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At least 1,189 records · Page 66Linked to original sources
PubMed2000

A randomized, clinical evaluation of the safety and efficacy of a novel oral irrigator.

PURPOSE: To evaluate the safety and efficacy of the Braun Oral-B OxyJet (MD15) Oral Irrigator when used as an adjunct to manual brushing. MATERIALS AND METHODS: 64 subjects with mild-to-moderate gingivitis entered this randomized, parallel-group, examiner-blind 8-week study. Subjects were assigned to use either the MD15 and a manual brush, or a manual brush alone. Both groups brushed twice daily; the MD15 subjects, in addition to brushing, also used the irrigator in the evening. Subjects were scored at baseline, week 4 and week 8 at up to 168 oral sites for gingival inflammation (modified gingival index), gingival bleeding (angular bleeding index), and plaque (modified plaque index). RESULTS: No adverse events related to study treatment were reported. Use of the MD15 in conjunction with manual brushing resulted in significant (P < 0.05) decreases from baseline in the plaque index at week 8, the gingival index at week 4, and the bleeding index at weeks 4 and 8. The gingival index was also decreased from baseline at week 8, but this was not statistically significant (P = 0.069). The control group also showed significant decreases from baseline for the gingival index at week 8 and the bleeding index at weeks 4 and 8, but plaque scores were not significantly reduced. Although use of the MD15 plus brushing significantly reduced plaque levels from baseline, while brushing alone did not, the difference between the two groups did not achieve statistical significance (P = 0.065). Differences between the groups with respect to the gingival and bleeding indices were also not statistically significant. It is concluded that use of the OxyJet Oral Irrigator in conjunction with manual brushing is safe, reduces plaque and improves gingival health.

Adolescent↗
PubMedDate not supplied

[An adverse effect of glycine irrigation solution: absorption syndrome].

Endoscopic operations in the genitourinary tract require the use of an irrigating fluid containing glycine 1.5% and expose patients to adverse events in relation with the absorption of that irrigating fluid, summarized as "transurethral resection reactions" (TURP syndrome). Intra and extra vascular absorption are now well described. The uptake of 1000 ml of fluid corresponds to an acute decrease in the serum sodium concentration of 5-8 mmol.l-1 and give poor clinical signs. This is the volume above which the risk of absorption-related symptoms is statistically increased. Dilutional hyponatraemia and toxicity of glycine and/or its metabolites explain the clinical symptoms. Hyponatraemia and the osmotic gap assess the diagnosis of TUR syndrome. There is a threat to life and a knowledge of an adequate management is essential. Ethanol monitoring is an non invasive method to prevent and detect early irrigating fluid absorption.

Glycine↗
PubMed2001

[Observations of the curative effect with various liquid for post operative irrigation of ESS of treating chronic sinusitis and nasal polyps].

OBJECTIVE: To explore the influence of liquid for post-operative irrigation on the effect of ESS. METHOD: 192 cases with chronic sinusitis and/or nasal polyps of groupIIstageII who had undergone the ESS from September, 1998 to June, 1999 and completed a 3-month follow-up were divided randomly into 3 groups to accept 3 different kinds of irrigation liquid. The evaluation of curative effect was according to the index of HaiKou ESS-97. RESULT: The curative effect of Herba Houttuyniae group was better than the other two. CONCLUSION: The post-operative care is important and the irrigation liquid can affect the effect of ESS.

Adolescent↗
PubMedDate not supplied

[Irrigation in colostomies].

The degree of acceptation of irrigation from a colostomy varies ostensibly from some cases to others, therefore, we study what occurs in our medium, separating those patients which have previously undergone other procedures (Group A) from those patients who have been informed and trained about the immediate postoperative period (Group B). GROUP A: 48 patients, 22 or 46% of these patients were considered not apt for irrigation. Of the 26 to whom this procedure was proposed, 14 or 54% accepted. Of these, 5 or 36% abandoned its use while 9 continued its use; this is 64% of those who accepted this procedure, 35% of those to whom it was proposed and 19% of the total study group. GROUP B: 189 patients. This procedure was not recommended to 95 patients, 50%. Of the 94 patients to whom this procedure was proposed, 65 or 69% accepted. Of these, 22 or 34% abandoned its use while 43 continued its use; this is 66% of those; who accepted this procedure, 46% of those to whom it was proposed and 23% of the total study group. CONCLUSIONS: In our medium, the practice of irrigation oscillates between 19 and 23% of patients who have undergone a colostomy, without any significant difference referring to the moment when a patient started this procedure. A first report on this study was submitted in the III National Congress for Nursing in Colostomies.

Adult↗
PubMed1991

Absorption of irrigating fluid during TURP--fact and fiction.

