The Posters are HERE!

Hi all.. I'm finally getting the hang of this and have actually (successfully) I think --(please let me know if I didn't)  linked the Clinical Posters to this growing site of resources for our new Procellera clinicians. Now just a word of warning if you happen to be perusing this site while sipping a double espresso at your favorite coffee wi-fi hot spot. This is where the warning about the "adult content" becomes IMPORTANT .. except - not even all adults will be able to tolerate the pictures on these posters .... hint... you may not want to look at these in public places where the person behind you will see and then the next thing you know is their coffee , is on your back and they have fainted and you will need to resuscitate one or more patrons...   You get the point?? 
So when you can (safely) view the posters, just keep in mind they are a bit graphic ... but then again -- if you are a wound care clinician you will appreciate that at least these are only pictures and you don't have to cover your nose ....  
If anyone needs to contact me directly ( and privately) - you may click on the "contact me" envelope icon on the right hand border  and send me a note. 
ALL FEEDBACK is WELCOME !!!

Enjoy !    
 Linda Worth RPA-C, CWS

Post-Webinar Survey and other helpful forms

Technology and I have a love -hate relationship. Last week we were definitely on the outs and so the forms that I thought would be easy to add to this site, didn't quite make it on... but , techno and me have had a bit of a reconciliation and at least we are on speaking terms now --- so..... Here we are--- forms, forms and more forms to view, print , e-mail  or whatever else suits your mood. Now the survey can easily be saved as a word file, and completed either on your computer OR by hand , the good old fashioned way . If you choose that method , then please mail ( via snail mail ) to Vomaris Wound Care
                                               3100 West Ray Road , Suite 148
                                              Chandler , Az  85226
Unless you are techno challenged, like I proudly admit to be --- you will probably find the electronic choices a whole lot easier...  Now that I am back on good terms with my computer , I'm off to see what other helpful additions I can add to this site ... Keep those cards and letters coming !  ( at this point I 'll  even take telemarketer who stumbled on this site by accident)

New Questions from the Audience

Here a some new questions that have been asked :

#5 Q. How small can Procellera be cut and still create a current?

   A. As long as a "pair of dots" is are intact -- the activated ( wet ) device will produce current. The device should however always be larger than the wound in order to achieve overlap of the edges -- in this setting, there is no piece that could be too small. Additional points related to this are :  

• cutting through a "dot" will not affect the device

•  multiple pieces may be patched together to adequately cover the wound surface.

*** cavity wounds should be treated with a single piece of Procellera in order to minimize the risk of "leaving" a piece behind .***

#6. Q. Can Procellera be used in combination with Enzymatic debriders ( ex.Santyl)?

        A.The effect of the enzyme on the device has not been studied, and for this reason , it is not recommended to combine the products. Procellera has been used on wounds with slough with some good results though the best results will come with a well prepared wound bed. Sharp debridement and/or ultrasonic irrigating devices for maintainance debridement are recommended as adjuncts to procellera use.

#7. Q. Can Procellera be used in conjunction with Oasis , Dermagraft and Apligraf?

       A. There have been many anecdotal reports on the successful use of Procellera with Oasis. I am not aware of anyone who may have attempted the combination of Procellera with Dermagraft and /or Apligraf. Currently , Vomaris does not recommend the combined use of Procellera with any of these dermal substitutes, though future research is expected to address these issues.

#8.Q. What is the experience using Procellera in clean surgical incisions ? 

      A. Procellera is indicated for surgical incisions and the clinical results reported from the field and Preliminary findings from several ongoing clinical trials has been excellent. There have been no wound infections to our knowledge among the clinicians who use Procellera routinely on their incisions. This includes several orthopedic surgeons who are using Procellera exclusively for their joint reconstruction incisions. A trial is currently underway to determine the effect on pain control, infection and return of functional status in patients with total shoulder arthroplasty using Procellera compared to Placebo.

 The effect of Procellera on scarring is being evaluated in an RCT looking at skin graft donor sites treated with half standard care ( opsite) and half Procellera . Preliminary results of this trial have shown significantly faster healing and superior scar appearance in comparison to standard care. The scientific evidence obtained in the study using Procellera on injured porcine skin, supported this clinical outcome. Histologic examination of the wounds revealed increased epithelial thickness, decreased eschar formation, and decreased neutrophil infiltration of the wounds treated with the bioelectric dressing in comparison to the control group. Studies were completed to examine genetic markers present in the healing tissue. The markers examined were: 1) The inflammatory cytokine interleukin‐1α (IL‐1α); 2) structural dermal collagen expression with COL‐1, the main component of mammalian skin; and 3) COL‐3, which is present in early phases of wound healing and typically replaced during wound maturation; 4) matrix metalloproteinase–9 (MMP‐9), an extracellular protease.

Early wound inflammation was reduced as indicated by down regulation of the levels of IL‐1α in the case of the bioelectric dressing compared to the polyester control side. Further, the IL‐1α expression peaked later in the case of the bioelectric dressing. These results are indicative of a delayed and suppressed inflammatory response with the bioelectric dressing. Reduced inflammation is associated with reduced pain and improved aesthetics in human wound healing. Similarly, the COL‐1, COL‐3 and MMP markers all indicated a favorable faster healing, with less scarring and better wound strength characteristics after application of Procellera compared to control areas. (For further scientific evidence please review our scientific summary by clicking the tab at the top of the blog posts -- )

 Anyone with something to add on these or other topics --- we'd love to hear from you. 

Procellera Post-Webinar Survey --- Now Available

Hello all ! If you are new to this site, welcome and please join as a follower. If you have seen one of our training webinars, we'd love to get your thoughts and feedback. Please email me and I'll send you  the survey form.  If you include your mailing address we will send you some goodies...
Any questions can be submitted through a post here OR if you prefer a less public forum -- send me your question(s) at   lworth@vomaris.com. 
           Come back and visit and share your experiences. After all , Procellera has been " under wraps " for way too long -it's  time to get the word out!