Topical Autologous Blood Clot Therapy: Consensus Panel Recommendations to Guide Use in the Treatment of Complex Wound Types

被引:1
作者
Snyder, Robert J. [1 ,2 ]
Driver, Vickie [3 ,4 ,5 ,6 ]
Cole, Windy [7 ]
Joseph, Warren S. [8 ]
Reyzelman, Alez [9 ]
Lantis, John C. [10 ,11 ]
Kaufman, Jarrod [12 ]
Wild, Thomas [13 ,14 ,15 ]
机构
[1] Barry Univ, Sch Podiatr Med, 320 NW 115th St, Miami, FL 33168 USA
[2] Barry Univ, Sch Podiatr Med, Clin Res, 320 NW 115th St, Miami, FL 33168 USA
[3] Inova Healthcare Syst, Inova Heart & Vasc Inst, Wound Care Ctr, Falls Church, VA USA
[4] Inova Healthcare Syst, Inova Heart & Vasc Inst, Limb Preservat Ctr, Falls Church, VA USA
[5] Inova Heart & Vasc Inst, Hyperbar Med Ctr, Inova Healthcare Syst, Falls Church, VA USA
[6] Univ Virginia, Sch Med, Alexandria, VA USA
[7] Kent State Univ, Coll Podiatr Med, Wound Care Res, Independence, OH USA
[8] Midwestern Univ, Arizona Coll Podiatr Med, Glendale, AZ USA
[9] Samuel Merritt Univ, Calif Sch Podiatr Med, Oakland, CA USA
[10] Mt Sinai West Hosp, Surg, New York, NY USA
[11] Icahn Sch Med, New York, NY USA
[12] Monmouth Med Ctr Southern Campus Hosp & Premier Su, Township, NJ USA
[13] BG Clin Bergmannstrost, Burn Ctr, Clin Plast Hand & Aesthet Surg, Halle, Saale, Germany
[14] Martin Luther Univ Halle Wittenberg, Med Univ Halle, Outpatient & Operating Ctr, Halle, Saale, Germany
[15] Univ Appl Sci Anhalt, Inst Appl Biosci & Proc Management, Educ Course Acad Wound Consultant Koethen, Bernburg, Saale, Germany
来源
WOUNDS-A COMPENDIUM OF CLINICAL RESEARCH AND PRACTICE | 2023年 / 35卷 / 01期
关键词
debridement; extracellular matrix; fistula; tunneling; undermining; DIABETIC FOOT ULCERS; ACELLULAR FLOWABLE MATRIX; SOCIETY; 2015; UPDATE; PRESSURE ULCERS; HYPERBARIC-OXYGEN; CAVITY ULCERS; RISK-FACTORS; EFFICACY; ULTRASOUND; TISSUE;
D O I
10.25270/wnds/22061
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The etiology of acute and chronic wounds goes beyond those often reported in the literature, including those with exposed structures, those in which the entire wound bed cannot be visualized, and patients who are not candidates for typical standard of care. Treatment options for these patients may be limited. TABCT is a viable option for these complex wound types and is not hindered by logistical, procedural, or patient factors. A consensus panel of providers with extensive experience in treatment of these wound types was convened to develop consensus recommendations on the use of TABCT in specific complex wound types. Four consensus statements were defined for TABCT use in patients who cannot undergo sharp or extensive debridement, as a protective barrier to prevent further bacterial ingress, in patients with wounds in which the entire wound bed cannot be safely visualized, and in wounds with exposed tendon and/or bone. Consensus panel recommendations show that TABCT application assists in maintenance of a moist wound healing environment, autolytic debridement, recruitment and delivery of factors essential for wound healing, prevention of pathogen entry, and ability to completely fill wound voids that cannot be fully visualized. Additional advantages of TABCT use are its cost-effectiveness, ease of access, minimal related complications, and proven clinical efficacy.
引用
收藏
页码:2 / 8
页数:7
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