One of the earliest references to the clinical use of pulsed lavage in wound cleansing, was in a 1978 clinical note in Physical Therapy, in which Nourse and Myrers outlined the use of a dental irrigating device to cleanse a pressure ulcer. *1
Pulsed Lavage is a form of mechanical hydrotherapy used to debride wounds and necrotic tissue, and to remove debris from a wound, particularly prior to hip and knee arthroplasty. Studies suggest that that debriding wounds with a Pulse Lavage can improve the growth of tissue by removing debris and necrotic tissue without damaging or disrupting the underlying normal tissues. *3
But what evidence is there to support these claims, and what makes a good Pulse Lavage?