Name of the Procedure:

Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day.

Summary

Low frequency, non-contact, non-thermal ultrasound is a medical procedure used to treat wounds. It involves using ultrasound waves to promote healing without direct contact or heat application. Additionally, topical applications are applied, wound assessment is performed, and patients receive ongoing care instructions.

Purpose

The procedure is designed to promote the healing of chronic or severe wounds. The goals are to reduce infection, decrease pain, and accelerate the wound healing process.

Indications

• Chronic wounds (e.g., diabetic ulcers, venous ulcers, pressure ulcers)
• Severe acute wounds
• Patients with wounds that are not responding to conventional treatments

Preparation

• No fasting required.
• Patients may need to adjust certain medications based on individual medical advice.
• Wounds should be clean and free from heavy contamination.
• Diagnostic assessments like wound culture or imaging may be necessary to determine underlying issues.

Procedure Description

1. The healthcare provider assesses the wound.
2. A topical agent suitable for the wound type is applied.
3. An ultrasound device is set up, utilizing low-frequency, non-contact, non-thermal technology.
4. The device is held close to the wound, emitting ultrasound waves to stimulate healing without direct contact.
5. Post-procedure, the wound is reassessed, and new dressings are applied if needed.
6. The patient receives instructions for ongoing wound care at home.

Tools and Equipment:

• Low-frequency non-contact ultrasound device
• Topical agents specific to wound type
• Wound assessment tools (e.g., rulers, swabs, dressing materials)

Anesthesia or Sedation:

• Typically not required.

Duration

• The procedure usually takes about 15-30 minutes per session.

Setting

• The procedure is commonly performed in outpatient clinics, wound care centers, or sometimes at the patient's bedside.

Personnel

• Wound care specialist or trained nurse
• Possibly a primary care physician or wound care consultant

Risks and Complications

• Minor risks include local skin irritation or allergic reactions to topical applications.
• Rare risks might involve worsening of the wound if used improperly.
• Management involves adjusting the treatment protocol and addressing any irritations promptly.

Benefits

• Faster healing times for chronic or severe wounds
• Reduced risk of infection
• Pain relief in the affected area
• Visible improvement can be expected within a few weeks of consistent treatment.

Recovery

• Patients are advised to follow specific wound care instructions at home, including keeping the wound clean and dry.
• Ongoing treatment sessions may be necessary until the wound heals.
• Follow-up appointments are essential to monitor progress and make any necessary adjustments.

Alternatives

• Standard wound care with dressings
• Surgical debridement
• Hyperbaric oxygen therapy
• Each alternative has its pros and cons; for example, standard wound care may be less costly but slower to show results compared to ultrasound therapy.

Patient Experience

• During the procedure, patients typically feel minimal discomfort since there’s no direct contact or heat.
• After the procedure, some patients might feel a slight tingling sensation but generally will not experience significant pain.
• Pain management and comfort measures, including topical anesthetics, can be provided as needed.