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PubMedDate not supplied

A new option in the treatment of skin tears for the institutionalized resident: formulated 2-octylcyanoacrylate topical bandage.

Skin tears are a common phenomenon in elderly institutionalized adults (EIAs). Incidence ranges from 0.92 to 2.5 per person/year. Little supportive literature exists regarding optimal treatment with many regimens reported. A convenience sample of 20 patients with Payne-Martin Category II and III skin tears of less than 8 hours' duration were prospectively evaluated with the use of a formulated 2-octylcyanoacrylate topical bandage. Patients were followed weekly until the tear healed. Complete healing occurred with 1 application of 2-OTB in 90% (18/20) of study subjects; 5% (n = 1) reported transient mild pain (less than 15 seconds), and 90% (n = 19) reported no pain. There were no incidents of cellulitis or infection. Shower and bathing routines were not interrupted. Cost averaged less than $1 per application. Clinician time averaged 1.5 minutes per application. Clinicians reported high satisfaction because repeated dressing changes were eliminated.

Administration, Topical↗
PubMed2005

Masked comparison of silicone hydrogel lotrafilcon A and etafilcon A extended-wear bandage contact lenses after photorefractive keratectomy.

PURPOSE: To compare the efficacy of 2 types of bandage contact lenses (BCLs) after photorefractive keratectomy (PRK). SETTING: Navy Refractive Surgery Center, Naval Medical Center San Diego, San Diego, California, USA. METHODS: In this prospective study, 100 patients received PRK in both eyes. Each patient received a BCL composed of etafilcon A (Acuvue [ACV], Vistakon Inc.) (14.0 diameter, 8.4/8.8 base curve) in 1 eye and lotrafilcon A (Focus Night & Day [N&D], Ciba Vision) (13.8 diameter, 8.4/8.6 base curve) in the fellow eye. The patient was masked to the lens type in each eye. The postoperative medication regimen was the same with both lenses. The epithelial defect size and subjective level of discomfort were measured at surgery and daily after surgery until both eyes had reepithelialized and the lenses were removed. RESULTS: The mean epithelial defect size at surgery was similar with both BCLs (ACV 57.07 mm(2) and N&D 57.53 mm(2); P=.422). On postoperative days 1 and 2, the mean defect size was significantly smaller in eyes with the N&D lens (day 1, ACV 21.53 and N&D 18.74; day 2, ACV 3.62 and N&D 2.12) (paired t test, P<.001). On day 1, no eye had completely reepithelialized; on day 2, 20 eyes with N&D lenses and 13 eyes with ACV lenses had. On day 3, 70 eyes with N&D lenses and 66 eyes with ACV lenses had reepithelialized. The mean discomfort index was significantly higher in the eyes with ACV lenses on days 1 and 2 (paired t test, P<.001 and P<.002, respectively). Topical nonpreserved tetracaine was used significantly more often in eyes with ACV lenses on days 1, 2, and 3 (paired t test, P<.001, P<.008, P<.003, respectively). No correlation between the use of tetracaine in the first 24 hours and the rate of reepithelialization was noted (R(2)=0.0025 for ACV and R(2)=0.0003 for N&D). CONCLUSION: The lotrafilcon A lens resulted in significantly faster corneal reepithelialization and reduced patient discomfort in most patients during the first 48 hours after PRK.

Adolescent↗
PubMed2002

The use of pressure immobilization bandages in the first aid management of cubozoan envenomings.

This study is aimed to evaluate whether the application of pressure results in additional release of venom from naturally discharged, vinegar soaked nematocysts of the box jellyfish Chironex fleckeri. The results show that large quantities of venom are expressed with the application of pressures similar to that applied by compression immobilization bandages. The volume of venom expressed by this pressure was similar to the quantity expressed upon initial natural discharge of the nematocysts. The current recommended practice of applying PIB to cubozoan stings might worsen the envenomation. As the existing data now show that PIB may be detrimental to victims envenomed by cubozoans, we suggest that the current practice of the use of PIB in cubozoan envenomings be discarded until there is direct experimental evidence to support its use.

Acetic Acid↗
PubMed1997

Research utilization: adhesive bandage dressing regimen for peripheral venous catheters.

