References

Bell S The importance of lavage in wound care. The Veterinary Nurse.. 2021; 12:(5)215-9 https://doi.org/10.12968/vetn.2021.12.5.215

Bell S A guide to biofilm in veterinary wounds. The Veterinary Nurse.. 2024; 15:1-6 https://doi.org/10.12968/vetn.2024.15.Sup4.S1

Biagioni RB, Carvalho BV, Manzioni R Smartphone application for wound area measurement in clinical practice. Jvascsurgc.. 2021; 7:(2)258-61 https://doi.org/10.1016/j.jvscit.2021.02.008

Bodea IM, Dîrlea SA, Mureşan C Clinical Benefits of Using a Smartphone Application to Assess the Wound Healing Process in a Feline Patient – A Case Report. Topics in Companion Animal Medicine.. 2021; 42 https://doi.org/10.1016/j.tcam.2020.100498

Brennan M, Belshaw Z Does manuka honey improve the speed of wound healingin dogs?. Veterinary Record.. 2020; 187:(1)30-30 https://doi.org/10.1136/vr.m2538

Buffa EA, Lubbe AM, Verstraete FJM, Swaim SF The Effects of Wound Lavage Solutions on Canine Fibroblasts: An In Vitro Study. Veterinary Surgery.. 1997; 26:(6)460-6 https://doi.org/10.1111/j.1532-950X.1997.tb00517.x

Buote NJ Updates in Wound Management and Dressings. Veterinary Clinics of North America: Small Animal Practice.. 2022; 52:(2)289-315 https://doi.org/10.1016/j.cvsm.2021.12.001

Chatzimisios K, Tsioli V, Brellou GD Evaluation of the Effectiveness of Medical-Grade Honey and Hypericum Perforatum Ointment on Second-Intention Healing of Full-Thickness Skin Wounds in Cats. Animals.. 2024; 14:(1) https://doi.org/10.3390/ani14010036

Curtis A Quality improvement frameworks to maximise wound. assessment. The Veterinary Nurse.. 2022; 13:(1)26-9 https://doi.org/10.12968/vetn.2022.13.1.26

Davey JS, Chong WL, Fountain J In vitro evaluation of a hybrid negative pressure system for wound therapy. Veterinary Surgery.. 2024; 53:(6)1093-101 https://doi.org/10.1111/vsu.14101

Davidson JR Current Concepts in Wound Management and Wound Healing Products. Veterinary Clinics of North America: Small Animal Practice.. 2015; 45:(3)537-64 https://doi.org/10.1016/j.cvsm.2015.01.009

Demaria M, Stanley BJ, Hauptman JG Effects of Negative Pressure Wound Therapy on Healing of Open Wounds in Dogs. Veterinary Surgery.. 2011; 40:(6)658-69 https://doi.org/10.1111/j.1532-950X.2011.00849.x

Dowsett C, Nyløkke M Taking wound assessment beyond the edge. Clinical practice.. 2015; 6:(1)

C A S E For better care and wound healing outcomes: Improving Wound Assessment in Animals. 2025;

Fernandez R, Griffiths R Water for wound cleansing.: Cochrane Library; 2008

Fichter MM, Pirke KM, Holsboer F Weight loss causes neuroendocrine disturbances: experimental study in healthy starving subjects. Psychiatry Res.. 1986; 17:(1)61-72 https://doi.org/10.1016/0165-1781(86)90042-9

Fleck CA Why “Wet to Dry”?. The Journal of the American College of Certified Wound Specialists.. 2009; 1:(4)109-13 https://doi.org/10.1016/j.jcws.2009.09.003

Foltynski P Ways to increase precision and accuracy of wound area measurement using smart devices: Advanced app Planimator. PLOS ONE.. 2018; 13:(3) https://doi.org/10.1371/journal.pone.0192485

Garcia-Pertierra S, Vizcaino Reves N, Calvo Aguado A Negative-pressure wound therapy for high-risk surgical incision wounds using an ultra-portable device: 11 cases. Veterinary Record Case Reports.. 2019; 7:(2) https://doi.org/10.1136/vetreccr-2018-000751

Haesler E, Swanson T, Ousey K, Carville K Clinical indicators of wound infection and biofilm: reaching international consensus. J Wound Care.. 2019; 28:s4-12 https://doi.org/10.12968/jowc.2019.28.Sup3b.S4

