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At least 73 records · Page 4Linked to original sources

Debridement of necrotic tissue and eschar using a capillary dressing and semi-permeable film dressing.

Mrs S presented with necrotic pressure damage to her right heel following hospitalization for cardiovascular accident. Mrs H, who had a history of dementia and self-neglect, was found to have a necrotic haematoma on her sacrum. Both presented with leathery necrotic eschar that did not respond to hydrogel or hydrocolloid dressings. Using Vacutex capillary dressing and Tegaderm vapour-permeable film as a secondary dressing, the wound margins showed signs of demarcation within a few days, and within one week I was able to sharp debride the wound, which prepared the wound for healing.

Aged↗

Dressing spray enhances the adhesive strength of surgical dressing tapes.

BACKGROUND: The use of surgical adhesive tapes after minor surgical and dermatologic operations is widespread. Their use reduces the wound tension and separation and they ultimately improve the postoperative scar. The most commonly used wound adhesives to enhance the adhesiveness of the surgical tapes, are tincture of benzoin and mastisol. AIM: The purpose of the present study is to demonstrate the role of adhesive power of dressing spray with the adhesive tape application on the skin, which is widely used in clinics after the skin closure. METHODS: Fifteen volunteers who were chosen among the medical personnel of the hospital comprised the study group. The skin of the flexor aspect of the 1/3 middle forearm of the subjects was used as the procedure region. The data is collected in the first, second and eighth days of the study. At the first stage of the study, an adhesive wound closure tape was applied to the skin without any compound of adhesives (group A). In the second and third stages, a thin coat of transparent film dressing spray (group B) and an adhesive compound of tincture of benzoin (group C) were applied to the skin before the adhesive tape placement, respectively. Different values of weights ranging between 50-900 gm were hanged by hooking into the center of the adhesive tape. The weights that caused complete separations of the tape from the skin after exactly 20 seconds were recorded in all groups. The data was analyzed by using Friedman test in order to calculate statistical significance between groups A, B and C. RESULTS: The difference in adhesive power between control and groups B and C was found to be highly significant ( p CONCLUSION: The results indicated that dressing spray tested has an additional adhesive power besides its well known features and that it can be used as an efficient alternative material among other adhesive compounds.

Humans↗

The management of lower-extremity ulcers with zinc-saline wet dressings versus normal saline wet dressings.

Zinc-saline wet dressings were compared to normal-saline wet dressings for the management of lower extremity ulcers in a pilot study of 28 elderly patients. Although both study groups were comparable at baseline, the data suggest that the use of zinc-saline wet dressings creates a wound environment that is associated with trends toward faster healing and enhanced rates of epithelialization, as well as significantly more efficient wound management than the normal-saline controls. These data are presented in light of the requirement for maintaining a moist, acidic environment within a wound in order to permit the best possible healing and remodeling.

Aged↗

Studies on dressings for dental surgery use. Part 3: Effect of gamma-radiation and of formaldehyde on properties of gelatinous dental dressings.

Gelatinous dressings were exposed to gamma-radiation or treated with formaldehyde to improve their resistance to the proteolytic effects of trypsin. After aging of the preparations, both gamma-irradiated and blank samples of gelatinous dressings were etched at a constant rate. Etching rate of the formaldehyde treated dressings decreases during storage.

Cross-Linking Reagents↗

[Early intubation of lacrimal duct in traumatic and operative lower eyelid loss and medial canthal region defects, with simultaneous reconstruction dressed by application of self constructed battlefield ophthalmic dressing].