BACKGROUND: This project used the process of research utilization to apply research knowledge to clinical practice for dressing peripheral intravenous (i.v.) catheters. METHOD: The project included (1) the review and synthesis of multiple research studies, (2) transformation of the research-based knowledge into a clinical protocol of use of adhesive bandage (AB) for dressing peripheral i.v. catheters, and (3) evaluation of the proportion of phlebitis as an outcome measure for comparison of peripheral i.v. catheter sites dressed with 2 x 2 inch gauze/tape or AB. Integral to the research utilization process was the use of planned change strategies. RESULTS: The proportion of phlebitis among peripheral i.v. catheters dressed with gauze/tape was 16.7% compared with 14.9% for AB. Antimicrobial ointment applied to the insertion site resulted in a higher proportion of phlebitis when used with an AB. CONCLUSION: This project used a research utilization framework to transfer research knowledge into clinical practice. To assure dissemination and implementation of the new practice, the use of ABs for dressing peripheral i.v.s was incorporated into hospital policy and procedure. In addition, the discontinuation of application of an antimicrobial ointment to peripheral i.v. sites was reinforced.

Adhesives↗
PubMed1998

Nondissection method for tibial bypass surgery using Esmarch's rubber bandage or an automatic sequential pneumatic tourniquet: long-term results.

It is suspected that operative injury to the native arteries during a vascular bypass procedure causes periarterial fibrosis contributing to late graft failure. A a nondissection method for tibial artery bypass has been developed using Esmarch's rubber bandage or an automatic sequential pneumatic tourniquet. This retrospective study examined patency and other late results in distal bypass operations using the nondissection method. Between June 1982 and July 1995, 78 tibial bypasses were performed using reversed autogenous saphenous vein grafts in 70 patients (57 men, 13 women; mean age 57.4 years). Graft patency was assessed angiographically. When a stenotic lesion was recognized, the graft was revised and considered an assisted primary patency. Primary patency rates at 1, 3, 5, and 10 years were 82.8%, 75.3%, 63.4% and 63.4%, respectively, by life-table analysis. Six grafts required revision for stenosis; one involved distal anastomotic stenosis. As a result, assisted primary patency rates resembled secondary patency rates of 87.7%, 84.3%, 80.3%, and 80.3% at the same respective intervals. In conclusion, the nondissection method improved long-term patency by preventing late distal anastomotic stenosis.

Arterial Occlusive Diseases↗
PubMed1993

Treatment of an alkali burn-induced symblepharon with a Megasoft Bandage Lens.

Chemical burning of the external eye by a strong acid or alkali often results in symblepharon formation despite conventional therapy. We report a case with application of a Megasoft Bandage Lens to prevent symblepharon reformation after surgical correction. Complete epithelial healing was established after 3 months, when the lens could be removed. No complications were found with this lens. No symblepharon reformation occurred < or = 6 months after the surgical reconstruction.

Bandages↗
PubMed1975

The use of soft bandage lenses in corneal disease.

Forty-one patients were treated with soft bandage lenses for various types of corneal pathology. These patients have been monitored over a two-year period. Comfort was consistently achieved with cases of bullous and exposure keratopathies. It was found that the Warner-Lambert Softcon lens gave better protection in patients with VII nerve palsies than the Bausch & Lomb SOFLENS contact lens. However, little difference was noted between the two types of lenses when treating other corneal diseases. It was also found that topical medications, with the exception of steroids, caused no complications.

Bandages↗
PubMed1977

Use of the Bausch & Lomb Soflens Plano T contact lens as a bandage.

Twenty patients with corneal disease were treated with a recently released soft lens specifically designed for use as a bandage. Patients wore their lenses continuously 24 hr a day. The results were similar to those of previous studies conducted with other lens designs. Improvement was frequent (10 of 12 cases) for bullous keratopathy and corneal graft, burn, or neuroparalytic lesion; limited (1 of 4 cases) for dry-eye syndrome; and absent (4 cases) for irregular cornea and vernal keratoconjunctivitis. No difficulties were found with the concurrent use of medication.

Adolescent↗
PubMed1995

Acute severe bronchoconstriction precipitated by coal tar bandages.

