title: Debridement of necrotic tissue and eschar using a capillary dressing and semi-permeable film dressing.
abstract: Mrs S presented with necrotic pressure damage to her right heel following hospitalization for cardiovascular accident. Mrs H, who had a history of dementia and self-neglect, was found to have a necrotic haematoma on her sacrum. Both presented with leathery necrotic eschar that did not respond to hydrogel or hydrocolloid dressings. Using Vacutex capillary dressing and Tegaderm vapour-permeable film as a secondary dressing, the wound margins showed signs of demarcation within a few days, and within one week I was able to sharp debride the wound, which prepared the wound for healing.
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement / Q000379:methods* / Q000451:nursing*; D005260:Female; D006365:Heel; D006801:Humans; D009336:Necrosis; D009779:Occlusive Dressings; D018579:Patient Selection; D003668:Pressure Ulcer / Q000145:classification / Q000451:nursing* / Q000473:pathology; D017592:Skin Care / Q000379:methods* / Q000451:nursing*; D014945:Wound Healing