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At least 1,369 records · Page 76Linked to original sources
PubMed1996

[Tissue tolerance and the risk of decubitus].

Based on a review of the literature on prediction and prevention of pressure sores, a conceptual scheme is introduced. The three determinants--pressure, shearing force and tissue tolerance--are discussed.

Bedding and Linens↗
PubMed1996

[The Braden Scale--validity and reliability of a measuring tool for decubitus risk factors].

In this article the results of explorative research into the validity and reliability of a Dutch version of the Bradenscale are described. The Bradenscale is a risk assessment tool for measuring the risk of developing pressure sores. With a prospective longitudinal design the Bradenscale has been investigated in a hospital and a community setting in Belgium and the Netherlands. Results of the research in hospital indicate a fair to moderate agreement with respect to interraterreliability and a reasonable amount of predictive validity. In the community care setting interraterreliability indicates slight to fair agreement while predictive validity could not be established due to several reasons. Further research into the Bradenscale is recommended considering the limited research population in both studies and the results in community care.

Adult↗
PubMed1997

[Infected decubitus ulcer].

The treatment of pressure sores, which have a high incidence in hospital patients, is a long standing problem. Pathogenesis, treatment modalities and the results, including long-term follow-up, are discussed. The value of a step-by-step concept is emphasized, starting with simple procedures like local flap rotation up to musculocutaneous flaps. Furthermore, the reconstructive options, especially in patients with pressure sores of the sacral and ischial region, are presented.

Bacterial Infections↗
PubMed1976

[Radiological lung changes after thoracoabdominal surgery in the lateral decubitus position (author's transl)].

Radiological changes that may occur in the depenent lung when surgery is performed in the lateral position are generally of a transient nature; they disappear when the position of the patient is changed after the operation, but may, in some cases, be demonstrable post-operatively as atelectatic areas. From the second post-operative day onwards, and reaching a peak on the 5th post-operative day, there is an increased incidence of ventilatory disturbances and infiltrations. The course and distribution of these pulmonary disturbances point to post-operative immobilization in the recumbent position as the main causal factor.

Adult↗
PubMed1997

[Decubitus ulcers of the buttocks: our therapeutic approach in the course of the last ten years. Report of 32 cases].

The authors conducted a retrospective study of 80 cases of pressure sores of the pelvic girdle. This study was designed to evaluate the therapeutic approach, surgical reconstruction techniques and their results at 1 year. Only 32 patients (40%) underwent surgical reconstruction, always using regional pedicled myocutaneous flaps. 15.6% of these patients developed a local recurrence (5/32). Analysis of the results of this series shows that failures of reconstruction cannot be attributed to surgical techniques, but to their indications. The reduction of recurrences depends on earlier medical and surgical management and more rigorous patient selection, especially concerning psychological aspects. The patient's cooperation is an essential condition to the success of treatment.

Adult↗
PubMed1998

[Necrotizing fasciitis and decubitus ulcers in the ischial area].

We shall present a case of the patient with inferior paraplegia and developed bed-sore. Complications of necrotic lumbar fascitis in femoral and gluteal region have occurred but the fast and radical surgical approach together with medicaments support lead to cure.

Adult↗
PubMed1998

Comparison of three recumbent positions on vagal and sympathetic modulation using spectral heart rate variability in patients with coronary artery disease.

Patients with coronary artery disease (CAD) have depressed vagal modulation. Because the mortality risk from acute myocardial infarction is lower in patients with higher vagal modulation, methods that can increase vagal modulation are desirable for patients with CAD. The right lateral decubitus position has been found, in young healthy subjects, to lead to the highest vagal modulation among 3 recumbent positions using spectral heart rate variability (HRV) analysis. This study investigated which recumbent position can give rise to the highest vagal modulation in patients with severe CAD. Twenty-seven patients scheduled for coronary artery bypass graft surgery and 17 patients with angiographically normal coronary arteries were studied. Spectral HRV analysis was performed in random order on these patients in 3 recumbent positions: namely, the supine, left lateral decubitus, and right lateral decubitus positions. Normalized high-frequency power was the highest, whereas normalized low-frequency power and low/high-frequency power ratio in the right lateral decubitus position were the lowest, among the 3 recumbent positions in both groups of patients. The lower the normalized high-frequency power in the supine or left lateral decubitus position, the higher the increase in the normalized high-frequency power when the position was changed from supine or left lateral decubitus to right lateral decubitus in patients with severe CAD. Right lateral decubitus position can lead to the highest vagal modulation and the lowest sympathetic modulation among the 3 recumbent positions in patients with severe CAD. Therefore, the right lateral decubitus position can be used as an effective physiologic vagal enhancer in patients with severe CAD.

Aged↗