Zusammenfassung
Die bisherige Vorstellung, chronische Wunden seien lediglich eine Variante akuter Wunden, ist überholt, da sich die Pathophysiologie chronischer Wunden essentiell von der akuter Wunden unterscheidet. Somit ist die chronische Wunde ein spezielles Krankheitsbild, das einer systematischen krankheitsspezifischen Diagnostik und Therapie bedarf.
Für die Diagnostik und Therapie einer chronischen Wunde wird ein neues Konzept vorgeschlagen mit der Abkürzung TIME, wobei jeder Buchstabe dieses Anglizismus für die zu diagnostizierende und zu behandelnde Zielstruktur steht: T = Tissue-Gewebe, I = Inflammation oder Infektion, M = Moisture-Wundexsudat, E = Edge-Wundrand
Die Prinzipien und wissenschaftlichen Grundlagen des TIME-Konzepts des Wound Bed Preparation Advisory Board werden dargestellt.
Mit freundlicher Genehmigung des Verlages Urban & Vogel. Vanscheidt W, Ukat A, Hauss F (2005) Systematisches Management chronischer Wunden. MMW Fortschr Med 147 (Suppl 3): 119–26
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Vanscheidt, W., Ukat, A., International Wound Bed Preparation Advisory Board. (2007). Systematisches Management chronischer Wunden nach dem TIME-Prinzip. In: Wild, T., Auböck, J. (eds) Manual der Wundheilung. Springer, Vienna. https://doi.org/10.1007/978-3-211-69454-1_13
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