Psoriasis treated with tropical fluocinolone acetonide and occlusive dressings.
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Adrenal Cortex Hormones↗
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Results for “BANDAGING AND DRESSING”
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HISTOLOGICAL CHANGES IN PSORIASIS TREATED WITH TOPICAL FLUOCINOLONE AND OCCLUSION.
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Adrenal Cortex Hormones↗
[THERAPEUTIC TRIAL OF AN 0.01 P. 100 FLUOCINOLONE ACETONIDE OINTMENT UNDER HERMETIC DRESSINGS IN PSORIASIS].
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Adrenal Cortex Hormones↗
Central venous catheter-related infection and dressing type.
Localised infection and septicaemia are recognised complications of central venous catheterisation. This paper investigates the influence of dressing type on rates of infection by a review of published literature. Semi-permeable transparent dressings are widely used but evidence is accumulating that they increase the risk of infection as compared to dry gauze dressings.
Bandages↗
The use of hypochlorite solutions in wound management.
Hypochlorite solutions have been an issue of controversy for many years. Research has highlighted their harmful effects and yet doctors and nurses continue to use them. This article will review the literature both for and against the use of hypochlorite solutions and will examine alternative wound dressings.
Bandages↗
A guide to dressing selection.
An update on the characteristics of different types of chronic wounds and the wound-related criteria for selecting the appropriate types of dressing.
Bandages↗
[Selection of wound dressings].
The successful wound treatment depends on the adequate local agents and the well selected dressing. There is not single universal dressing that suitable for the management of all types of wounds and a few are suitable for single wound in the all stages of wound healing. The base and the main goal of dressing selection to produce rapid and optimal wound healing, cosmetically acceptable too, to reduce pain, to prevent and control the bacterial state of wound, to decrease the quantity of wound secretion, to cause minimal distress to the patient, and to improve the quality of patient's life. Author gives a summerizing of the wound healing, a discussion about the wound related factors: e.g. wound type, wound surface, wound characteristics and the bacterial profile of wounds. He gives informations about the wound dressing collecting into groups and the classification of the different dressings.
Bandages↗
Modern wound dressings.
With the wide array of wound dressings available today, it can be a difficult task to select the appropriate dressing required for a particular wound. Georgina Casey reviews the healing process and discusses the characteristics of different types of dressing.
Bandages↗
A moist, odour-free environment. A multicentred trial of a foamed gel and a hydrocolloid dressing.
Exuding wounds such as leg ulcers present special problems. A clinical trial of a new foamed gel dressing showed that it provides a moist healing environment without unacceptable odour, and improves the condition of the wound when compared to a hydrocolloid dressing.
Bandages, Hydrocolloid↗
Development of a wound-management formulary for use in clinical practice.
A wound-management formulary is an important aid to health-care professionals looking for the most appropriate product for a particular patient. Some of the basic principles of compiling such a formulary are described, providing a step-by-step guide, and concentrating principally on one for wound dressings.
Bandages↗
Understanding wound dressings: hydrocolloids.
In the third article in this series looking at wound dressings, Jacqui Fletcher describes hydrocolloid dressings.
Bandages, Hydrocolloid↗
Healing of porcine donor sites covered with silver-coated dressings.
OBJECTIVE: To compare rates of healing of donor sites in pigs between those dressed with silver-coated dressings and those dressed with petrolatum-impregnated absorbent gauze. DESIGN: Open study with each animal acting as its own control. SETTING: University research facility, Canada. ANIMALS: 6 young specific-pathogen-free domestic pigs. INTERVENTIONS: A total of 72 wounds about 1 cm x 2 cm x 0.4 mm were made in rows of eight on each pig with a dermatome. They were divided into three groups of 24, and dressed with petrolatum gauze, or silver-coated dressings moistened with sterile water either once only or daily for 10 days. All dressings were secured in place with an elastic bandage. MAIN OUTCOME MEASURES: Erythema, infection, epidermal migration, and healing. RESULTS: Wounds dressed with moistened silver-coated dressings re-epithelialised significantly more quickly. This resulted in complete re-epithelialisation within 70% of the time taken by those wounds dressed with petrolatum gauze. CONCLUSION: Silver-coated dressings provide a moist environment for the healing wound combined with an effective antimicrobial agent, and this significantly accelerates healing compared with wounds dressed with traditional petrolatum gauze dressings.
