Volume : 09, Issue : 12, December – 2022
Title:
06.SURGICAL DEBRIDEMENT OF WOUND, BURN, AND PAIN CONTROL; NURSING REVIEW
Authors :
Moner Eidah Twere Almalki. Mohamad Ahmad Adam Alzahrani. Khaled Abdullhi Allhabi. Mojeba Ali Ali Abdly. Hanaa Abozid Alrashidi. Amirah Hassan aman Alharthi. Abdullah Saleh Alshaikhi. Abdullah Zafer Alshehri. Essam Abdulaziz Hasanin. Naif Fahad Alsharif
Abstract :
The failure to give adequate postoperative analgesia has multiple causes. Insufficient understanding, concern about analgesic medication-related concerns, inadequate pain evaluation, and limited personnel are among the factors. This review will focus on the management of acute postoperative pain as well as the history and classifications of debridement. We did a comprehensive literature search of relevant research on the therapy of acute postoperative pain and will explain the background and types of debridement using the PubMed (Midline) database up to 2022. Debridement is considered an essential component of wound-bed preparation, as it removes impediments to wound healing. However, there is currently insufficient evidence to favor one debridement procedure over another; hence, the choice of which method to employ is dependent on the clinician’s skill and judgment. As inadequate care can result in delayed recovery, increased discomfort, an increased risk of infection, and the inappropriate use of wound dressings, all of which have a negative influence on a patient’s quality of life, experts must be well conversant with all debridement options. Patients with chronic injuries face a number of concerns, including pain, movement restrictions, social isolation, and mental issues. As the ultimate goal of wound management is to improve a patient’s complete quality of life, care planning must incorporate all of these factors while simultaneously preparing the injury bed for recovery. It is essential to recall that certain debridement techniques necessitate the practitioner’s ability to attend to minute details.
Cite This Article:
Please cite this article in press Moner Eidah Twere Almalki et al, Surgical Debridement Of Wound, Burn, And Pain Control; Nursing Review.., Indo Am. J. P. Sci, 2022; 09(12).
Number of Downloads : 10
References:
2. NICE (National Institute of Clinical Excellence) Guidance on the use of debriding agents and specialist wound care clinics for difficult to heal surgical wounds. 2001 URL http://www.nice.org.uk/page.aspx? o=16585 [accessed on 25 October 2016].
3. Sibbald RG, Woo K, Krasner DL, et al. Wound bed preparation: special considerations in wound bed preparation 2011: an update. Adv Skin Wound Care 2011;24:415–36.
4. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management Anesthesiology 20121162248–273.
5. Strohal R, Apelqvist J, Dissemond J, et al (2013) EWMA Document: Debridement. J Wound Care 22(1): S1–S52.
6. Wounds UK (2013) Effective debridement in a changing NHS: a UK consensus. Wounds UK, London. http://www.wounds-uk.com/pdf/content_10761. pdf (accessed 9 June 2014).
7. Wilcox JR, Carter MJ, Covington S (2013) Frequency of debridements and time to heal: a retrospective cohort study of 312,744 wounds. JAMA Dermatol 149(9): 1050–8. doi: 10.1001/jamadermatol.2013.4960.
8. Broadus C (2013) Debridement options: BEAMS made easy. Wound Care Advisor 2(2): 15–18.
9. Snyder RJ, Fife C, Moore Z. Components and Quality Measures of DIME (Devitalized Tissue, Infection/Inflammation, Moisture Balance, and Edge Preparation) in Wound Care. Adv Skin Wound Care. 2016 May;29(5):205-15.
10. Snyder RJ, Fife C, Moore Z. Components and Quality Measures of DIME (Devitalized Tissue, Infection/Inflammation, Moisture Balance, and Edge Preparation) in Wound Care. Adv Skin Wound Care. 2016 May;29(5):205-15.
11. Leak K (2012) How to: ten top tips for wound debridement. Wounds International 3(1).
12. National Institute for Health and Care Excellence 2014) The Debrisoft monofilament debridement pad for use in acute or chronic wounds. March 2014. http://guidance.nice.org.uk/MTG17/Guidance/pdf/English (accessed 27 April 2014).
13. Ritchey RM. Optimizing postoperative pain management. Cleve Clin J Med. 2006;73(Suppl 1):S72–6.
14. Stubhaug A, Breivik H, Eide PK, Kreunen M, Foss A. Mapping of punctuate hyperalgesia around a surgical incision demonstrates that ketamine is a powerful suppressor of central sensitization to pain following surgery. Acta Anaesthesiol Scand. 1997;41(9):1124–32.
15. White PF, Kehlet H. Improving postoperative pain management: what are the unresolved issues? Anesthesiology. 2010;112(1):220–5. doi: 10.1097/ALN.0b013e3181c6316e.
16. Vadivelu N, Mitra S, Narayan D. Recent advances in postoperative pain management. Yale J Biol Med. 2010;83(1):11–25.
17. Elia N, Lysakowski C, Tramer MR. Does multimodal analgesia with acetaminophen, nonsteroidal antiinflammatory drugs, or selective cyclooxygenase-2 inhibitors and patient-controlled analgesia morphine offer advantages over morphine alone? Meta-analyses of randomized trials. Anesthesiology. 2005;103(6):1296–304.
18. White PF. Ambulatory anesthesia advances into the new millennium. Anesth Analg. 2000;90(5):1234–5.
19. White PF. The changing role of non-opioid analgesic techniques in the management of postoperative pain. Anesth Analg. 2005;101(5 Suppl):S5–22.