Uploaded by DrGlassDPM on May 20, 2010
© 2010 www.DrGlass.org - glass.dpm@gmail.com
SALSA (Southern Arizona Limb Salvage Alliance)
ToeAndFlow.com
Chemotherapy is classically defined as the treatment of disease by use of chemicals. In addition to microbial management of a wound environment, this term has recently become adopted in the field of wound healing for several additional purposes. Wound chemotherapy is best seen as an enabling factor, which further extends the clinicians ability to manipulate a wound environment on a biochemical level.
The benefits of maintaining cleanliness, regular lavage, irrigation, and drainage of open wounds and compound fractures has long been appreciated in medicine. In recent decades, the advent and application of Negative Pressure Wound Therapy (NPWT) has been further augmented with the instillation of chemotherapeutic agents.
Stepwise Technique which has been Shown to Provide Sufficient Results at the Southern Arizona Limb Salvage Alliance
One notable observation about the use of foam dressings with infusion ports, both modified as well as designed, is the increased reliance on patient compliance. This is seen, more so, with the use of such chemovac devices outside of hospital and specialized care facilities, where strict adherence to therapeutic instructions, weight bearing status, and foam dressing application is not always satisfied. In this event, the discontinuation of chemovac therapy may need to be considered, in favor of standard dressings or negative pressure wound therapy. After all, wounds have been healed for many years, long before vacuums.
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- Podiatry
- podiatric
- vascular
- surgery
- wound
- care
- healing
- ulcer
- diabetes
- negative
- pressure
- therapy
- chemotherapy
- vacuum
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- kci
- sved
- chemovac
- infusion
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- ingress
- egress
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- how
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- salsa
- david
- armstrong
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- toeandflow
- toe&flow
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