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A Trial of Wound Irrigation in the Initial...
Journal article

A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds

Abstract

BACKGROUND: The management of open fractures requires wound irrigation and débridement to remove contaminants, but the effectiveness of various pressures and solutions for irrigation remains controversial. We investigated the effects of castile soap versus normal saline irrigation delivered by means of high, low, or very low irrigation pressure. METHODS: In this study with a 2-by-3 factorial design, conducted at 41 clinical centers, we randomly …

Authors

Bhandari M; Jeray KJ; Petrisor BA; Devereaux PJ; Heels-Ansdell D; Schemitsch EH; Anglen J; Della Rocca GJ; Jones C; Kreder H

Journal

New England Journal of Medicine, Vol. 373, No. 27, pp. 2629–2641

Publisher

Massachusetts Medical Society

Publication Date

December 31, 2015

DOI

10.1056/nejmoa1508502

ISSN

0028-4793