Wound Management By Pulse Lavage

By Teri Farley


Pulse lavage is a kind of mechanical hydrotherapy using saline solution to cleanse or debride wounds. This solution used is pressurized to effectively irrigate and remove wound debris and necrotic tissues. Most of the time, this is used with suction to get rid of the solution used. This procedure is done in a variety of clinical settings for patients with different types of wounds.

Wound cleaning is obviously important for many reasons. Any kind of wound should be properly managed to start the healing process sooner. With proper management of the wound, the patient's risk for infection will be reduced. It is very important to remove necrotic tissue and organisms such as bacteria from the wound. This way, the healing process can begin to progress.

The main purpose of the procedure is to aid in the growth of granulation tissues. In order for this to happen, wound debris should be removed without damaging normal underlying tissues. Negative pressure of the suction will also cause stimulation of granulation tissue. Specialized instruments are used to for this procedure and these will be operated by skilled practitioners.

When doing the procedure, the pressure or force used can be adjusted depending on how much necrotic tissue needs to be removed. The specific type of instrument used can be regulated to control the force of lavage. Practitioners performing the procedure must be aware of any pain felt by the patient during the process to make necessary adjustments.

In the event that the patient has pain, analgesics can also be administered. Prior to the procedure, application of topical analgesic solution may be necessary as well. Patients who are likely to experience pain during the process can be given pain medications half an hour before the procedure. If there are signs of infection, antibiotics can also be added.

In addition, it is also advised to warm the saline solution to be used. This will help speed the healing process. Due to physiologic processes, the wound bed ay cool down which slows the healing. This concern can be addressed by making the solution warm before it is applied. Once the wound is free from organisms, debris, and necrotic tissue, healing can take place.

This method also costs less in comparison to other procedures. It is for this practical reason that the procedure is used in numerous clinical settings. This is typically performed in hospitals as part of bedside care, small clinics, long term care centers, and outpatient departments. Patients who require wound care on a daily or weekly basis can be treated.

With this procedure often performed nowadays, devices have been made for this exact purpose. Precision instruments are now designed for effective wound cleaning. These tools are used to remove foreign materials, bacteria, and necrotic tissue. While these are primarily intended for wound care, practitioners can also use these during orthopedic operations to debride surface of bones.

Healing is an important process for patients suffering from a condition. As for wounds, pulse lavage is a very significant procedure for proper healing. Any patient would need methods that are effective in managing their condition especially if it concerns deep wounds. With skillful healthcare practitioners, the procedure will be performed correctly thereby promoting faster recovery for the patient.




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