, Volume 34, Issue 3, pp 403–411 | Cite as

Pressure Uncertainty Analysis for Wound Irrigation Devices

  • Amogh Pawar
  • Tony L. SchmitzEmail author
Original Paper


Wound irrigation is defined as the steady flow of a fluid across an open wound for the removal of bacteria, necrotic tissue, and deeper debris. In a wound irrigation process, the surface pressure obtained at the wound is critical. Correct pressure determination ensures that the pressure at the wound due to an irrigation device is enough for the removal of bacteria and foreign debris, but not so high that it causes further tissue damage. Surface pressure measurements were performed for three irrigation devices, including a 500-ml bottle with four holes in the pouring cap, a 60-ml Monoject™ COVIDIEN™ syringe, and an IRIG-8™ Wound Irrigation System from CENTURION™. The irrigation trials were performed by a total of 20 participants consisting of doctors and nurses using the three devices (60 trials) at the Carolina Medical Center Emergency Department, Charlotte, NC. The uncertainty in the pressure measurements was evaluated using both Monte Carlo and analytical approaches, and the results are reported. It is anticipated that this study will help to standardize irrigation pressure measurement within the medical community.


Wound irrigation Pressure Uncertainty Monte Carlo 



  1. [1]
    H.G. Skinner, J. Blanchard and A. Elixhauser, Trends in emergency department visits, 2006–2011, Statistical Brief, 179 (2014).Google Scholar
  2. [2]
    B.A. Nicks, E.A. Ayello, K. Woo, D. Nitzki-George and R.G. Sibbald, Acute wound management: Revisiting the approach to assessment, irrigation, and closure considerations, Int. J. Emerg. Med., 3/4 (2010) 399-407.CrossRefGoogle Scholar
  3. [3]
    A.J. Singer and A.B. Dagum, Current management of acute cutaneous wounds, N. Engl. J. Med., 359/10 (2008) 1037-1046.CrossRefGoogle Scholar
  4. [4]
    A.J. Singer, J.E. Hollander, S. Subramanian, A.K. Malhotra and P.A. Villez, Pressure dynamics of various irrigation techniques commonly used in the emergency department, Ann. Emerg. Med., 24/1 (1994) 36-40.CrossRefGoogle Scholar
  5. [5]
    B.S. Atiyeh, S.A. Dibo and S.N. Hayek, Wound cleansing, topical antiseptics and wound healing, Int. Wound J., 6/6 (2009) 420-430.CrossRefGoogle Scholar
  6. [6]
    W.J. Ennis, W. Valdes, S. Salzman, D. Fishman, and P. Meneses, Trauma and wound care (Chapter 17), M.J. Morison, L.G. Ovington and K. Wilkie, Eds.; Chronic wound care. a problem-based learning approach. London: Mosby Elsevier Limited, pp. 291-307 (2004).Google Scholar
  7. [7]
    F. Wu and M.E. Winters, Emergency medicine, an issue of physician assistant clinics, E-book, Vol. 2, Elsevier Health Sciences (2017).Google Scholar
  8. [8]
    E.S. Mittra, A.J. Singer and D. Bluestein, Simulated wound irrigation impact pressures, Isr. J. Emerg. Med., 3 (2003) 9-16.Google Scholar
  9. [9]
    L.I.S. Wedmore, S.A. Godwin and J.M. Howell, Wound care: modern evidence in the treatment of man’s age-old injuries, Emerg. Med. Pract. Em Pract. Guidel. Update, 7/3 (2005) 1-23.Google Scholar
  10. [10]
    D. Pronchik, C. Barber and S. Rittenhouse, Low-versus high-pressure irrigation techniques in Staphylococcus aureus-inoculated wounds, Am. J. Emerg. Med., 17/2 1999 121-124.CrossRefGoogle Scholar
  11. [11]
    Evaluation of Measurement Data – Guide to the Expression of Uncertainty in Measurement JCGM 100:2008 (GUM 1995 with minor corrections).Google Scholar
  12. [12]
    B.N. Taylor and C.E. Kuyatt, Guidelines for evaluating and expressing the uncertainty of NIST measurement results, NIST technical note 1297 (1994).Google Scholar
  13. [13]
    Evaluation of measurement data—Supplement 1 to the “Guide to the Expression of Uncertainty in Measurement”—Propagation of distributions using a Monte Carlo method JCGM 101:2008.Google Scholar

Copyright information

© Metrology Society of India 2019

Authors and Affiliations

  1. 1.Department of Mechanical Engineering and Engineering ScienceUniversity of North Carolina at CharlotteCharlotteUSA

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