The basic requirements for intravenous (IVA) and extravascular absorption (EVA) of irrigating solutions during TURP are discussed. The operating surgeon should not rely on thumb rules but know the mechanisms behind absorption and be acquainted with the inherent risks of his irrigating systems. Peroperative monitoring of absorption has obvious advantages for the patient's safety, for the anaesthetist and for the training surgeon. The use of ethanol as a tracer for the detection of irrigant absorption and the route of absorption is herein discussed. Some hints for limiting fluid absorption during TURP is also proposed.

Absorption↗
PubMed1991

Current concepts in irrigation therapy.

The delivery of chemical agents by subgingival irrigation has become increasingly important as an adjunct to mechanical procedures such as scaling and root planing in the treatment of gingivitis and early stages of periodontal diseases. This article presents the rationale for subgingival irrigation therapy in the dental office, and outlines proper irrigation technique as well as treatment planning guidelines.

Dental Prophylaxis↗
PubMed1991

[Subgingival irrigation in periodontal therapy].

Subgingival plaque control is a decisive factor in periodontal therapy. Up to the present, removal of plaque and calculus by repeated scaling procedures has been regarded as the only viable method to achieve this goal. Recent investigations, however, suggest that the topical application of antibacterial substances or subgingival irrigation procedures are capable of yielding comparable improvements of periodontal health. This review paper is dedicated to subgingival irrigation. Besides an overview of techniques and results, we discuss our own experiences, including two case presentations. The results so far are encouraging. Nevertheless, due to the general lack of scientific data with extended time intervals, this method is not suitable yet as an alternative to conventional procedures in periodontal routine care. Until further long-term evidence has been gathered, subgingival irrigation should be regarded only as a valuable adjunct to scaling and root planing.

Dental Plaque↗
PubMed1991

Intraocular irrigating solutions: a clinical study of BSS plus and dextrose bicarbonate lactated Ringer's solution.

Intraocular irrigating solutions of varying compositions and costs are available for cataract surgery. We studied preoperative and two months postoperative extracapsular cataract extraction and intraocular lens implant corneal endothelial cell size in two groups. One group had received an intraoperative irrigating solution of lactated Ringer's with dextrose and bicarbonate. The other irrigating solution was BSS Plus which differs chiefly in the presence of glutathione. A nonstatistically significant trend in favor of BSS Plus was observed.

Acetates↗
PubMed1991

Glycine as an irrigant during microsurgical hemostasis. A microsurgeon's observations.

The "drip-stop-coagulate" technique used during microsurgery is tedious and, at times, frustrating when electrolyte-rich solutions are used as an irrigant. Glycine, a nonelectrolyte solution, allows the gynecologist to apply electrosurgical energy in a fluid medium; lactated Ringer's solution, the irrigant frequently used by microsurgeons, will not. When, during microsurgery, glycine is used in place of lactated Ringer's solution, the origin of the bleeding site can be easily isolated and coagulated during irrigation, assisting the surgeon in precise and complete hemostasis.

Electrocoagulation↗
PubMed1990

[Effects of subgingival antimicrobial irrigation in chronic periodontitis--clinical observation].

One week prior to the establishment of baseline records, 144 sites with a probing pocket depth of 5-7 mm in 13 periodontitis patients were treated with plaque control and root planning. Sites with periodontitis involvement in each patient were divided, by split mouth design, into 4 quadrants. Each quadrant was irrigated subgingivally with either 0.05% metronidazole or 0.05% ornidazole, or 0.2% chorhexidine, or 0.9% normal saline (control) once every 2-3 days for 4 weeks. The plaque index, sulcus bleeding index, probable pocket depth and gingival index were assessed at the baseline and at 4 weeks, 8 weeks and 12 weeks following initial preparation. All 4 clinical parameters in the ornidazole treated group showed significant improvement as compared with baseline values, but the improvements were not maintained to the end of the study. Except for improvement in the sulcus bleeding index and the gingival index in the ornidazole group, which was superior to that of the metronidazole group at the 4th week, there were no significant differences in other parameters between the ornidazole, metronidazole and chlorhexidine groups at the irrigation sites. From these data we can tentatively conclude that subgingival irrigation with ornidazole in deep pockets is more effective than metronidazole or chlorhexidine in nonsurgical periodontal therapy.

Adult↗
PubMed1990

Bactericidal effects on subgingival bacteria of irrigation with a povidone-iodine solution (Neojodin).

This study was undertaken to determine the optimal concentration of a povidone-iodine solution (Neojodin: NJD) for irrigation of subgingival pockets. Three different dilutions were prepared (undiluted, 20%, and 10%). Statistically significant reduction of total colony forming units (CFU) was shown after irrigation with undiluted NJD solution when compared to control sites. Although reduction was not significant after irrigation with 20% or 10% NJD solution, total CFU were reduced to less than 1% in several sites, which was not true with biological saline.