We report the occurrence of severe symptomatic bronchoconstriction in an atopic asthmatic subject following the application of coal tar bandages. Investigations showed that this was likely to have been caused by inhalation of coal tar vapour. We suggest that coal tar preparations should be used with caution in asthmatic subjects.

Acute Disease↗
PubMedDate not supplied

An improvement in the use of plaster bandage for patient contouring.

The setting time of plaster bandage used for patient contouring can be decreased by adding potassium sulfate to the dip water. A small amount of this inexpensive chemical can have a significant effect. This improvement gives the physicist sufficient control of the process so that contours may be made from plaster as quickly as they are made with stiff wire, but with improved accuracy.

Bandages↗
PubMed2003

Radial artery pseudoaneurysm successfully treated by compression bandage.

In children, surgery for radial artery pseudoaneurysm (PA) may be followed by growth retardation of the hand because of inadequate blood flow. We believe this is the first report of a child with PA of the radial artery cured by compression bandage. Conservative management is a safe and valuable initial treatment option for uncomplicated radial PA.

Aneurysm, False↗
PubMed1995

Treatment of knee sprains: modified Robert Jones or elastic support bandage?

The aim of this investigation was to compare in a prospective randomized study the outcome of painful, traumatic knee injuries when treated with either the modified Robert Jones (MRJB) or elastic support bandage (ESB). Patients with moderate or severe unilateral knee injury presenting to our department within 24 h were randomized into two treatment groups receiving either the MRJB or an ESB. The main outcome parameters of the study were the amount of pain relief required, the speed of recovery, mobility and patient preference. The results of our study of 40 patients indicate that the two treatments were equally effective in treating knee sprains, and patients preferred the ESB in the early post-injury period. Therefore, we see no reason to continue using the MRJB for the treatment of sprained knees in the accident and emergency (A&E) setting when a more patient acceptable, time and cost-effective treatment is available.

Analgesics↗
PubMed1991

The production of antibacterial tubing, sutures, and bandages by in situ precipitation of metallic salts.

Two procedures were used to modify gauze bandages, polyester sutures, silicone tubing, and polyvinyl chloride tubing. In one procedure, the materials were first modified by in situ precipitation of metallic hydroxides and then used to adsorb silver ions. In the second procedure, the materials were soaked in sodium pyrophosphate or sodium chloride, dried, and then soaked in silver nitrate. These procedures produced materials with silver deposited on the surface of the tubing and sutures and both on the surface and within the gauze fibers. The modified materials inhibited the growth of Pseudomonas aeruginosa. Escherichia coli, and Staphylococcus aureus in vitro.

Anti-Bacterial Agents↗
PubMedDate not supplied

Comparative radiologic study of the influence of ankle joint bandages on ankle stability.

A comparative radiologic study was carried out to test the stabilizing value of ankle strapping and taping on unstable tibiotalar joints. Unstable ankle joints of 51 athletes were examined without bandages, with strapping, and with taping before and after an activity program. The use of taping proved to give the greatest decrease of the talar tilt (TT) angle. This improvement was greater, even after activity, than the stabilization obtained by strapping before any activity.

Adolescent↗
PubMed2004

Massive pulmonary embolism after application of an Esmarch bandage.

UNLABELLED: A 71-yr-old patient who underwent spinal anesthesia for left femoral fracture operation became hypotensive and unconscious after the application of an Esmarch bandage. The transesophageal echocardiography performed during resuscitation revealed pulmonary embolism and acute right ventricular failure. Pulmonary embolectomy with cardiopulmonary bypass was undertaken immediately after the echocardiographic diagnosis. Extracorporeal membrane oxygenation was used after the operation to support the failing right ventricle. The patient was successfully weaned from extracorporeal membrane oxygenation 10 days after the operation. We conclude that transesophageal echocardiography can be very useful in the immediate differential diagnosis of sudden cardiovascular collapse and that extracorporeal membrane oxygenation can be very helpful when acute right ventricular failure follows massive pulmonary embolism. IMPLICATIONS: Transesophageal echocardiography was highly valuable in finding the cause of sudden intraoperative cardiovascular collapse. The use of extracorporeal membrane oxygenation to support the failing right ventricle after emergent pulmonary embolectomy could help to rescue patients with massive pulmonary embolism.

Aged↗