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At least 1,081 records · Page 60Linked to original sources
PubMed1978

[Use and examination of unwoven fabrics in the production of dressings, surgical and bed linens].

The results of physicochemical examination of 32 kinds of unwoven fabrics as well as the examination of 7 kinds of the three-level dressings, operation, and bed clothes are reported. The fabrics consisted of polypropylene and viscose fibres, dilana, argona, polyamides and bonding agents (fixatives). In their water extracts the content of the chloride, sulphate and alkaline ions, reductors, the presence of heavy metals, the surface active substances and the pH were determined. The practical applicability of the dressings was tested in 300 cases. The dressings were well tolerated by the patients. The operation and bed clothes as well as the surgical clothes made from unwoven fabric and sterilized by radiosterilization may facilitate, the great deal of work in the operation units and in surgical wards.

Bandages↗
PubMed1980

The rigid versus soft postoperative dressing controversy: a controlled study in vascular below-knee amputees.

Results of 52 consecutive below-knee amputations for lower extremity ischemia were evaluated to determine whether use of immediate fit prostheses (IPOP) instead of soft stump dressings had any bearing postoperative hospitalization time, functional recovery, postoperative pain, morbidity, and mortality in amputees. Of 34 patients receiving IPOP, 21 per cent developed stump necrosis, 21 per cent had wound infection, 26 per cent required major reamputation, and 12 per cent died within 30 days of operation. Of 18 patients treated with soft stump dressings, 17 per cent developed necrosis, 33 per cent infection, 44 per cent required reamputation, and 11 per cent died postoperatively. None of these differences was statistically significant. Mean hospitalization time and average narcotic requirements for analgesia were also similar in both groups. Fifty-six per cent of patients with IPOP and 22 per cent of those with soft dressings ultimately ambulated with prostheses (P less than 0.05). Whether or not IPOP was used had little if any effect on the early evolution of vascular amputees in this series.

Adult↗
PubMed1980

Determination of roquefortine in blue cheese and blue cheese dressing by high pressure liquid chromatography with ultraviolet and electrochemical detectors.

A method is described for the determination of roquefortine in blue cheese and blue cheese dressing. The method involves sample extraction with ethyl acetate, cleanup by liquid-liquid partition, and determination by high pressure liquid chromatography with ultraviolet and electrochemical detectors connected in series. Recoveries of roquefortine added to cheese at levels of from 16 to 320 ng/g averaged 74.9%. This method was applied to the analysis of 12 samples of blue cheese and 2 samples of blue cheese dressing, all of which were produced in the United States; roquefortine was found in all of the samples at average levels of 424 ng/g for the blue cheese and 45 ng/g for the blue cheese dressing.

Cheese↗
PubMed1995

Wound dressings and topical agents.

Topical treatment of wounds is an important aspect of wound care, although secondary to surgical and systemic care. Dressing materials come in many forms to suit wound types and preferences. No hard evidence exists to place any one approach above another. All wounds deserve individualized attention and care plans. Likewise, a plethora of solutions exist to augment dressing materials in cleansing, antibiosis, and débridement. Traditional agents, including hydrogen peroxide, Dakin's solution, and povidone-iodine, are more tissue toxic than their common usage would indicate. We prefer frequent dressing changes with natural fiber gauze and nontoxic solutions such as saline. The scalpel, curette, and rongeur are, in our experience, much preferred to enzymatic agents when débridement is needed. We encourage scrutiny of commercial products based on clinical merit and effectiveness as documented in the medical literature. Platelet derived growth factors are an effective adjunct to wound healing and are primarily indicated when the condition of patients and their wounds has otherwise been optimized.

Anti-Infective Agents, Local↗
PubMed1995

[Development and characterization of an absorbable temporary wound dressing].

