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Case Study
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Warfarin induced skin necrosis treated successfully with ultrasonic debridments and papain-urea-chlorophyllin copper complex spray Kim Eldridge, RNFA, Rush Hospital WCC/HBO Center, Meridian, MS Warfarin induced skin necrosis treated successfully with Ultrasonic debridements (Sonoca 180) and papain-urea-chlorophyllin copper complex sodium spray (Panafil) resulting in faster healing and improved cosmesis. A case study Ulcers resulting from Warfarin therapy are rare and usually occur between the 3rd and 5th day of beginning the therapy. Warfarin induced skin necrosis is very painful, localized, initially erythematous or hemorrhagic which becomes bullous and eventually a necrotic escar wound. They usually appear with a geographical border. Most commonly on the thighs, breast or buttocks area Treatments for these types of wounds usually require multiple sharp surgical debridements and skin grafting. This results in several hospitalizations for the surgical procedure and discontinuance of or an alternate anticoagulant therapy Treatment in this case study included weekly Ultrasonic debridements in the clinic and daily applications of a papain-urea-chlorophyllin cooper complex sodium spray. Due to the pain of the ulcers and increase incidence of bleeding because of the Warfarin therapy, Ultrasonic debridement was the correct choice in this case along with the ease of the spray from the healing debriding agent. .The ultrasonic energy removes necrotic tissue, infected cells, fibrin slough and biofilms but leaves healthy tissue intact. It also is bactericidal and leaves the wound bed surgically sterile. With using the healing debriding agent, it also helps preserve healthy tissues along with promoting granulation tissue and angiogenesis Combining Ultrasonic debridement ( Sonoca 180 )and the healing properties of the papain-urea-chlorophyllin copper complex sodium spray ( Panafil ) together resulted in a less painful, faster healing and better cosmetic outcome for this type of complex wound |
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