Attempts to improve the Pharmacopoeial water-holding capacity test for absorbent dressings.
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We present certain characteristics of 1,000 consecutive patients who attended an Accident and Emergency Department (A&E) with an injury sustained as a result of sport. The majority of injuries occurred as a result of football. Sports injuries had a higher requirement of X-ray than general trauma patients. A minority were treated at the site of injury. A fifth of patients required no treatment or a simple dressing. Commonest treatment was a support bandage. Only 2% required immediate in-patient treatment. Those affected by sports injuries tend to be young and of working age and may lose work time as a result of their injuries and therefore appropriate treatment is justified.
Choices have to be made between the multitude of dressings available, and especially between products with the same characteristics and features. This article describes how to compile, maintain, monitor and review a dressings formulary.
There are many wound dressing products available. In certain circumstances they are used in combination. In order to protect the patient, the use of dressing combinations should have a clear purpose and the support of the manufactures. Inappropriate combinations are costly and ineffective and serve only to perpetuate practice that does not have a sound research base. This article highlights the issues surrounding dressing selection and offers guidance on appropriate dressing combinations.
Foam dressings are used widely by many healthcare professionals. They provide an excellent healing environment for exuding wounds. Lyofoam is a polyurethane foam dressing that has been developed over the last few years and is available in a variety of presentations for light, moderately, and heavily exuding wounds. A new addition to complement the Lyofoam range is Lyofoam Extra Adhesive. Lyofoam is a well established and clinically proven wound dressing.
In order to compare postoperative incisional pain intensity, a prospective randomised controlled trial was conducted with two patient groups: a treatment group (treated with a film dressing left intact until suture removal) and a control group (treated with the existing wound-care protocol of a dry dressing removed after 48 hours). Patient-controlled analgesia consumption and infection rates in the two groups were also compared. A sample of 30 patients undergoing total abdominal hysterectomy was selected. Incisional wound pain, measured using a visual analogue scale (at rest, on movement and a 24-hour average) and the McGill Pain Questionnaire were recorded daily until discharge (four days). The pain scores were not significantly different between the groups on Days 1 or 2 postoperatively. However, on Day 3 (when the wounds in the dry dressing group were exposed), there was a statistically significant difference in 24-hour average pain. Those whose wounds were covered with the film dressing experienced less pain and requested fewer non-steroidal anti-inflammatory drugs on Day 3. Maintaining a cover over a surgical wound until suture removal appears to promote pain relief when compared to exposing wounds to the air. A film dressing was useful in this respect as it allowed inspection of the wound without removing the dressing.
This study evaluates the use of the Teler system tool in assessing the effectiveness of dressings used in patients with fungating malignant wounds. The Teler system of clinical evaluation was adapted for the study. This system measures outcomes for the key variables of symptom control, dressing performance and impact of the wound on the patient's daily life by tracing change or lack of change. Data are presented from one patient, and summarised data from 16 additional patients, relating to number of dressing changes, control of exudate and dressing fit.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.