging and uneven areas, and was easier to use than traditional debridement tools.
OBJECTIVE: To evaluate the efficacy of a novel finger-mounted debridement tool in the treatment of nonhealing wounds.
MATERIALS AND METHODS: The finger-mounted debridement tool was assessed in 11 patients. Patients and clinicians were asked to rate their experience following debridement with the device.
RESULTS: The debridement time was 43 ± 14 seconds for an average wound area of 9.06 ± 9.04 cm² prior to debridement. Clinicians rated ease of use and wound accessibility as 5, the highest rating. No bleeding or minimal amounts of bleeding was observed in 92% of wounds post-debridement. In a survey, 67% of patients reported no pain and 33% reported a pain level of 2 to 6 out of 10 possible. Compared with traditional debridement tools, the finger-mounted debridement tool alone was preferred by 56% of patients and the finger-mounted debridement tool with traditional debridement tools was preferred by 33%. Of the patients who responded to the survey, 67% reported being less anxious, 78% perceived faster procedure time, and 89% perceived easier wound access. Providers reported that the device was easy to use and the wounds were more accessible than with traditional tools.
CONCLUSION: The finger-mounted debridement tool proved to be an effective wound debridement tool that required less time, improved wound accessibility in challenging and uneven areas, and was easier to use than traditional debridement tools.