What is irrigation of the wound?

wound irrigation is a procedure that healthcare professionals use to remove residues from wounds and to hydrate damaged tissue. In most cases, irrigation occurs when a constant supply of cleaning solution flows across or into an open wound, but can also be called wound irrigation. Health workers usually irrigate most types of tissue wounds, with extra emphasis on cleaning deep cracks or puncture, serious burns and injuries that could lead to infection. Depending on the type and severity of the damage, there are several techniques and solutions that can be used during clinical irrigation.

The selection of the right cleaning agent is important in effective wound irrigation procedures. Medical literature suggests that acceptable solutions are those that are non -toxic, transparent, easily sterilization and cheap. In order to follow these proposals, health workers usually decide to simple physiological solutions or sterilized water. For situations in which they are not inNo sterile solutions are available, carers can use clean drinking water as a replacement. In some clinical environments, medical staff members can also use commercial antimicrobial cleaning agents that contain povidon-yod or hydrogen peroxide to remove certain types of bacteria and combat pathogens such as Staphylococcus aureus .

Many delivery systems are available for wound irrigation, although doctors and nurses often use simple objects such as bulbs and piston or suspended salt bags that have connected tubes. Other commonly used delivery techniques include agitators of whirlpools and nozzles, pressure canisters and pulse rinsing devices. For wounds that require continuous irrigation, there will be any devices that provide a constant and consistent stream of solutions but nThe serious injuries could best respond to the occasional cleaning agent. In these cases, doctors usually turn to a pressure canister or more often to the techniques of irrigation of pulse rinses.

As well as selecting the right solution, achieving the correct fluid pressure is an important factor in effective wound irrigation. This pressure is measured in the pounds per square inch (dogs) or kilogram forces on a square centimeter (kgf/cm 2

). High-pressure treatment of 35-70 PSI (2,46-4,92 kgf/cm 2 )) is useful for removing necrotic tissue and dirt or acute wound residues, but most doctors prefer to use a lower pressure of 1-15 PSI (0.07-1.23 kgf/cm ).

with higher pressure comes a greater risk of infection caused by the flow of fluid pushes the bacteria deeper into the wound. High pressure can also cause further damage to the patient's damaged tissue and may even damage the bones in close proximity to the injury. The risk of spraying back that could spread bacteria nand the surrounding surfaces or people, increases at any time to irrigate wounds with high pressure.

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