Most of the temporary dressings used in the treatment of burns do not meet the objectives of a skin substitute concerning application, safety and comfort. Removal is often painful and traumatic and increases the risk of infection. Biodegradable polymers of lactic and caproic acid were developed as part of a research programme (BMFT/FRG 01 KG 8809/7), and chemical and physical properties were investigated. Films made of the copolymer material were characterized by structure, transparency, permeability, tensile strength, flexibility and degradation. The transparent films appeared increasingly opaque during hydrolysis. The water vapour permeance could be varied between 40 and 250 (40-136) ml/m2 per h (according to the method of measurement). The mechanical properties are characterized by a maximum elongation of > 2000% at 37 degrees C and a very low elastically modulus. When the results were compared with those of three established film dressings, no restriction was found in the aptitude of the material as a wound dressing.

Animals↗
PubMedDate not supplied

Tissue viability. Post-operative wounds: a nurse-led change in wound dressings.

In an attempt to ascertain whether the type of dressing used in hip replacement surgery can affect the risk of patients haemorrhaging post-operatively, a survey was carried out on a 25-bedded orthopaedic ward. It was found that thinly dressed wounds were more likely to lead to haemorrhage. As a result of this nursing-led initiative, the consultants agreed to use thickly padded dressings and there has since been a reduction in the number of patients haemorrhaging.

Bandages↗
PubMedDate not supplied

Wound dressing: principles of choice. Pt 2 (continuing education credit).

The ability to select an appropriate wound dressing is an integral part of the nurse's role in assisting the wound healing process. The sheer range of dressings available can make that selection seem complex. This Learning Unit is the second of a series designed to help nurses choose appropriate dressings and so improve the care offered to patients and clients.

Bandages↗
PubMed1995

[From the history of surgical instruments: 3. The dressing forceps (16th century)].

The dressing forceps ("Kornzange") is one of the very few surgical instruments that have extensively preserved its form, its function and even its name throughout the centuries. In the Germany of the 16th century, the dressing forceps was mentioned as a widely used instrument among the barber-surgeons (Stromayr 1559, Ryff 1559). At that time, it mostly found use as a foreign body removing forceps. The dressing forceps can be traced back until today in German or English surgery instrument-books in nearly unchanged shape.

Barber Surgeons↗
PubMed1995

Choice of wound dressings and ointments.

Over the last several decades, methods for wound dressing have dramatically changed. This article reviews the effects of wound dressing, antiseptics, and antimicrobials on the process of wound healing and on the incidence of wound infection. A set of guidelines is provided to help the surgeon decide what to apply topically to wounds and which dressing to select to achieve the best possible outcome in wound healing.

Anti-Infective Agents, Local↗
PubMed1996

[A case with dressing apraxia].

A 56-year-old right-handed man developed a persistent dressing apraxia after a cerebral infarction. On examination eight months after the onset, he showed an extreme difficulty in dressing, which did not improve even after repeated trials. He also showed poor judgement of line orientation, impaired ability on constructive task, and prominent difficulty in right-left discrimination of objects placed in front of him. Interestingly, his right left orientation about his own body was not impaired. Mild left unilateral neglect and left sided visual extinction on double simultaneous stimuli were also present. No other neuropsychological signs including aphasia, apraxia, agnosia, asomatognosia and anosognosia were present. The detailed experimental investigations showed that his visual imagery and its mental operation were severely impaired. For instance, he was unable to rotate an imagery object in his mind. We concluded that his dressing impairment was inherently related with this difficulty in rotating an imagery object in the mind. A MRI study showed high signal areas in T2 weighted images in the superior parietal lobule, angular gyrus, occipital cortex, and corona radiata of the right cerebral hemisphere. Also a small lesion was detected in the ventral midbrain through the upper pons.

Apraxias↗
PubMed1996

Innovative dressing method for Mohs' surgery.

Mohs' surgery often requires multiple dressing changes in a single day. The innovative dressing method described here provides a reproducible, visually acceptable dressing with minimal damage to the patient's uninvolved skin. It also allows speedy removal and a smooth flow of events for the health care team.

Bandages↗
PubMed1997

Wound dressings.

