I am not a WOCN nurse. I have been seeing a pt with a dorsal foot wound with a wound vac for the last 6 weeks. The wound has not shown signs of infection since IVAB was completed 3 weeks ago. Podiatrist has been seeing pt every 2 weeks and has successfully debrided all slough from the wound. There has not been any visible slough for the last 2 weeks. The wound vac has decreased the wound from 5.2 x 4.6 x 1.0 to 2.2 x 2.0 x 0.01.
I am not seeing any further benefit from the wound vac and would like to suggest another type of dressing to promote the currently stalled granulation to close and heal the wound. I have thought about Promogram or Prisma but I want to be certain which dressing has been most successful to heal the wound. Any suggestions??
Oct 8, '13
Promogran would also be my recommendation