Effectiveness of fire needle combining with moist healing dressing to promote the growth of granulation tissue in chronic wounds: A case report.
Haijiao Wang, Yingxuan Gu, Linfeng Huang and 5 others
PMID 32817864WHAT IT FOUND
In an 85-year-old man with an infected chronic wound, wound assessment, cleaning, disinfection, debridement, fire needle, moist silver dressing and wrap were followed by more granulation tissue and less slough.
The combination cannot be separated.
Key findings
01During the combined wound-care plan, more granulation tissue appeared and slough decreased over successive treatments.
02The patient tolerated the treatments without dizziness, trembling, sweating or complications.
03The wound-care plan included assessment, cleaning, disinfection, debridement, fire needle, moist silver dressing and wrap, so the contribution of any one component cannot be separated.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
This is a single case report, so it cannot show that the treatment works or how it compares with other wound-care methods. Several wound-care steps were given together, so the effect of fire needle alone cannot be separated. The patient was transferred to the cardiovascular department before long-term follow-up, so long-term effect is unknown. The wound bed depth was unclear because slough covered it. Needle depth was uncertain. The procedure requires surgical debridement skill and fire acupuncture expertise. The authors say a standardized manual, guideline or evaluation tools for fire needle therapy in chronic wounds should be developed.
Declared interests
The authors declared no conflicts of interest. The research was funded by grants from The First Affiliated Hospital Project of Guangzhou University of Chinese Medicine.
The easy way to misread this
Do not read the granulation tissue growth as proof that fire needle works. This was a single patient, and assessment, cleaning, disinfection, debridement, fire needle, moist silver dressing and wrap were given together, so no single component can be separated.