Bacteroides↗
PubMedDate not supplied

Colostomy irrigations: mechanism guidelines and considerations.

Colostomy irrigation is most often indicated for the control of bowel function in a select population of patients. Irrigation of an ostomy may also be necessary to prepare to bowel prior to surgery or diagnostic testing, to alleviate constipation or impaction or to relieve a food blockage at the fascial opening of an ileostomy. To achieve a successful outcome with irrigation procedures, the practitioner must carefully consider the anatomy and physiology of the intestine as well as appreciate the patient's history, physical capability and unique situation.

Colon↗
PubMed1985

[Effect of hyperthermic irrigation with bleomycin on prophylaxis of recurrence of bladder cancer].

Hyperthermic irrigation with Bleomycin of bladder at 43 approximately 44 degrees C for 3 hours after operation was performed in about 80 cases of bladder cancer from 1978, in our hospital. Bleomycin (90 mg) in 3,000 ml saline solution, was irrigated for 10 days postoperatively. No severe side effect was observed, while the complaint of a local side effect (bladder irritability) was made in 57.8%. Non-recurrence rate was calculated by the actual method, in 54 patients with bladder cancer which occurred initially. Non recurrence rate was 88.0% after 1 year, 73.3% after 2 and 3 years, and 63.5% after 4 years or more. Recurrence rate per 100 patient-month was 0.98. On the basis of our observations, it was concluded that hyperthermic irrigation with Bleomycin was useful for the prophylaxis for recurrence of bladder cancer after removal of the tumor.

Adult↗
PubMed1986

Rapid massive irrigating fluid absorption during transurethral resection of the prostate.

Absorption of irrigating fluid is common during transurethral resection (TUR) of the prostate. Eleven patients were monitored peroperatively during TUR with measurements of bladder pressure, arterial blood pressure, central venous pressure and determinations of serum sodium as well as fluid balance. A rapid massive irrigating fluid absorption occurred in one case. The clinical course and data from the patient monitoring makes it possible to study early manifestations of irrigating fluid absorption. The bladder pressure recordings show that maximum intravesical pressures were not higher during the phase of rapid massive absorption as compared to periods without absorption.

Absorption↗
PubMed1986

[The value of maxillary sinus irrigation in children with maxillary sinusitis using the Waters film].

Eighty children with chronic sinusitis receiving a conservative treatment were followed. They found that without any further therapy the Waters view of 30 children became normal. The usefulness of irrigation of the maxillary sinus was studied in the other 50 children. In one group of 25 children a sinus endoscopy and sinus irrigation was performed. In a control group of another 25 children no further treatment was performed. A comparison between the Waters view and sinus endoscopy is also included in the study. The authors found little difference in the treatment results in the two groups. Furthermore, when the Waters view is normal, then exists little chance of finding a pathological mucous membrane during sinus endoscopy. In doubt the clinical picture is most important. The control of the roentgenogram should be performed one month after the first one. Antroscopy is better for the diagnosis but in view of its traumatic aspect and the finding that it does not result in a better therapeutic response, the authors advise sinus irrigation only in problematic cases.

Anti-Bacterial Agents↗
PubMed1988

The effects of warm irrigating fluid during and after transurethral prostatectomy.

The effect of warm irrigating fluid on hypothermia and blood loss during and after transurethral prostatectomy was studied. Sixty-two patients received warm irrigating fluid (37 degrees C), and 46 patients received irrigating fluid at operating room temperature. The incidence of shivering was lower in the warmed-fluid group than in the controls, and blood loss was significantly lower in the warmed-fluid group.

Aged↗
PubMed1989

The effect of warm irrigating fluids on the incidence of shivering during transurethral resection of the prostate (TURP).

Twenty-four unpremedicated patients of ASA class II or III undergoing TURP were given esia with 10 mg of tetracaine at level L3-4 or L4-5. These patients were randomly given "warm" or "ambient temperature" irrigating fluids. Those with irrigating fluids of temperature between 25.5 degrees C and 33 degrees C were arranged as Group 1 and those of temperature between 21.5 and 23 degrees C as Group 2. The results failed to show that the incidence of shivering could be decreased by the use of warm irrigating fluids.

Aged↗
PubMed1988

The importance of closed bladder irrigation in prostatectomy.

Closed bladder irrigation in transvesical prostatectomy is an important factor in arresting bleeding and preventing or diminishing bacterial infection. A bladder irrigation of appropriate intensity may ensure that the blood clots be removed rapidly from the bladder and thereby the formation of larger clots and bladder tamponade can be avoided. The bacteriological examination of the eluents of 82 patients revealed that the longer the patient is maintained on a catheter, the longer bacteriuria and pyuria will persist. Two days are considered by the authors to be the optimal time of maintaining a closed bladder irrigation.

Bacteriological Techniques↗