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Results for “DRESSINGS”

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At least 1,711 records · Page 95Linked to original sources
PubMed2002

A method for providing a unilateral pressure dressing in the neck.

The application of a reliable adequate pressure dressing to one side of the neck has always proved difficult, because of the risk of occluding the airway and the vasculature. We describe a method of maintaining well-localized pressure to one side of the neck without undue pressure on the vasculature and the airway by using a stiff cervical collar. This method was used successfully in the conservative management of neck haematoma in two patients.

Aged↗
PubMed2000

Flavor release of diacetyl and 2-heptanone from cream style dressings in three mouth model systems.

The release of volatile compounds from a cream style dressing, which consisted of a thickening agent dispersed in the water phase of an oil in water (o/w) type of emulsion, was studied by the purge-and-trap (PT), dynamic head space mastication (DHM) and dynamic headspace (DH) model systems for diacetyl and 2-heptanone as two volatile compounds. Big differences were detected in the quantity of volatiles released by the three models for both diacetyl and 2-heptanone: PT released the most, followed by DHM and DH. Nitrogen gas bubbling in PT and plunger up-and-down motion in DHM mimic mouth movements and promoted volatile release more than DH. The quantity of volatiles released depended on the nitrogen gas flow rate and isolation period with both the PT and the DHM model. Static headspace measurements indicated that no interaction occurred between the volatiles and the dispersion thickening agent, nor between the volatiles and protein of saliva.

Diacetyl↗
PubMed2006

Use of a hydrogel dressing for management of a painful leg ulcer.

This case study is of an 82-year-old lady who was widowed and lives alone in a council house. A left lateral leg ulcer had developed over the gaiter area, and the community team were asked to assess in 2004. The main issues were her inability to tolerate compression (even when reduced) because of the pain. Nevertheless, the community nurses had tried very hard with compression, using different compression techniques at different times to try to encourage her to persevere. The nurses felt they were running out of ideas and therefore the tissue viability nurse (TVN) was asked to assess the wound. The TVN recommended ActiFormCool dressing. This article will examine the background for wound healing, provide the rational for the recommendation and describe the progress of the patient.

Aged, 80 and over↗
PubMedDate not supplied

Tielle: a hydropolymer dressing.

Exuding wounds such as pressure sores and leg ulcers are often difficult to manage. Tielle is a foamed gel dressing with an exudate handling system that is different in structure from that of a hydrocolloid.

Exudates and Transudates↗
PubMedDate not supplied

'Last-resort' dressings for intractable pressures sores.

Twenty-five years of recommending dressing techniques for the most intractable pressure sores has taught the author some interesting lessons about the practical problems of wound healing when all else has failed. It is hoped that these personal experiences and opinions will be of some help to the many nurses who are involved in the management of pressure sores and chronic wounds.

Bandages↗
PubMedDate not supplied

Phase 1 studies: the development of new dressing technology.

This article describes the use of phase 1 studies in the research process when developing new dressing technology. A phase 1 study refers to the first time that humans are exposed to a new therapy. In general, participation is open to healthy volunteers only. Phase 1 studies are an essential element in the research process and are used to test the safety of a new product. In this study, volunteers were patch tested on broken skin to assess whether they were sensitive to a new product.

Adult↗
PubMedDate not supplied

Understanding physiology of wound healing and how dressings help.

One of the most fascinating features of the human body is its ability to repair damaged tissue. When the skin is injured a complex process occurs. The natural healing process can be divided into four distinct stages: inflammatory, granulation, epithelization and maturation. This process can take up to 2 years. Brunner and Suddarth (1992) classified wound healing into three stages: primary; secondary; and tertiary. Many factors affect how long a wound will take to heal, e.g. concurrent illnesses, nutritional status and the dressing used. A holistic approach to wound care is the key, and if all the factors are not addressed then wound healing will not prevail.

Bandages↗
PubMedDate not supplied

3M Tegasorb Thin: a hydrocolloid dressing for chronic wounds.

Hydrocolloid dressings remain as popular today as when they were first developed in the early 1960s (Williams, 1994). The reason for this is that they provide a convenient and cost-effective treatment option for those who deal with the management of chronic wounds such as pressure sores and leg ulcers. This article examines Tegasorb Thin from 3M and shows how it can create the optimal moist wound healing environment.

Bandages, Hydrocolloid↗
PubMedDate not supplied

CliniSorb activated charcoal dressing for odour control.

