Successful Management of a Non-Healing- Large Venous Leg Ulcer Using a Pulsed Irrigation Wound Therapy System in the SNF Setting


Lead Presenter

Supporting Presenters

Tina Brouillet, OTR/L, WTA, FSAOE
Donna Mcelroy-Routhier, RN, WTA

Presented At


Venous stasis ulcers are a common and costly problem that can affect patient’s quality of life. Venous stasis ulcers account for 80-90% of lower extremity ulcers. Healing time is unpredictable, therefore, treatment costs can be substantial
Frequent irrigation is considered standard practice for most contaminated wounds to debride bacteria, necrotic tissue, and debris. The “biophysical” approach to biofilm management disrupts and debrides both planktonic and biofilm bacteria to stimulate the wound bed without over-debridement of healthy tissue.

59 year old community dwelling male with chronic 4 year non-healing venous stasis ulcer who had been followed by outpatient wound clinic.
Admitted to SNF setting for structured wound healing in supervised environment.
On admission wound presented 12.0 cm x 35.5 cm with .5 cm depth and 50% slough with persistent pain and low-grade cellulitis

Underwent 101 daily CPI* treatments delivered by physical therapy 6x/week.
Wound dressing initially was daily foam based* dressings for 2 weeks and then dressing changed to sodium Carboxymethylcellulose* daily dressings.
Once wound had healed underwent 1 week of ultrasound over healed epithelial tissue for improved collagen formation prior to discharge back to community setting.

Non-Invasive, Self-Contained Selective Hydro-Mechanical Debridement

CPI® = Effective debridement, without anesthesia
CPI® = Bedside POC with infection control
CPI® = Faster healing, lower cost, better outcome
CPI® = Easy to use, disposable
CPI® = no transportation of patient

The clinical results show daily CPI* with daily dressing changes as well as therapeutic whirlpools for improved skin hydration successfully treats non-healing, chronic venous leg wounds by providing more frequent and reliable non-invasive debridement of bioburden and biofilm.
This case study demonstrates daily CPI* transformed a non-healing wound bed into a granulating and epithelizing wound bed that resulted in complete healing by secondary intention after years of conventional treatment.

Clinical Implications
A multidisciplinary approach including nursing, therapy, and dietary in a controlled setting led to more successful wound healing in this chronic non-healing wound.
Weekly wound rounds to measure wound size and assess appearance of wound bed allowed continued assessment of wound to maximize healing

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