Why is wound lavage/flushing so important?
Two key factors in efficient wound healing:
1. Reduction of bacterial contamination
2. Removing foreign bodies and devitalized tissue
Wound irrigation can gently but effectively remove loose debris and exudate from the wound surface and create a local environment that is conducive to healing.
Historically, lavage in veterinary medicine involved the driving of sterile saline solution through a syringe with a 19-20 gauge needle. This method results in very variable pressure and poor volume usage. It is hard work and involves physical, effort particularly when it is used on large or heavily contaminated wounds.
But what do you do then?
At KRUUSE, we have developed the KRUUSE Flushing Unit that supplies a steady flow of saline (at least 100 ml per cm of the longest part of the wound) at pressures between 0.5 – 0.8 bar (8-12 PSI / 55-88Kpa) because that creates enough pressure to dislodge debris and bacteria without driving contaminants further into the wound. Using too low a pressure makes the cleansing of the wound ineffective and serves only to moisten the wound and the surrounding area.
As accessories to the flushing unit we also developed sachets containing the correct amount of electrolytes to make a 3 L solution. And always remember that warm physiological solutions are better than cold!
Professor Derek C Knottenbelt (OBE, BVM&S, DVM&S, DipECEIM, MRCVS, Recognised RCVS and European Specialist in Equine Internal Medicine) says the following about the KRUUSE Flushing Unit:
"The KRUUSE Lavage system is physiologically sound and very well constructed. It provides the busy practitioner with an easy way of maximising chances of a rapid healing process without the need for tedious and tissue destructive methods. You can avoid the use of chemicals and you can improve your overall success rates with this equipment.
I cannot recommend this piece of equipment highly enough – every practice should have several of these available at all times!”
See a video of how this unit works below: