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DECEMBER 2012 n VSM


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sion, stimulation of the wound bed, and faster contraction, as well as lower exudate and reduced need for dressing changes. A lower number of anaesthesia events and faster time to healthy granulation tissue formation may make these systems economi- cally viable and a welfare benefit in veterinary practice in the long run. Early research in dogs is also show- ing promising benefits and improved outcomes when used over mesh grafts and suture margins. NPWT so- lutions available: VAC® Therapy Sys- tem from KCI Medical; and Renasys® from Smith and Nephew.


use Hartmans or Lactated Ringers solution in volume (around 100ml per 1cm of wound is a rough guide) through a 19-20 gauge needle to achieve a physical pressure of 8-15lbs per square inch. Saline is acceptable and in heavily contami- nated wounds, volume of solution (dilution is the solution to pollution) will be more critical than the solu- tion itself.


For heavily contaminated wounds many practices use a 0.05% solution of chlorhexidine gluconate or a 0.01% solution of povidone iodine, as an antiseptic. Generally these solu- tions should be avoided in all but the most heavily contaminated wounds as if they are used on a healthy granu- lating wound they will retard fibroblast activity, this in turn is detrimental to wound contrac- tion slowing down the rate of healing. Newer cleansing solutions have attracted interest both


in human A


ppropriate lavage so- lution:


thorough wound


cleansing using a safe, non toxic lavage solution is the most common and arguably important first step in the management of any wound. Many practices choose to


and animal health with a focus on pro- duction of safe anti - sepsis that is harm - less to all


23


cells within the healing cascade. Hy- pochlorus acid is a typical example (eg. Vetericyn – Innovacyn).


F


ilm dressings; simple post surgical dressings such as Primapore® from Smith


and Nephew™ are a staple in the dressing cupboard. However, it may be time to consider the film backed equivalent. Film dressings offer superior protection against bacterial and viral transmission by being water and lick resistant. They are likely to stay in place as well, if not better than the traditional paper-based dressings. Examples include: Opsite® from Smith and Nephew™; and C-View® from As- pen Medical Europe™.


UNIQUE ANTIBACTERIAL WOUND DRESSING ROLL


Contains activated carbon with silver Enhances wound healing rates


Aids in the treatment and prevention of wound infection, reducing the risk of antibiotic resistant super bugs


Dual sided wound face layers allowing the carbon to be placed directly on the wound Can be dispensed and cut to size or applied directly from the roll 10cm x 200cm roll


07775577165 follow us


Before After 4 Weeks Before After 4 Weeks www.EquiMedAg.co.uk info@equimedag.co.uk


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