Black eschar is seen as a somewhat controversial topic in the clinical community. The general existing guideline advises to keep the "stable" eschar in place and let it protect the wound unless there are factors that prompt more aggressive treatment approaches.
We thought it would be interesting for our current and future users to see the results of Enluxtra applications that gently, non-surgically and painlessly removed black eschar from an unstageable heel wound.
Here's the story as told by Marilen Cabrera, the RN who treated the patient:
"I was seeing one of my patients, a 77-year-old woman, for treatment of the wound on her heel. She was hospitalized for cerebral hemorrhage and later discharged to home where she lives alone. Her wound started as a deep tissue injury and progressed to becoming a large unstageable pressure ulcer covered with black eschar.
My patient has been suffering from numerous health issues for quite a while and has a history of diabetes and other serious conditions such as stroke, hypertension, osteoarthritis, and congestive heart failure. She was on insulin twice daily but not very consistent with her medications because of forgetfulness. Being chair-bound due to weakness, my patient also had bilateral leg edema with 2+ pitting edema. Her legs had poor circulation, which was not conducive to fast healing of her wound.
The first 3 Enluxtra applications included hydrogel to help soften eschar that was too dry. Once its edges started loosening, we still had no option to debride the wound due to various reasons, so we just continued on with Enluxtra.
We have used a total of 5 Enluxtra dressings over a period of 3 weeks and achieved complete removal of the eschar with nice granulation starting on the wound."
Update and good news!
Here’s the image showing the progression from unstageable black eschar to a closed wound.