title: Use of a topical haemoglobin spray for oxygenating pressure ulcers: healing outcomes.
abstract: A published evaluation ( Tickle, 2015 ) of the use of a topical haemoglobin spray plus standard care in 18 patients with pressure ulcers showed that, following 4 weeks of treatment, the wound size reduced in 17 wounds and there was a progression toward healing in all 18. All but one of the wounds were over 2 months in duration at baseline. This article reports the results of the healing rates at 3 months of the 11 patients who continued to be treated with the haemoglobin spray. Nine of the 11 wounds healed, and 2 reduced in size by week 12 (i.e. 1 wound reduced from 30 cm(2) at baseline to 7 cm(2), while the other reduced from 6 cm(2) to 4 cm(2)). Of the 10 patients who were experiencing wound pain at baseline, 9 were pain free by week 8. Rapid elimination of slough was observed in all patients. The 82% healing rate achieved at 3 months and the fact that most patients continued to receive the same standard care as they had in the 4 weeks before recruitment into the evaluation increases the likelihood that the clinical outcomes observed here can be attributed to the haemoglobin spray. Topical haemoglobin shows promise in terms of its ability to accelerate healing in chronic pressure ulcers.
authors.affiliation: Tissue Viability Specialist, Shropshire Community NHS Trust.
authors.forename: Joy
authors.initials: J
authors.lastname: Tickle
authors.affiliation: Nurse Practitioner and Independent Specialist in Tissue Viability, South Tees NHS Hospitals Foundation Trust.
authors.forename: Sharon Dawn
authors.initials: SD
authors.lastname: Bateman
keywords: chronic wounds; haemoglobin; pilot study; pressure ulcers; wound healing