Welcome to The Pressure Effect from Smith+Nephew, the podcast dedicated to exploring innovative solutions for wound care and pressure injury prevention. In this episode, host Dr. Lee Ruotsi is joined by Dr. Richard Franklin, Medical Director at MVS Wound Care and Hyperbarics in Maryland, to delve into the complexities of debridement in treating pressure injuries. Dr. Franklin shares his journey from general surgery to full-time wound care, offering valuable insights into the critical factors that guide debridement decisions. The discussion covers patient assessment, including the importance of understanding comorbidities, vascular health, and living conditions. It also addresses how to evaluate ulcers based on their location, depth, and tissue characteristics, as well as how these factors influence the approach to treatment. Plus, the episode explores various debridement techniques, from sharp surgical tools and enzymatic agents to alternative therapies like hyperbaric oxygen. Dr. Franklin offers practical tips for enhancing patient comfort, such as using topical anesthetics, and discusses innovative tools like contact ultrasound that can improve clinical outcomes. Whether you’re an experienced clinician or new to wound care, this episode is filled with actionable strategies to elevate your practice and optimize patient results. Don’t miss it!
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