Unlike sloughy tissue, where the goal of care is typically to remove it, there are instances where necrotic tissue should not be removed, or removed with caution. Slough is considered the by-product of the inflammatory phase of wound healing.
Should I remove slough from wound?
The number of white blood cells rises and cell death increases, resulting in the accumulation of slough, which provides an environment for bacterial proliferation, increasing inflammation, and wound chronicity. A failure to remove the slough continues to prolong the inflammatory phase and impair healing.
Can you leave Slough on a wound?
Therefore, slough may persist and require active removal by debridement, otherwise it will predispose the wound to infection and delay healing. Options for debridement are dressings that promote autolysis, such as UrgoClean® (Urgo Medical), or larval therapy.
How do you treat a Sloughy wound?
Shallow, sloughy wounds that produce limited amounts of exudate can be treated with a hydrocolloid dressing. These products facilitate autolysis.
Does Slough indicate infection?
If what you’re cleansing out of the wound is stringy and yellow, and the wound base appears more granular after cleansing, it is most likely slough. If there is an odor, erythema, and signs and symptoms of infection, you’re most likely dealing with purulence or purulent drainage.
Should a healing wound be yellow?
If you have a scab, it’s considered normal to see it change into a yellowish color over time. This is completely normal and is the result of the hemoglobin from red blood cells in the scab being broken down and washed away.
How do you remove slough tissue?
There are several wound cleansing products which can be used for the safe removal of slough, and several different methods of debridement – including autolytic, conservative sharp, surgical, ultrasonic, hydrosurgical and mechanical – as well as several therapies which can be used, including osmotic, biological, …
When should you debride a wound?
Debridement is only necessary when a wound isn’t healing well on its own. In most cases, your own healing process will kick in and begin repairing injured tissues. If there is any tissue that dies, your naturally-occurring enzymes will dissolve it, or the skin will slough off.