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Nurse Helping a Patient

Wounds

What are wounds?

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. 

  • Class 1 wounds are considered to be clean. They are uninfected, no inflammation is present, and are primarily closed. If the draining of these wounds is necessary, a closed draining method is necessary. Additionally, these wounds do not enter respiratory, alimentary, genital, or urinary tracts.

  • Class 2 wounds are considered to be clean-contaminated. These wounds lack unusual contamination. Class 2 wounds enter the respiratory, alimentary, genital, or urinary tracts. However, these wounds have entered these tracts under controlled conditions.

  • Class 3 wounds are considered to be contaminated. These are fresh, open wounds that can result from insult to sterile techniques or leakage from the gastrointestinal tract into the wound. Additionally, incisions made that result in acute or lack of purulent inflammation are considered class 3 wounds. 

  • Class 4 wounds are considered to be dirty-infected. These wounds typically result from improperly cared for traumatic wounds. Class 4 wounds demonstrate devitalized tissue, and they most commonly result from microorganisms present in perforated viscera or the operative field.

How can HBOT help treat wounds?

HBOT (Hyperbaric Oxygen Therapy) helps wound healing by bringing oxygen-rich plasma to tissue starved for oxygen. Wound injuries damage the body's blood vessels, which release fluid that leaks into the tissues and causes swelling. This swelling deprives the damaged cells of oxygen, and tissue starts to die. HBOT reduces swelling while flooding the tissues with oxygen. The higher pressure in the chamber increases the amount of oxygen in the blood. HBOT aims to break the cycle of swelling, oxygen starvation, and tissue death. 

During the treatments, the patient breathes 100 percent oxygen inside a pressurized chamber, which increases the concentration of oxygen in the bloodstream, where it is delivered to a patient's wound site for faster healing. Essentially, HBOT helps heal the wound from the inside out. This therapy can help reduce swelling, fight infection, and build new blood vessels, ultimately producing healthy tissue. It is also effective in fighting certain types of infections, improving circulation, in stimulating growth of new blood vessels, and in treating soft tissue radiation injuries, chronic refractory osteomyelitis, compromised skin grafts and flaps, and diabetic wounds of the lower extremities.

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Links for more information on HBOT and wounds

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