Brought to you by Clinician’s Brief

Learn simple, effective, cutting-edge techniques for wound management with Practical Wound Care Tips & Techniques. This symposium, held at the NAVC Conference 2013, was led by Karen Tobias, DVM, MS, DACVS, and Danielle Browning, LVMT. Topics discussed included tieover bandages, dressings, maggot therapy, vacuum-assisted closure, and more!

Practical Wound Care Tips & Techniques is modeled on the popular peer-reviewed articles in The Essential Wound Care Series:

Basic Wound Care
This introduction gives a basic overview, while subsequent articles will detail specific wound management techniques.

Challenging wounds can be frustrating or fulfilling, depending on patient status, response to treatment, and owner finances. In reality, problematic wounds are labor-, time-, and cash-intensive, with no guarantee of a positive outcome. Adding to this is the wealth of available wound medications and treatment regimens.

A Fly in My Ointment: Maggot Therapy
Maggot debridement therapy, a biologic treatment used for centuries to improve wound healing in humans, is today reserved primarily as a last resort. Maggot debridement of necrotic and infected wounds should be used in combination with other medical and surg(ical treatments.

Vacuum-Assisted Wound Closure
Vacuum-assisted closure (VAC) is a noninvasive, active, closed wound management system that exposes the wound bed to local subatmospheric pressure.

Also referred to as negative-pressure wound therapy, VAC is used to stimulate granulation tissue formation, reduce interstitial edema and inflammatory cytokines, and improve circulation while maintaining a moist wound-healing environment.

Wound Management: Tie-Over Bandages
Bandaging plays several critical roles in wound management, including protection against infection, contamination, or trauma; application of topical medications; and maintenance of an appropriate wound environment. Bandaging techniques can vary by the location of the wound and function of the bandage. Although many wounds can be covered with encircling bandages, some require more specialized bandaging.

Wound Management: Case Presentations
Wound management can be exciting and rewarding, particularly when challenging wounds are involved. Success is best achieved through a wound management plan that provides the best patient care while meeting financial constraints of the client. In addition, veterinarians and owners need to be prepared for occasional setbacks and failures, approaching these situations with determination and a positive attitude. When a wound deteriorates or fails to heal, the easiest approach is to consider it a new wound and reformulate a plan based on the current status of site and patient.