Khansa I, Schoenbrunner AR, Kraft CT, Janis JE Silver in Wound Care—Friend or Foe?: A Comprehensive Review. Plastic and Reconstructive Surgery – Global Open.. 2019; 7:(8) https://doi.org/10.1097/GOX.0000000000002390

Leaper DJ, Schultz G, Carville K Extending the TIME concept: what have we learned in the past 10 years?. International Wound Journal.. 2012; 9:1-19 https://doi.org/10.1111/j.1742-481X.2012.01097.x

Liu Y, Long S, Wang H, Wang Y Biofilm therapy for chronic wounds. International Wound Journal.. 2024; 21:(2) https://doi.org/10.1111/iwj.14667

Low D, Aldridge P CPD article: Biofilms and surgical site infections. Companion Animal.. 2022; 27:(3)40-6 https://doi.org/10.12968/coan.2021.0065

Lozier S, Pope E, Berg J Effects of Four Preparations of 0.05% Chlorhexidine Diacetate on Wound Healing in Dogs. Veterinary Surgery.. 1992; 21:(2)107-12 https://doi.org/10.1111/j.1532-950X.1992.tb00025.x

Lux CN Wound healing in animals: a review of physiology and clinical evaluation. Veterinary Dermatology.. 2022; 33:(1) https://doi.org/10.1111/vde.13032

Moore Z, Dowsett C, Smith G TIME CDST: an updated tool to address the current challenges in wound care. J Wound Care.. 2019; 28:(3)154-61 https://doi.org/10.12968/jowc.2019.28.3.154

Nair HKR Increasing productivity with smartphone digital imagery wound measurements and analysis. J Wound Care.. 2018; 27:S12-9 https://doi.org/10.12968/jowc.2018.27.Sup9a.S12

Neo R, Gaonkar P, Huber L, Hlusko KC Medical-grade honey has superior antibacterial properties against common bacterial isolates in wound cultures of dogs and cats in comparison to non–medical-grade honey types. 2024; https://doi.org/10.2460/ajvr.24.07.0188

Nolff M. C., Fehr M, Bolling A Negative pressure wound therapy, silver coated foam dressing and conventional bandages in open wound treatment in dogs. Veterinary and Comparative Orthopaedics and Traumatology.. 2017; 28:30-8 https://doi.org/10.3415/VCOT-14-05-0076

Christine Nolff Mirja, Fehr M, Reese S, Meyer-Lindenberg AE Retrospective comparison of negative pressure wound therapy and silver-coated foam dressings in open-wound treatment in cats. Journal of Feline Medicine and Surgery.. 2017; 19:(6)624-30 https://doi.org/10.1177/1098612X16645141

Orpet H How well do you know your patient? The need for nursing assessment. Veterinary Nursing Journal. 2011; 26:(7) https://doi.org/10.1111/j.2045-0648.2011.00069.x

Pitt KA, Stanley BJ Negative Pressure Wound Therapy: Experience in 45 Dogs. Veterinary Surgery.. 2014; 43:(4)380-7 https://doi.org/10.1111/j.1532-950X.2014.12155.x

Repellin RL, Pitt KA, Lu M The effects of a proprietary Manuka honey and essential oil hydrogel on the healing of acute full-thickness wounds in dogs. Veterinary Surgery.. 2021; 50:(8)1634-43 https://doi.org/10.1111/vsu.13711

Rogers LC, Bevilacqua NJ, Armstrong DG, Andros G Digital Planimetry Results in More Accurate Wound Measurements: A Comparison to Standard Ruler Measurements. J Diabetes Sci Technol.. 2010; 4:(4)799-802 https://doi.org/10.1177/193229681000400405

Sanchez IR, Nusbaum KE, Swaim SF Chlorhexidine Diacetate and Povidone-iodine Cytotoxicity to Canine Embryonic Fibroblasts and Staphylococcus aureus. Veterinary Surgery.. 1988; 17:(4)182-5 https://doi.org/10.1111/j.1532-950X.1988.tb00995.x

Sanchez IR, Swaim SF, Nusbaum KE Effects of Chlorhexidine Diacetate and Povidone-lodine on Wound Healing in Dogs. Veterinary Surgery.. 1988; 17:(6)291-5 https://doi.org/10.1111/j.1532-950X.1988.tb01019.x

Schultz GS, Sibbald RG, Falanga V Wound bed preparation: a systematic approach to wound management. Wound Repair and Regeneration.. 2003; 11:S1-28 https://doi.org/10.1046/j.1524-475X.11.s2.1.x

Stanley BJ, Pitt KA, Weder CD Effects of Negative Pressure Wound Therapy on Healing of Free Full-Thickness Skin Graft s in Dogs. Veterinary Surgery.. 2013; 42:(5)511-22 https://doi.org/10.1111/j.1532-950X.2013.12005.x

Svoboda SJ, Owens BD, Gooden HA Irrigation With Potable Water Versus Normal Saline in a Contaminated Musculoskeletal Wound Model. Journal of Trauma and Acute Care Surgery.. 2008; 64:(5) https://doi.org/10.1097/TA.0b013e31816e3476

Thammawithan S, Srichaiyapol O, Siritongsuk P Anisotropic Silver Nanoparticles Gel Exhibits Antibacterial Action and Reduced Scar Formation on Wounds Contaminated with Methicillin-Resistant Staphylococcus pseudintermedius (MRSP) in a Mice Model. Animals.. 2021; 11:(12) https://doi.org/10.3390/ani11123412

Thomas GW, Rael LT, Bar-Or R Mechanisms of Delayed Wound Healing by Commonly Used Antiseptics. Journal of Trauma and Acute Care Surgery.. 2009a; 66:(1) https://doi.org/10.1097/TA.0b013e31818b146d

Thomas GW, Rael LT, Bar-Or R Mechanisms of Delayed Wound Healing by Commonly Used Antiseptics. Journal of Trauma and Acute Care Surgery.. 2009b; 66:(1) https://doi.org/10.1097/TA.0b013e31818b146d

Vestby LK, Grønseth T, Simm R, Nesse LL Bacterial Biofilm and its Role in the Pathogenesis of Disease. Antibiotics.. 2020; 9:(2) https://doi.org/10.3390/antibiotics9020059

Vogt NA, Vriezen E, Nwosu A, Sargeant JM A Scoping review of the evidence for the medicinal use of natural honey in animals. Front Vet Sci.. 2021; 7 https://doi.org/10.3389/fvets.2020.618301

Wodash AJ Wet-to-Dry Dressings Do Not Provide Moist Wound Healing. Journal of the American College of Clinical Wound Specialists.. 2012; 4:(3)63-6 https://doi.org/10.1016/j.jccw.2013.08.001

Wound bed preparation and a brief history of TIME - Schultz. 2004. https://onlinelibrary.wiley.com/doi/ftr/10.1111/j.1742-481x.2004.00008.x (accessed 4 March 2025)

Wounds UK. Improving holistic assessment of chronic wounds. 2018. https://wounds-uk.com/best-practice-statements/improving-holistic-assessment-chronic-wounds/ (accessed 4 March 2025)

Yon E, Lilley V Care bundles to reduce surgical site infections and promote positive outcomes. The Veterinary Nurse.. 2024; 15:(5)192-7 https://doi.org/10.12968/vetn.2024.0008

Evaluation of current wound management techniques (part 2)

02 March 2025
11 mins read
Volume 16 · Issue 2

Abstract

This article evaluates current wound management techniques in veterinary medicine, emphasising their application to complex and non-healing wounds. Veterinary nurses play a key role in wound management and structured frameworks can aid them in wound assessment, guide treatment choices and improve patient outcomes. Following the TIME framework, current techniques are examined for their effectiveness. While each technique has limitations, the adoption of structured frameworks combined with emerging technologies is likely to improve outcomes. This is part two of a three-part series exploring wound healing and management in dogs, cats and exotic species.

Wound management is a common practice in most veterinary surgeries and represents an aspect of veterinary medicine where registered veterinary nurses (RVNs) play a crucial role. However, determining the best approach to wound management can be challenging, and there is often a tendency to rely on just one or two treatment options. Should these options be unsuccessful, patients may face longer hospital stays and increased financial strain on their owners. This article critically evaluatesate the current techniques for managing complex wounds, assesses their effectiveness and investigates how evidence-based frameworks can guide RVNs towards improved clinical outcomes. This article is part two of a three-part series examining wound healing and management in dogs, cats and exotic species.

Wound assessment may be improved by using a structured framework (Curtis, 2022; Lux, 2022). Frameworks such as checklists or care bundles are commonly used in veterinary practices and have been shown to improve patient outcomes (Yon and Lilley, 2024). There is no validated wound assessment tool in veterinary medicine; however, there are some available in human medicine that may be adapted for veterinary use. Technology is also advancing, with applications being developed to assist with and standardise wound assessment.

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