Approach for any potential pain during chemical debridement of infected complex wounds using a flow chart considering Topical Desiccating Agent (TDA)

Introduction: Pain is a very important variable to consider in wound management and wound bed preparation. Some procedures such as debridement, a fundamental strategy for the removal of infection according the TIME principle, can be painful if not approached in an adequate manner.     Methods: For pain management there are different strategies that allow an optimal use of the therapeutic resources available, in a scheme that should be adapted to the evolution or intensity of the pain as is the case of chemical debridement with a topical desiccating agent (TDA).     Results: A flow chart based on evidence and the current state of knowledge is presented, which facilitates the integration of pain management in wound debridement, both in the assessment of baseline pain in a wound, as well as the step-by-step and progressive use of different strategies for approaching possible local pain relief during the use of TDA.  Discussion: The introduction of this algorithm in clinical practice has allowed to address pain during the procedure adequately.References: