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Daher ist es ein Anliegen der Fachgesellschaft Initiative Chronische Wunde (ICW) e.\u202fV. bislang unklare Begriffe eindeutig und nachvollziehbar zu beschreiben. Von den Experten der ICW wurde daher in einem Konsensusverfahren als D\u00e9bridement chronischer Wunden die Entfernung von anhaftendem, abgestorbenem Gewebe, Krusten oder Fremdk\u00f6rpern aus Wunden bezeichnet. Hierf\u00fcr gibt es verschiedene Therapieoptionen, die als autolytisches, biochirurgisches, mechanisches, osmotisches, proteolytisches\/enzymatisches und technisches D\u00e9bridement unterschieden werden k\u00f6nnen. Bei dem chirurgischen D\u00e9bridement wird zudem zwischen meist ambulant durchf\u00fchrbaren scharfen D\u00e9bridements wie beispielsweise kleineren chirurgischen Eingriffen und chirurgischen D\u00e9bridements mit ad\u00e4quater An\u00e4sthesie in einem Operationssaal differenziert. Als Wundsp\u00fclung wird von der ICW die Entfernung von nicht haftenden Bestandteilen auf Wunden mit sterilen L\u00f6sungen bezeichnet.<\/jats:p><jats:p>D\u00e9bridement und\/oder Wundsp\u00fclung sind oft der erste Schritt einer phasengerechten modernen Wundbehandlung. Mehrere Methoden eignen sich f\u00fcr die Anwendung einer kombinierten oder sukzessiven Therapie. Bei der Entscheidung, welche therapeutische Option hierbei zum Einsatz kommt, sollte eine Vielzahl individuell unterschiedlicher Faktoren in Abh\u00e4ngigkeit von den zu behandelnden Patienten, aber auch von den Therapeuten ber\u00fccksichtigt werden. Die letztendliche individuelle Entscheidung f\u00fcr eine Methode sollte jeweils gemeinsam mit den Patienten getroffen und anschlie\u00dfend ad\u00e4quat dokumentiert werden.<\/jats:p>","DOI":"10.1007\/s00105-022-04944-3","type":"journal-article","created":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T16:03:17Z","timestamp":1643040197000},"page":"369-375","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Positionspapier der Initiative Chronische Wunde (ICW) e.\u202fV. zur Nomenklatur des D\u00e9bridements chronischer Wunden","Position paper of the Initiative Chronische Wunde (ICW) e.\u202fV. on the nomenclature of debridement in chronic wounds"],"prefix":"10.1007","volume":"73","author":[{"given":"Joachim","family":"Dissemond","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"B\u00fcltemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronika","family":"Gerber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Motzkus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl Christian","family":"M\u00fcnter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Erfurt-Berge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,24]]},"reference":[{"key":"4944_CR1","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1097\/PRS.0000000000007613","volume":"147","author":"OA Arowojolu","year":"2021","unstructured":"Arowojolu\u00a0OA, Wirth\u00a0GA (2021) Sacral and ischial pressure ulcer management with negative-pressure wound therapy with instillation and dwell. 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