There is a solid evidence base for the effectiveness of Ultrasound-Assisted Wound Debridement (UAW). In the scientific article "Ultrasonic-assisted wound debridement: report from a closed panel meeting" recently published in the Journal of Wound Care (JoWC), experts from various disciplines advocate the use of the UAW.
Debridement of hard-to-heal chronic wounds presents clinicians with significant challenges. Wounds are often located close to critical structures, patients are not medically stable or have been diagnosed with "neuro-ischemic diabetic foot ulcers (DFU)". This can make the choice of the optimal debridement method very challenging.
Which role does UAW play as a debridement method and how should it be used?
To answer this question, international wound care experts met to discuss the current evidence base of UAW. They reviewed ongoing studies and case reports and came to the following conclusions:
- UAW is suitable for almost all hard-to-heal wounds and can be performed regularly, if necessary at each dressing change.
- It promotes wound healing through wound bed preparation.
- Wound deposits are effectively removed.
- Healthy tissue is not damaged.
- Results of an ongoing study show: UAW promotes granulation tissue formation, collagen production and neo-angiogenesis.
The published article contains many illustrative case studies, e.g. from everyday clinical practice in an Australian outpatient wound clinic, outpatient use in Switzerland or the use of UAW in post-surgical wounds with wound healing disorders. The reader receives a comprehensive, scientifically based overview of ultrasonic debridement with clear recommendations for the use of UAW in everyday clinical practice.