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0:00
I'm
very pleased to be contributing
to these Henry Stewart
talks on wound healing.
And my topic is wound bed
preparation with the acronym TIME.
I'm Professor David Leaper, Emeritus
Professor of Surgery at Newcastle
upon Tyne, and Visiting Professor
at Imperial College, London.
And that's me in the
bottom left-hand corner.
0:23
The TIME acronym
was originally aimed
to describe the observable
culturistics of chronic wounds
within the framework of
wound bed preparation.
It was developed by an
international advisory board
just over 10 years ago.
The concept of wound bed preparation
has been taken from plastic surgery
where a wound is prepared to
be optimal for a skin graft.
But in this context,
in chronic wounds,
wound bed preparation is a
preparation of a chronic wound
to allow successful healing
by secondary intention.
The TIME acronym, which I'll
describe throughout the lecture,
is based on T for
tissue debridement,
making the wound as
clean as possible.
Controlling infection and bioburden
and inflammation, that's the I. M
is for moisture balance.
Wounds heal optimally
when they are optimally
moist-- not too much
moisture, not too dry.
And finally, E for
the epithelial edge,
ensuring the healthiest epithelial
edge at the healing edge.
And also looking after the
periwound skin and making sure
it doesn't become too macerated.
1:37
This is a very busy slide and
summarises the concepts first
published in 2003 on the principles
for wound bed preparation.
And again, we can see
on the left-hand side
the acronym for tissue
cleaning, managing infection
and inflammation, managing moisture
and looking after the wound edge.
The proposed physiology and the
background for undertaking this
is given, and the clinical
actions and their effects.
And finally, the concepts of
the vast clinical outcomes.
Now, I shall be going
through this in the lecture
in the next few slides.