The potential for charcoal cloth in wound management relates to its well demonstrated ability to adsorb small gas molecules. Charcoal has become increasingly used to contain odour and is especially useful in the management of fungating lesions. This article looks at CliniSorb activated charcoal odour control dressing (distributed by CliniMed) and describes its construction, action and place in wound management.

Bandages↗
PubMedDate not supplied

Avance: silver hydropolymer dressing for critically colonized wounds.

Avance is a hydropolymer dressing that has a silver compound bonded into it. The silver acts as a bacterial shield to prevent bacterial invasion, and as a bacterial barrier to impede cross-infection. This article aims to give an overview of the use of silver in eradicating surface bacteria, and provides case study evidence of the use of Avance on the leg ulcers of two patients. Both patients had complex medical histories and underlying aetiologies that delayed the wound-healing process.

Bandages↗
PubMedDate not supplied

The use of combination treatments and dressings for a traumatic wound.

With demographics, an ageing population and faster hospital discharges against us, district nurses are likely to be faced with more complicated wounds that require specialist attention. With national and local guidelines, the restriction of cost implications, patient compliance and 'best practice' to achieve, the nurse can find the task of choosing the correct course of treatment a daunting one. Nurses must not only consider the patient holistically, assess the wound and the predisposing factors that may be present, but also prescribe an effective treatment while being aware of what effects the treatment may have and be prepared to justify their actions when called to task. This article takes one case study detailing a traumatic wound and follows through the whole assessment and evaluation process to demonstrate how all of these demands were met. Dressings used in the case study are Promogran, Actisorb Silver 220 and Tielle Plus manufactured by Johnson & Johnson.

Aged↗
PubMedDate not supplied

A tool to aid nurses' decision making in relation to dressing selection.

A multidisciplinary formulary group was established to create a standardized approach to wound management throughout Carmarthenshire. It was felt that a tool to aid nurse's decision making in dressing selection might enhance the process of formulary implementation. This article outlines the development of the tool. An action-research approach was chosen to investigate the idea. The project followed a series of cycles consisting of planning, action, data collection and reflection. The first cycle confirmed the need for such a tool. A reference card was produced. As a result of data collected in the second cycle, the card was reproduced with suggested improvements. The improved tool was then evaluated in the third cycle. Minor adjustments and incorporation of the completed Carmarthenshire formulary took place during the fourth cycle. The Carmarthenshire formulary is now in use and accompanied by the reference card.

Bandages↗
PubMedDate not supplied

Central venous catheters: a review of skin cleansing and dressings.

Having central intravenous devices is an indispensable part of the total care for high dependency patients, as they are used for administration of a wide range of intravenous therapies and for haemodynamic monitoring. However, their use is frequently complicated by a variety of local or systemic infections. Therefore, all staff involved in the management of central venous catheters must base their practice on what is agreed in the literature as being effective in reducing the risk of hospital acquired infections. This article offers a literature-based review of the management of central venous catheters, focusing on skin cleansing and dressing types. Proper skin preparation prior to catheter insertion has been shown to be essential in reducing infections.

Bandages↗
PubMed2003

Modern dressings: healing surgical wounds by secondary intention.

There is a lack of robust research evidence on many aspects of wound care. The inaugural Professional Select Committee on Wound Care, held at the Royal College of Surgeons, explored the relative value of modern and traditional dressings in treating wounds healing by secondary intention. This article outlines its main findings.

Bandages↗
PubMed2003

Intrathecal catheters: developing consistency in filter use and dressings in Perth, Australia.

The use of opioids presents practitioners with many challenges, such as the variation in responses and side effects seen with traditional methods of administration. This has prompted an increase in the consideration of the intrathecal route for the management of patients with refractory cancer pain. Although this has increased the therapeutic options available to patients, it has also led to more complicated pain management strategies. In Perth, Western Australia, it was identified that clinical variations, especially in the programming of the pump maintenance of the filters and associated dressings, occurred between service providers, causing confusion and anxiety for patients, families and practitioners. This article discusses a review of nursing management of patients receiving intrathecal analgesia and the collaboration of all services in the development of evidence-based policy.

Analgesia, Epidural↗
PubMed1997

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↗
PubMed2002

Using a soft silicone-coated net dressing to manage skin tears.

Traditional management of skin tears can cause new damage and slow down healing. This paper discusses how to categorise these acute wounds and the significance of a study that used a soft silicone-coated net dressing on patients in a Belgian hospital.

Aged↗