Past Management: Wound care products utilized to promote wound healing include low airloss therapy and fluid simulation support surfaces.
Patient A: stage 4 pressure injury to coccyx managed by calcium alginate, hypochlorous acid
Patient B: stage 4 pressure injury to coccyx with exposed bone managed by antimicrobial barrier silver dressing
Patient C: deep tissue injury to coccyx managed by balsam peru, castor oil ointment
Patient D: full thickness non-granulating perineal wound related to trauma from vehicular accident managed by hypochlorous acid
Patient E: stage 4 pressure injury to coccyx managed by sodium hypochlorite acid
Patient F: full thickness wound to left lower leg from hematoma with fat necrosis managed by sodium hypochlorite acid
Current Approach: Use of NLFU as adjunct treatment to wound care, initial wound volume ranged from 12cm2 to146 cm2
Patient A: NPWT, three NLFU treatments for 1 week
Patient B: NPWT, ten NLFU treatments for 3 weeks
Patient C: Enzymatic debrider, five NLFU treatments for 1.5 weeks
Patient D: Mafenide acetate cream, five NLFU treatments for 1.5 weeks
Patient E: NPWT, two NLFU treatments
Patient F: NPWT, thirteen NLFU treatments for 4 weeks
Outcomes: Average wound volume reduction at 60%. Three patients with average of 76% wound volume reduction, one patient with 42% reduction after 2 NLFU treatments inspite of being one week apart from initial treatment.
Conclusions:
The addition of NLFU as an adjunct treatment to standard of care for treating various types of wounds was found to be highly effective, provided positive outcomes, reduced wound volumes.