Animals↗
Decrease of urinary corticosteroids following application of fluocinolone acetonide under an occlusive dressing.
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Adrenal Cortex Hormones↗
The importance of correctly choosing a bandage and bandaging technique.
Bandaging is a basic procedure but if carried out incorrectly it has the potential to cause considerable harm, for example by restricting movement or blood flow. Bandages may be used for: Retaining primary dressings; Support; Compression; As a vehicle for administering medication, for example zinc oxide bandages.
Bandages↗
[Further trial of treatment of some dermatosis under occlusive dressings].
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Bandages↗
Use of a four-layer bandage system in the treatment of an i.v. drug abuser with chronic upper extremity ulcerations: a case study.
A patient with a ten-year history of heroin abuse presented to a wound healing clinic for treatment of multiple ulcerations to his upper arm. The largest measured 3.5 cm x 1.7 cm. The patient related that these wounds came from his i.v. heroin use. Previous treatments included iodine packed gauze, saline soaked fine mesh gauze, dakins solution, and wet-to-dry dressings; all treatments were unsuccessful. Treatment included cleansing the wound with normal saline, packing the ulcers with a calcium alginate rope, and wrapping the arm using a four-layer bandage. The dressing remained in place for 7-day time intervals. During the course of treatment, the patient remained heroin-free. No unscheduled dressing changes occurred, nor did the patient report discomfort with the dressing or during dressing changes. The patient was able to maintain complete range of motion throughout care. Complete healing was noted by day 42. The calcium alginate dressing combined with the 4-layer bandage system has proved successful in treating the patient.
Alginates↗
Controlled trial of occlusive dressings in healing chronic venous ulcers.
Fifty-six patients with chronic venous ulcers present for a mean of 2.4 years were randomized to either a new occlusive hydrocolloid dressing (Granuflex, Squibb Surgicare) or a porous non-adherent dressing (N A, Johnson and Johnson). In all patients, dressings were applied beneath a standard graduated compression bandage. There was no difference between the two groups, with complete healing in 21 out of 28 (75 per cent) of occlusive dressing patients and 22 out of 28 (78 per cent) with N A dressings by 12 weeks. Careful graduated compression bandaging achieves healing even in the majority of so-called resistant chronic venous ulcers; there was no additional benefit from applying occlusive dressings which tend to be expensive.
Adult↗
Early treatment of trans-tibial amputees: retrospective analysis of early fitting and elastic bandaging.
This study investigates the effects of early fitting in trans-tibial amputees. The assumption is that compared to elastic bandaging, the use of a rigid dressing in early fitting will result in quicker wound healing and earlier ambulation. A retrospective file search was carried out in three different hospitals, analysing the time to first prosthesis, the incidence of local and general complications and the functional outcome after discharge from hospital. Each of the hospitals used a different method of postoperative care: elastic bandaging, immediate postoperative application of the plaster cast or delayed application of the plaster cast within one week post amputation. In comparison to the elastic bandaging method (N=52), the use of a rigid dressing in the early fitting method (immediate and delayed, N=97) resulted in a statistically significant shorter period from amputation to the delivery of a first regular prosthesis (110 days vs 50 days) and a decreased risk of knee flexion contracture. Although, differences in local complications were not observed, the risk of pressure sores in other places than the stump was increased in early fitting. Instead of further reducing the time to first prosthesis by immediate fitting, the use of delayed fitting resulted in a statistically significant shorter period from amputation to the delivery of a first regular prosthesis (56 vs 40 days). However, delayed fitting was associated with an increased risk for reamputation. In conclusion, this study indicates that early fitting by use of a rigid dressing after trans-tibial amputation is the treatment of choice. If it is possible to apply a plaster cast in the operating room, the authors would prefer the immediate fitting method.
Aged↗