The treatment of acquired, imperfect drainage of tears through the lacrimal duct system in the situation of medial canthal region defect (operative or traumatic), is an important part of clinical ophthalmology and reconstructive surgery. The multidisciplinary approach to the reconstruction of all soft tissues with use of early prosthetic reconstruction and lower canalicular intubation by use of silicone tube or simple nylon thread, is the theme of the paper. The lacrimal duct repair should be performed on primarily, as well as coverage or reconstruction of skin defect. The authors compared the efficiency of simple lower canalicular intubation with use of normal surgical thread or silicone tube, with immediate medial canthal region defect plastic reconstruction. Simultaneously, the original self-constructed special battlefield ocular dressing was tested in the analyzed cases, to determine whether it is the suitable or not, in the procedure. The results were estimated on the base of clinical criteria: degree of epiphora after 6/12 weeks (subjective and evaluated accordingly to Munk score), early lacrimal obstruction/stenosis, comfort/discomfort of patient, and utility of the military dressing (bad/good/very good). The proposed own method of simple use of nylon thread seems to be useful, particularly in traumatic damage of lower canaliculus associated with multilayer medial canthus soft tissues defects and facial bone structures impairment. In analyzed material, it was more comfortable for patients than silicone intubation and may be utilize in definitive reconstruction, as well as in temporary splinting of lacrimal system and creation of artificial lacrimal drainage through the lower canaliculus. It is useful at the battlefield conditions. The battlefield ocular dressing tested on was very high evaluated in traumatic cases and considered as good in neoplastic patients.

Adult↗

Dressings for dermabrasion: occlusive dressings and wound healing.

One of our many roles as dermatologic surgeons is to provide wounds with a biologically favorable environment in which healing can proceed most efficiently. Over the past twenty years research in superficial wound healing has accelerated the introduction of new dressing materials. Various topical agents and occlusive inert dressings, which limit tissue death and maintain hydration, enhance epithelialization. Occlusive dressings will hasten regeneration up to twice that found in air-exposed sites. This characteristic is described in patients who have undergone dermabrasion.

Biocompatible Materials↗

Intravenous cannula fixing and dressing--comparison between the use of transparent polyurethane dressing and conventional technique.

A sterile, disposable, polyurethane intravenous catheter dressing (OpSite; Smith & Nephew), was compared with a conventional dressing for both convenience and cost. Despite lack of familiarity, the use of OpSite proved as easy and acceptable as the traditional non-sterile control method. OpSite was also as durable and would appear, on calculation, to be cheaper when intravenous therapy lasts longer than a day. OpSite is therefore recommended as the intravenous dressing of choice. Its use, or that of a similar sterile disposable product, should be considered mandatory for paediatric and other patients in whom sterility is vital, and in situations where intravenous infusion will continue for more than 24 hours.

Antisepsis↗

Suction dressings: a new surgical dressing technique.

A new technique in surgical dressing is described which is a combination of a semi-permeable dressing and suction drainage. This dressing has been used successfully in 20 orthopaedic patients without any wound complication and with satisfactory comfort to the patient. This form of post-operative wound management appears to retain the nursing and hygiene advantages of suction drainage, whilst avoiding the patient discomfort and the possibilities of wound infection, associated with deep internal drainage.

Adult↗

An alternative dressing for skin graft immobilization: negative pressure dressing.

The key difficulty of skin grafting is keeping the graft immobilized on uneven surfaces involved with motion, such as the nuchal area, axilla, web spaces, and the perineal area. This study reports the development of a new idea of negative pressure dressing (NPD) to maintain good immobilization of the skin graft and, at the same time, not cause any significant distress in the patient's daily life. Furthermore, the components of this dressing are available in ordinary hospitals. In this report, there are eight cases of skin grafts which were applied by this method, and the average success rate was approximately 97%. Therefore, use of negative pressure dressings to safeguard immobilization of the skin graft is an appropriate alternative method for grafts on uneven or mobile surfaces.

Adolescent↗

How to dress donor sites of split thickness skin grafts: a prospective, randomised study of four dressings.

We investigated the effects of four dressings on donor sites of split thickness skin grafts. Eighty patients undergoing elective split thickness skin grafting were randomly allocated to one of four groups. The dressings were paraffin gauze, polyurethane foam, polyethane film, and polyurethane film. The main outcome measures were pain and discomfort, healing of donor sites, and time to remove dressings. Polyurethane film caused less pain and discomfort and was also easiest to remove. There were no differences in healing among the four groups.

Adult↗

Adolescent dress, Part I: Dress and body markings of psychiatric outpatients and inpatients.

This paper investigated the dress and body markings of 100 adolescent psychiatric patients (both hospitalized and never-hospitalized). Data were obtained from in-depth interviews conducted by a child psychiatrist. In contrast to nonhospitalized patients, hospitalized patients had a higher incidence of self-scarring, i.e., marks applied to self, either as a self-mutilation/suicide gesture or serving another purpose (for example, carving a boyfriend's initials into one's arm). Other individual expressions of appearance did not differentiate hospitalized from nonhospitalized patients. Detailed dress and appearance observations, questionnaires, photo reviews, self-portraits, and family discussions contributed to the beneficial effect of psychotherapy by focusing on feelings evoked and symbolized in dress and body markings.

Adolescent↗

Wound dressing in major head and neck cancer surgery: a prospective randomized study of gauze dressing vs sterile vaseline ointment.

A total of 207 patients were randomized in a prospective comparative study of standard gauze dressing vs sterile vaseline ointment. 179 patients were evaluable. All patients received antimicrobial prophylaxis. The two groups (86 standard and 93 vaseline) were comparable as far as age (mean, 57 yr; range, 21-84), genders (155 males/24 females), weight (mean, 66 kg; range, 40-69), type of surgery, previous or concomitant anticancer treatment. Severity of surgery was identical, as was the severity of cancer, in the two groups. Wound infection within 20 days of surgery occurred in 31.2% (29/93) of the vaseline group and 24.4% (21/86) in the standard group (NSS). Bacteremia occurred in three patients from the vaseline group and in four patients from the standard group. Bronchopneumonia occurred in 10 patients from the vaseline group and 14 patients in the standard group. The spectrum of microorganisms recovered was similar in the two groups. The need for antimicrobial treatment (empiric or for documented infections) within 20 days after surgery was 34.4% (32/93) in the vaseline group and 36.0% (31/86) in the standard group. The median delay to infection (range in days) in the vaseline group was 9 (5-15) for wound and 6 (1-12) for bronchopneumonia. For the standard group the corresponding delays were 8 (4-15) and 7 (2-19). Vaseline dressing was not associated with an increased risk of infection as compared to the standard gauze dressing.

Adult↗

Studies on dressings for mucosa of the oral cavity. Part 3: Effect of preparation technology on the physical and chemical properties of stomatological xerogel dressings.

Adhesion of xerogel dressings prepared on Eudragit (E), methylcellulose (MC) and glycerol compositions, remaining within the range of 625-650 g, after addition polyvinylpyrolidone (PVP) amounts to 450-1250 g. Dissolution time from xerogel dressings without PVP additive both in water and in an artificial gastric juice amounts to 3 h. Addition of PVP results in reduction of the elution rate. In dependence upon the PVP/E/MC ratio elution time amounts to 3-3.5 h. Pharmaceutical availability of the Kunitz protease inhibitor in particular groups of then dressings depends upon concentration of hydrophilizing agent. The semi-liberation times amounts to 3.65-17.50 h.

Acrylic Resins↗

Dress for success. A nurse's knowledge of simple clothing adaptations and dressing aids may make the difference between rehabilitation success and failure.

Typical chronic diseases that affect older people often result in the loss of independence in daily activities, such as dressing. Losses of functional independence in such basic areas are factors in the institutionalization of elderly persons. The nurse's challenge? Help your clients remain independent. Simple clothing adaptations and dressing aids will help elderly people preserve self-esteem, social contacts, and control of their personal environment.

Aged↗

Investigation of dressings designed for treatment of alveolitis sicca dolorosa. Part 4: Analysis of the mechanism of liberation of drugs from dressings in vivo.

Analysis of liberation of medical substances from dressing for treatment of dry tooth-socket proved that this process proceeds simultaneously to two receiving compartments. Liberation to saliva proceeds as in vitro conditions, whereas liberation to tissue of the tooth-socket is limited by the absorption rate. Based on measurements carried out in vitro one can predict the period of effectiveness of the dressings in vivo. It is evident that results of measurements in vitro can be correlated with those in vivo.

Bandages↗