The effect of Ringer's solution within a dressing to elicit pain relief

Colegrave, Melanie; Rippon, Mark; Richardson, Cliff

doi:10.12968/jowc.2016.25.4.184

Cited by 8 publications

(4 citation statements)

References 53 publications

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“…3 days, it maintains adequate wound pH, humidity, and reduce inflammation by reducing the concentration of metalloproteinases in the wound environment [ 41 ]. The dressing eliminates all known local obstacles in the healing process of chronic wounds: restores the biochemical balance in the wound bed, allows removal of the necrotic load, ensures proper moist environment within the wound, destroys the biofilm and reduces the pH value to the physiological level [ 42 ]. The use of the cleansing-absorbing dressing for a contaminated chronic wound allows lowering the level of active metalloproteins from the extracellular matrix in the wound bed, removing the residual necrotic layers, absorbing excessive amount of exudate and bringing proper therapeutic moisture into the wound.…”

Section: Cleansing-absorbing Dressingmentioning

confidence: 99%

Wound debridement products and techniques: clinical examples and literature review

Nowak¹,

Mehrholz²,

Barańska‐Rybak³

et al. 2022

pdia

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The term "debridement" stands for the removal of necrotic material, scabs, devitalized tissues, dried serous fluid, infected tissues, biofilm, stratified epidermis, pus, hematomas, foreign bodies, bone fragments and other impurities whose presence delays wound healing. It is an inseparable element of wound healing therapy. Properly performed debridement leads to improvement of microcirculation in the wound, reduction in inflammation and lowering of the level of metalloproteinases, stimulation of wound edges and epidermis, reduction in unpleasant odour and reduction in the risk of infection and improvement of the patient's quality of life. There are many debridement techniques approved by the European Wound Management Association. The selection of the most appropriate method depends on many factors such as tissue type, presence of biofilm, depth and location of the wound, underlying cause (venous, arterial), skills of the person performing the debridement and the preferences of the patient him/herself. In our work we present not only a systematic review of most of the debridement techniques used nowadays, but also our clinical cases showing results of those different techniques.

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Section: Cleansing-absorbing Dressingmentioning

confidence: 99%

Wound debridement products and techniques: clinical examples and literature review

Nowak¹,

Mehrholz²,

Barańska‐Rybak³

et al. 2022

pdia

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“…44 Wound dressings and their components have been shown to reduce the wound pain experienced by patients. 20,45 As well as providing a moist wound environment, which leads to reduced pain levels, the properties of the dressings themselves (for example, dressing adhesiveness) can affect the pain experienced by patients. 46 Dressings such as gauze, which can adhere to wounds, can significantly increase pain levels at dressing removal because of the adhesion of the dressing to the wound surface.…”

Section: Secondary Objectivesmentioning

confidence: 99%

The clinical impact of hydroresponsive dressings in dynamic wound healing: Part I

Sterpione

Mas²,

Rippon

et al. 2021

J Wound Care

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Objective: Management of any wound, either acute or hard-to-heal, might involve the use of multiple and different wound dressings in its treatment. This approach is necessary to overcome the myriad of clinical challenges the wound presents, as well as any underlying comorbidities that might affect the clinical outcomes. This article describes the clinical effectiveness of a coordinated wound dressing treatment regimen. Method: This was an open-labelled non-comparative study involving patients with a variety of hard-to-heal and acute wounds of differing levels of severity, but all of which required removal of devitalised tissue to enable wound healing to progress. The first phase used the hydroresponsive wound dressing HydroClean (PAUL HARTMANN AG, Germany). The PUSH score was used as the primary measurement parameter. Results: A total of 86 patients (38 male/48 female), with a mean age of 67.7±21.7 years, took part in the study. The results showed that the hydroresponsive dressing was effective in managing wound exudate production and promoting wound cleansing and debridement, supporting good wound bed preparation. Wound closure was observed in 16/86 (18.6%) wounds at the end of the study (20 weeks). This enabled clinicians to switch to alternative wound dressings to promote subsequent clinical healing outcomes. Conclusion: In this study, the hydroresponsive wound dressing was highly effective in preparing a clean wound bed such that the next stage of wound healing could be supported.

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“…32,88 With regards to the pain management effect of the HRWD1, this has been related to (in part) the Ringers solution component within the dressing that could effectively have a number of pathways for pain reduction. 89 A number of clinical studies have reported improvements in the levels of wound pain experienced by patients when treated with HRWD1. An open, prospective observational study of patients (n=221) with acute/chronic wounds reported that the number of patients reporting "intermediate" or "high" levels of wound pain perception decreased from 64% to 19%.…”

Section: Pain Managementmentioning

confidence: 99%

Hydro-responsive wound dressings for treating hard-to-heal wounds: a narrative review of the clinical evidence

Ousey

Hodgson²,

Rippon

et al. 2021

J Wound Care

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A break in skin integrity must be repaired as quickly as possible to avoid excess blood and fluid loss, and to minimise the onset of infection. Hard-to-heal wounds, in which the progression of the wound healing response is compromised, present several challenges to healing (for example, the presence of devitalised tissue acting as a physical barrier to healing and as a focus for bacterial contamination with the potential for subsequent infection). The objective of this article is to present, as a narrative review, the clinical evidence supporting the use of a unique hydro-responsive wound dressing (HydroClean, HRWD1, PAUL HARTMANN AG, Germany). The dressing provides a simple treatment option to address a number of clinical challenges clinicians must overcome in order to facilitate wound healing progression. These studies demonstrated that this product supported successful debridement/cleansing of a wide variety of wounds, including hard-to-heal wounds, enabled wound bed preparation, and lead to positive healing outcomes, including in wounds that previously had failed to heal. The simplicity of using HRWD1 as a single dressing can help clinicians overcome a variety of challenges when treating both acute and hard-to-heal wounds, which, with the benefit of proven patient outcomes, could make it an ideal choice for a first-line treatment.

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The effect of Ringer's solution within a dressing to elicit pain relief

Cited by 8 publications

References 53 publications

Wound debridement products and techniques: clinical examples and literature review

Wound debridement products and techniques: clinical examples and literature review

The clinical impact of hydroresponsive dressings in dynamic wound healing: Part I

Hydro-responsive wound dressings for treating hard-to-heal wounds: a narrative review of the clinical evidence

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