Registered Nurses' Association of Ontario

Debridement Selection

When selecting the most appropriate method of debridement, the following should be taken into consideration:

  • The goals of care (e.g., the healing potential of the pressure injury)
  • The person’s condition and co-morbidities (e.g., end-of-life, pain management)
  • Risks and safety (e.g. risk of bleeding, immunocompromised)
  • Person-centred preferences (e.g. preference for more conservative treatment)
  • The type, quantity, and location of non-viable, necrotic tissue
  • The depth of the pressure injury and the amount of drainage
  • The availability of and access to qualified staff and appropriate resources (e.g., pain management, supplies, specialists)
  • Cost-effectiveness (sharp wound debridement is the most cost-effective, followed by enzymatic debridement)
Clinical Management
Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition
Point of Care Resources