ABSTRACT

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 patients with intolerance to sharp debridement. Hieu et al. (2021) noted a PacS dressing offers 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 a PacS dressing was explored as a potential solution for individuals who exhibited intolerance to sharp debridement with heavily burdened wound beds. All dressing changes 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 tolerated alternative to traditional sharp debridement.
Discussion: Patient comfort and tolerance should be prioritized when selecting wound care treatments, as discomfort can hinder healing and patient 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.