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.
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.