Can the use of a polyacrylate fiber impregnated lipido-colloid silver dressing promote wound debridement and optimize wound bed status in sensate patients?

Introduction: Wound debridement is a standard of care for wound therapy, however may not be well tolerated by sensate patients. The purpose of this case study was to evaluate the use of a polyacrylate fiber, impregnated lipido-colloid silver (PacS) dressing in those patients with intolerance to sharp debridement. Hieu et al. (2021) noted a PacS dressing offering a continuous cleansing of the wound bed, reducing biofilm presence, and promoting antimicrobial benefit.Methods:Through a case study involving five patients, the use of an PacS dressing was explored as a potential solution for individuals who exhibited intolerance to sharp debridement with heavily burdened wound beds. The dressing application and removal were completed during office visits over four weeks.Results:The PacS dressing demonstrated favorable outcomes in wound debridement while minimizing patient discomfort. This promising result led to the decision to extend the use of this dressing to other patients within the practice, providing a more tolerable alternative to traditional sharp debridement.Discussion: Patient comfort and tolerance should be prioritized when selecting wound therapy approaches, as discomfort can hinder healing and adherence to treatment. PacS dressings can be an effective alternative to sharp debridement in heavily burdened wounds, offering a gentler approach for sensate patients while still addressing wound healing needs. By recognizing the limitations of traditional wound debridement methods and actively seeking alternative approaches, this case study demonstrated the importance of patient-centered care and the potential of PacS dressings to improve wound management outcomes while promoting patient comfort.References:Hieu, D., Hung, D., Chien, V., Thiet, S., Pavan, B., Johnson, S., Chalvin, B., & Galea, E. (2021) Clinical evaluation of UrgoClean Ag (poly-absorbent dressing based on technology lipido-colloid with silver ions) in the management of infected wounds in Asia. Wounds International, 12(3). Retrieved from https://woundsinternational.com/wp-content/uploads/sites/8/2023/02/844efe9d16176f58dbe086f6153430aa.pdf