Naslov
Old dog, new tricks? Using modern advances in chronic wound management to improve outcomes and patient care; a case report
(Old dog, new tricks? Using modern advances in chronic wound management to improve outcomes and patient care; a case report)

Autori
Delalić, Điđi ; Roher, Robert

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
EPUAP 2022 Abstract Book / - Prag, 2022, 93-93

Skup
22nd Annual Meeting of the European Pressure Ulcer Advisory Panel (EPUAP)

Mjesto i datum
Prag, Češka Republika, 14.09.2022. - 16.09.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Chronic Wounds ; Pressure Ulcers ; Wound Care

Sažetak
Introduction: Chronic wounds are those that have failed to heal after a period of 3 months or have gone through the process of healing without achieving a satisfactory anatomical or functional outcome. There are several factors at play that make chronic wounds a serious problem that is difficult to manage. First of all, in spite of various research, there is still no consensus on the biological background and processes that are responsible for the appearance of chronic wounds. Secondly, there is still no consensus on which specialty should treat those wounds: geriatricians, endocrinologists, general surgeons, vascular surgeons and dermatologists all treat chronic wounds to an extent. The cost of treating chronic wounds is getting higher every year. Luckily for the patients, since chronic wounds have become a significant economic burden on the healthcare system, innovation has started to flourish, with different biomedical companies designing new products in an attempt to facilitate the process of chronic wound healing and provide the definitive solution to a very complex problem. This paper demonstrates how such novel products can have a significant positive impact on patient outcomes and satisfaction. Case presentation: An 89-year-old female patient presented to the Emergency Department with complaints of generalized weakness and pain in the sacral area. On inspection, a large, extensive wound with several layers of purulent contents and necrotic tissue was found on the patient’s sacral area, presumed to be a pressure ulcer. An extensive necrectomy and debridement of the wound were performed, and the wound was irrigated with hypochlorous acid. As for the dressing, a specific combination was chosen, comprising of a non-woven PVA dressing that transforms into gel when in contact with exudate, while also transfering exudate to the secondary dressing, keeping the wound bed clean and promoting autolytic wound debridement, and a five-layer sacral foam dressing that absorbs exudate, balances moisture and prevents maceration. After 8 months of the aforementioned treatment plan, the wound had completely healed, without any signs of residuals. Conclusions: While the increasing economic burden of treating chronic wounds has presented a large problem for healthcare administration all around the globe, it has also bred innovation and competition in the research and development sector, leading to the design and production of novel treatments that drastically improve wound healing, patient satisfaction and overall reduce treatment costs by shortening the time necessary for the wounds to heal.

Izvorni jezik
Engleski

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