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 person may develop a wound. For instance, bed sores may afflict those who are immobile or nursing home residents who cannot leave their beds to exercise or participate in other activities. Other types of wounds may be the result of unfortunate incidents such as burns or cuts.

Pulse lavage refers to the delivering of a water-based solution for the purpose of irrigating a wound. This is typically done under a specific level of pressure, and the solution is passed through a device that is run by electricity. The irrigation results in simultaneous pressure being applied to the area and is followed with suction, the latter of which removes the irrigation solution from the wound. This cleansing method eliminates debris and infectious agents from the wound's surface.

It is also possible to deliver the irrigation and suction simultaneously. With this method, the solution irrigates one area of the wound while suctioning another area. For wounds that are very small in circumference, it may be difficult to implement this technique, however.

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.

The military also uses this type of irrigation method. Using this procedure to debride and clean contaminated wounds that patients received in combat was determined to be a highly effective option for such individuals. In fact, the technique was first used in the 1960s on military personnel, and shortly thereafter it was performed on civilians. Although further studies are currently being conducted on its level of effectiveness and safety, this method is now universally accepted by most health care practitioners.

There are various levels of pressure that can be utilized with this cleansing method. Some medical scientists claim that only low pressure irrigation should be performed, while other professionals report that there are no additional risks associated with high-pressure techniques. This decision will largely depend on the kind of wound the individual sustained, as well as the opinion of the doctor or other practitioner from whom the patient is receiving treatment. Research has overwhelmingly pointed to the fact that tissue surrounding the wound is safer from exposure to foreign substances such as bacteria after pressurized irrigation is performed.

It is likely that pulse lavage will be used for many years to come on numerous patients. More studies are being conducted in order to fine tune the techniques used. Anyone suffering from a wound should consider speaking to his or her primary care practitioner about this cleansing method.




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