Wound healing is a complex rebuilding process that may be easily disrupted if dressings and topical applications are chosen unwisely. There is now a consensus of opinion on the attributes of an ideal dressing. There are many dressings available, each possessing certain of these attributes. There is a shortage of clinical trials in this area.

Bandages↗
PubMed1987

Burn wound dressings--a review.

Man has dressed wounds since life began many millions of years ago. Since this time many materials have been devised for the intention of dressing wounds. This review indicates the vast range presently available, providing a starting point for those seeking information on this subject.

Bandages↗
PubMed1981

Use of dry human and bovine amnion as a biological dressing.

A new method of drying and sterilizing the amnion extends the life of the product to more than nine months and enables it to be stored at room temperature. The bovine amnion is unique and the first of its kind, there being no comparable series in the literature, to our knowledge. Bovine amnion has a large surface area and can provide bulk supplies. The membrane as prepared has been tested in 12 rabbits experimentally and in 70 patients of different ages with a variety of surgical lesions, mainly burns. More than 150 applications of the dried amnion have been made as the sole dressing for these patients. The results indicate that amnion, both human and bovine, is quite safe and effective as a biological dressing. The dried material retains all the physical and biological characteristics of the fresh membrane.

Adolescent↗
PubMed1984

The effect of a semiocclusive dressing on the microbial population in superficial wounds.

Superficial wounds in a Yorkshire pig were treated with a semiocclusive polyurethane film dressing (PUD) or left open. The number and types of microflora present in the wounds each day was determined by a scrub technique, selective media, and the spiral plating system. In wounds covered with the PUD, the number of organisms increased, and there were more gram-negative pathogens. We concluded that microorganisms in wound beds multiply and survive better beneath a semiocclusive dressing than with air exposure.

Air↗
PubMed1985

Comparison of Biobrane and Scarlet Red dressings for treatment of donor site wounds.

Two methods of autograft donor site management were tested in 31 patients with burn injuries. Two donor sites of equivalent size were respectively covered with Biobrane and Scarlet Red, two commercial dressing materials available for donor wound coverage. Pain, the amount and type of exudate developing underneath the dressing, adherence, and cellulitis were evaluated on a daily basis, and healing time was determined. Biobrane proved superior to Scarlet Red with respect to control of pain, accumulation of exudate, and healing time; the materials were equal with regard to adherence to the wound, the character of exudate, and the appearance of cellulitis.

Adolescent↗
PubMed2006

Randomized clinical trial of the effect of applying ointment to surgical wounds before occlusive dressing.

BACKGROUND: A blinded randomized clinical trial was undertaken to evaluate the effect of applying ointment to a wound before occlusive dressing, in comparison with no ointment or sterile paraffin. METHODS: Some 778 patients with 1801 surgical wounds following excision of skin lesions were enrolled in the trial. No ointment was placed on 510 sutured wounds of 247 patients, paraffin ointment was put on 729 wounds (269 patients) and mupirocin ointment on 562 wounds (262 patients). Wound infection, scar, haemorrhage, dehiscence and other complications were assessed at suture removal. At 6-9 months after surgery, patients were surveyed to assess the wounds, with a response rate of 74.0 per cent. RESULTS: There were no significant differences in outcome for all endpoints evaluated. The infection rate was 1.4 per cent with no ointment, 1.6 per cent for paraffin and 2.3 per cent for mupirocin (P = 0.490). Total complication rates were 3.5, 4.7 and 4.8 per cent for no ointment, paraffin and mupirocin respectively (P = 0.590). Some 10.9, 10.3 and 8.2 per cent of patients respectively had a neutral or negative perception of their wounds at 6-9 months after surgery (P = 0.650). There was no difference in postoperative pain, degree of inconvenience or overall level of satisfaction with treatment. CONCLUSION: Putting ointment on a surgical wound before occlusive dressing does not benefit the patient. In view of the risk of antibiotic resistance, mupirocin ointment is not indicated for clean surgical wounds.

Adult↗