How Well Do You Know the Types of Debridement?

How Well Do You Know About the debridement? Answer these quiz based flashcards based on debridement and check your knowledge. Learn key terms, definitions, and much more related to debridement with the help of our flashcards quizzes with ease. ​

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Question 1
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What is debridement?
Removal of dead devitalized contaminated or foreign material from a wound.
What are the 2 major categories of debridement methods?
  • Selective
  • Non-selective
What are the types of selective debridement?
  • Autolytic
  • Enzymatic
  • Bio surgical or biological debridement
Describe autolytic debridement.
Uses the body’s own cells to soften and break down necrotic tissue.
When would you use autolytic debridement?
  • Non-infected wounds
  • Minimal to moderate amount of necrotic tissue
  • Minimum dressing changes are needed
  • Patients on Coumadin
  • Palliative care patients
What methods / products facilitate autolytic debridement?
  • Any dressing that promotes moist wound bed
  • Occlusive or semi-occlusive dressings
  • Hydrogel with dry wounds
  • Alginate or ​hydrofiber for moist wounds
What is the slowest type of debridement?
Autolytic debridement.
Describe enzymatic debridement.
This type of debridement uses the application of Collagenase ointment. This is a prescription product applied once daily.
How does enzymatic debridement work?
Enzymatic debridement with collagenase ointment works from the “bottom” up.
What is the difference between selective and ​non- selective debridement?
Selective debridement methods remove only non-viable tissue. Non-selective debridement methods remove some viable tissue as well as non-viable tissue.
Describe Bio Surgical / Biological debridement.
  • Use of sterile medicinal maggots to remove non-viable tissue
  • Maggots liquefy necrotic tissue and ingest it
  • They clean the wound, disinfect the wound, stimulate fibroblast growth
What are the indications for use of Biological or Maggot debridement therapy?
For debriding non-healing wounds, including pressure ulcers, venous ulcers, neuropathic foot ulcers, and for traumatic and surgical ​non healing wounds.
What are the contraindications for use of Biological Debridement?
Allergies to brewer’s yeast, fly larvae, soy proteins.
Describe Mechanical debridement.
Mechanical debridement is the external force that is great enough to separate or break adhesive forces of necrotic tissue; can be painful.