Neuroischaemic Ulcers Wound Type Description Treatment Aim Dressings Other Considerations dressing to control conjunction with Diabetes Dry gangrenous team odour ischaemic wound Control moisture level Debridement may be Typical considered by a Reduce risk of infection signs: competent practitioner developing /spreading Pulse i.e. have completed an absent accredited course in Foot may sharp debridement Low adherent dressing be cold Minimise pressure on History of If dry gangrene leave affected area intermittent exposed if appropriate claudication Monitor for infection Painful (remember these signs Minimum or no Wet gangrenous wound may be reduced or absent callus Area of in DFU) necrosis, often Reduce risk of infection developing /spreading surrounded by Patient support where erythema Evidence amputation may be Keep wound dry, if toe is affected isolate from touching of gangrene considered adjacent digit Refer to Low adherent vascular surgeon May need charcoal Manage in
Neuroischaemic Ulcers Wound Type Description Treatment Aim Dressings Other Considerations Dry gangrenous ischaemic wound Wet gangrenous wound Reduce risk of infection developing /spreading Keep wound dry, if toe is affected isolate from touching adjacent digit Control moisture level Reduce risk of infection developing /spreading Low adherent dressing If dry gangrene leave exposed if appropriate Low adherent May need charcoal dressing to control odour Typical signs: Pulse absent Foot may be cold History of intermittent claudication Painful Minimum or no callus Area of necrosis, often surrounded by erythema Evidence of gangrene Refer to vascular surgeon Manage in conjunction with Diabetes team Debridement may be considered by a competent practitioner i.e. have completed an accredited course in sharp debridement Minimise pressure on affected area Monitor for infection (remember these signs may be reduced or absent in DFU) Patient support where amputation may be considered