Healthpoint will stop shipping Accuzyme and Panafil in January of 2009. So it is important to look at other products that can assist in debridement. (The author will discuss Santyl and biologicals in part 2 and 3). These are some details of products that I have used to debride wounds. Again these will not be as fast as Accuzyme and Panafil, but they are quicker than autolytic debridement. This product uses osmotic debridement ( Which has increased sodium and creates a chemical pull leading to necrotic tissue being lifted up). These products include mesalt and hypergel. Below is a detail from the company web site with a link for more information.
Authors Note:
1. These products can cause pain related to the sodium.
2. The products work very well in patients with peripheral neuropathy
Mesalt® – Molnlycke
Sodium Chloride Impregnated Gauze helps stimulate the cleansing of moist necrosis (slough), draining, and infected wounds.
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It absorbs exudate, bacteria and necrotic material from the wound and into the dressing, thereby facilitating the natural wound healing process. Mesalt is intended for the management of heavily discharging and discharging infected wounds in the inflammatory phase and deep cavity wounds such as pressure ulcers and surgical wounds. |
http://www.molnlycke.com/item.asp?id=15159&catid=15076&lang=2&si=181
Hypergel®Molnlycke
Hypertonic Saline Gel for the black, necrotic phase of wound healing.
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This water based hypertonic saline gel softens eschar and draws drainage and debris from the wound. Hypergel debrides dry necrotic tissue (eschar), which is essential for wound healing to progress. Use directly from sterile, single dose tubes without mixing, mess or waste. |
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http://www.molnlycke.com/item.asp?id=15051&pid=15009&lang=2&si=181
Matthew Livingston R.N. C.W.S.