Essential Facts About Pulse Lavage

By Paulette Short


Proper cleansing and debridement of an open wound is a vital part of wound care management. It facilitates the healing process, and prevents infections from occurring due to bacteria and other foreign bodies that may use the wound as a portal of entry. Research has been conducted on a method of debridement referred to as pulse lavage, where the wound is cleaned with water, unlike traditional methods that require keeping the area dry.

There are many reasons a wound may be sustained. For instance, an individual who is in a nursing home or who is immobile may develop bedsores due to the fact that he or she cannot rise from bed to complete daily living activities or ambulate. Other injuries of this type may be the result of cuts, burns, or any one of many other unfortunate occurrences.

Pulse lavage is a term that describes the irrigation of a wound through a process that involves delivering a water-based solution to the area. This is usually completed under a particular degree of pressure, and an electric device is typically what is used to transport the solution to the area. The irrigation causes simultaneous pressure to be applied to the wound and is followed with suction, which in turn transports the solution away from the area. This cleansing technique eradicates infectious agents and debris from the surface of the wound.

Additionally, irrigation and suction can be delivered to the area simultaneously. During this procedure, the water irrigates one section of the wound while the other area is being suction. However, it may be challenging to implement this technique on wounds that feature a narrow circumference.

This kind of cleaning and debridement technique is known by many different names. The latter include pulsatile, jet, or mechanical lavage, as well as "high pressure irrigation". All refer to the same procedure. Plain water may be used as the irrigation solution, or other substances may be added according to what the patient's physician, surgeon, or wound care specialist thinks is best.

This kind of cleansing method is also used by the military. Debriding and cleaning contaminated wounds sustained in combat with this technique was determined to be one of the best options for such patients. In fact, it was during the 1960s that this kind of technique was first used, and it was conducted on military patients initially, and then civilians. Although its safety and effectiveness are still being studied, it is now a universally accepted method of wound cleansing.

This technique is associated with different irrigation pressure levels. Some clinical researchers claim that only low-pressure should be applied when irrigating a wound, while other state that high-pressure irrigation is not any more dangerous than the aforementioned pressure. The level of pressure used will depend on the severity of the wound, as well as the advice of the patient's attending physician. In addition, research has indicated that the tissue surrounding the injury will be protected from foreign bodies, such as bacteria, following pressurized irrigation.

Most experts agree that pulse lavage will be performed frequently in the coming years. The techniques used will be further developed as more research is completed. Individuals suffering from wounds should speak to their family physician or surgeon concerning this cleaning and debriding method.




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