China
Africa
Explore chapters and articles related to this topic
Selected topics
Published in Henry J. Woodford, Essential Geriatrics, 2022
Treatment usually involves compression bandaging. As there is a risk of an arterial component, an ankle–brachial pressure index (ABPI) should be performed prior to bandaging. This test compares the standard blood pressure measured at the arm to the pressure at the ankle. The lower the figure, the more likely that arterial insufficiency is a factor. A value of 0.8 or above should be obtained if compression bandaging is to be applied. Lower ABPI values suggest a vascular surgery assessment is required. Pressure bandaging has been shown to increase healing rates compared to no compression in clinical trials.61 Multi-component systems containing an elastic bandage appear the most effective. Dressings, placed below compression bandages, can optimise the wound environment to promote healing (seeTable 22.3 for descriptions).62 There is limited evidence available to support the efficacy of any dressing type.63
Atopic eczema
Published in Samar Razaq, Difficult Cases in Primary Care, 2021
Other measures in the management of atopic eczema include wet wraps, antihistamines, phototherapy and systemic immunosuppressant therapy. Wet wraps are a cumbersome but effective method in helping control the itching and dryness associated with atopic eczema. Steroid and/or emollient is applied on the skin with a wet bandage applied on top to help trap moisture in the skin and prevent itching by the child. The wet bandage is then covered with a dry bandage. The child should be kept in a warm environment because of the risk of getting cold overnight as the water evaporates. Sedating antihistamines may be used if itching is severely impairing sleep. It is also important to be on the lookout for infections. Bacterial, particularly staphylococcal, infections are often responsible for sudden flare-ups of eczema. Topical antibiotics may be used if the area of infection is localised. If large parts of the body are affected then systemic antibiotics should be considered. If recurrent skin infections are a problem then emollients containing antimicrobials may be used to reduce the risk of infection. Diluted bleach baths are similar to swimming in a chlorinated pool. A small amount of bleach is added to a full tub and the child is soaked in the water for approximately 10 minutes followed by rinsing of the skin with fresh water.
How much is too much for venous malformation management?
Published in Byung-Boong Lee, Peter Gloviczki, Francine Blei, Jovan N. Markovic, Vascular Malformations, 2019
The goals of VM medical management are pain control, the prevention of venous ectasia and its associated localized intravascular coagulopathy, and treatment of secondary symptoms (e.g., anemia caused by bleeding).13 When possible, compression therapy should be utilized to aid in the treatment of swelling and thrombophlebitis. Appropriate selection of a compression method may be difficult. Common types include bandages, garments, and pneumatic compression devices. The compression helps to reduce swelling and pain in many patients with extensive VMs. Compression garments can also improve blood clotting abnormalities that can be seen sometimes in VMs.13
Full-thickness dermal wound regeneration using hypoxia preconditioned blood-derived growth factors: A case series
Published in Organogenesis, 2023
Hadjipanayi Ektoras, Moog Philipp, Jiang Jun, Dornseifer Ulf, Machens Hans-Günther, Schilling Arndt F
The wounds initially underwent formal surgical debridement under local anesthesia and patient sedation in order to remove all necrotic tissue and achieve a well-perfused wound bed. The wound was cleaned daily with a 10% iodine solution (BetadineⓇ, Avrio Health L.P, USA), followed by rinsing with normal saline, and let to air-dry for 15 min. After this, the HPS-containing ointment preparation was applied to the wound (wound bed and side walls) through light massage using sterile gloves. Five minutes were allowed for adsorption, before the wound was covered with sterile paraffin-gauze (Jelonet, Smith+Nephew, USA) and sterile cotton gauzes. The bandage was fixed with paper tape. Wound treatment, including sterile bandage change was carried out once daily, by trained nursing stuff for the first two weeks, and later on by the patient at home, until full wound closure was achieved.
Bilayer nanofibrous wound dressing prepared by electrospinning containing gallic acid and quercetin with improved biocompatibility, antibacterial, and antioxidant effects
Published in Pharmaceutical Development and Technology, 2023
Yuanju Lv, Wenli Wu, Zemei Liu, Guangyan Zheng, Lihong Wang, Xin Che
Healing of the damaged skin is a slow and complicated process, which generally experienced four stages, namely hemostasis, inflammation, cell proliferation, and tissue remodeling (Zhang et al. 2017; Yang et al. 2022). Mild injury can regenerate spontaneously by skin repair. But when the injury is serious, bacterial infection increases inflammation and the wound cannot be healed by skin repair (Selvaraj and Fathima 2017; Ajmal et al. 2019). A traditional wound dressing has been widely used in clinical practice, such as gauze and bandages, can protect the wound from external factors. However, they cannot inhibit the bacteria in the wound site, and it is easy to form tissue adhesion and make the wound dehydrated when they are used (Qu et al. 2018; Li et al. 2019; Memic et al. 2019; Demir et al. 2022).Therefore, developing a new wound dressing with good biocompatibility and antibacterial and antioxidant activities is highly desirable.
Upper airway obstruction following radiofrequency-assisted liposuction of the neck and lower face: a case report
Published in Case Reports in Plastic Surgery and Hand Surgery, 2022
Michèle Chemali, Wassim Raffoul
A 21 year-old healthy woman (BMI 25 kg/m2) with submental fat excess and poorly defined jawline underwent submental and lower face RFAL technology of Necktite under local anesthesia (Figure 1) in a private clinic by a plastic surgeon well-experienced in RFAL. According to the operative report, local anesthesia with adrenaline was infiltrated in the cervical and submandibular areas (100 cc NaCl 0.9%, 0.2 cc of adrenaline 1 mg/ml, 10 ml of bicarbonate 8.4% and 20 ml lidocaine 20 mg/ml). After liposuction (60 ml), NeckTite was performed. Employing the same radiofrequency energy and liposuction as FaceTitte, Necktite uses a handpiece specific to the neck and jawline. Parameters were set at 0.4 kJ in the anterior neck, 0.2 kJ in the right submandibular area and 0.3 kJ in the left submandibular area (Power setting of 10 W; goal temperature setting for skin heating at 38°C). A lightly compressive bandage was then applied.