Friday, August 6, 2010

New Features Added

We've done a little redecorating to spice things up a bit -- nothing over the top I hope, but you be the judges...
Don't worry -- we're saving room for some great clinical cases and some fun features too. Who says learning has to be dull???

Questions from the audiences

Hello all . I will be posting as many of the clinical questions and their answers,  that have been brought to our attention so they will be easily accessible for all. For a complete listing of FAQ's please refer to our Field Guide which will be accessible through this site in the very near future.
The following are actual questions raised by clinicians in various practice settings.

#1. Q.  What is the recommended schedule for changing the dressing in wounds with eschar or bio-burden? 
      A.  Procellera may be left in place for up to 7 days at a time. This is a maximum recommendation and more frequent changes of either the cover dressings alone OR the Procellera as well as the cover dressings may be performed as clinically indicated . For example, some wounds will be highly exudative and may require frequent changing of the cover dressings -- yet the Procellera may be left intact. If the clinician would prefer to examine the wound bed more frequently as in the case of residual eschar or bio-burden , they may choose to change the Procellera as well. It is NOT RECOMMENDED to "rinse" the Procellera and replace the same piece once it has been fully removed from the surface. IT IS ACCEPTABLE to re-moisten the intact Procellera while it is still on the wound bed and then replace the secondary dressings. It is the experience of the clinician that should dictate the individual regimen for each patient. Factors such as drainage, odor and peri-wound concerns will all factor into the decision on how often the dressing should be changed.

#2 Q. Is saline required to moisten the Procellera or can plain water be used? 
     A. It is acceptable to use either sterile saline, sterile water or a sterile hydrogel to moisten the Procellera . The use of non-sterile liquids such as tap or bottled water have not been studied.

#3 Q.  Can Procellera be used on Radiated skin wounds ? 
      A. Yes . Radiated skin can be difficult to achieve healing due to the destruction of the normal architecture and relative ischemia of the tissue. As in all situations , close monitoring by the caregivers is recommended and if results are not as expected ,a change in management may be needed.

#4 Q. Can Procellera be used on  necrotic tumors?
      A. It is not recommended to use Procellera on a cancerous lesion that has not been fully treated. Following  a  surgical excision or resection of all the involved tissue , Procellera may be used for the resultant wounds.