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Hospital Resources
Published in Michael M. Rothkopf, Jennifer C. Johnson, Optimizing Metabolic Status for the Hospitalized Patient, 2023
Michael M. Rothkopf, Jennifer C. Johnson
The catheter site should be examined by the patient’s RN daily. The dressing should be changed once a week using a sterile technique and a bio-occlusive dressing. The integrity of the PN catheter should also be examined and any defects reported.
Psychocutaneous Disorders
Published in Ayşe Serap Karadağ, Lawrence Charles Parish, Jordan V. Wang, Roxburgh's Common Skin Diseases, 2022
Kristen Russomanno, Vesna M. Petronic-Rosic
Patients may be amenable to topical treatment with antibiotics, emollients, dressings, and other wound care products which may facilitate the healing of lesions. Occlusive dressings can prevent further manipulation of the skin and may be of diagnostic value as above.
Treatment of Pressure Sores
Published in J G Webster, Prevention of Pressure Sores, 2019
For most cases, it is recommended that an occlusive dressing be applied to the clean wound as the primary dressing because occlusive dressings provide an optimized wound environment and a means of protecting the wound from outside contamination (Mulder and LaPan 1988). Occlusive dressings create a moist environment which allows epithelial cells to migrate and should be gas permeable to allow the healing tissue an adequate oxygen supply (Seiler and Stähelin 1985). If the pressure sore shows clinical signs of infection, has a culture that yields greater than 105 organisms per gram of tissue, has exposed tendons or bones, or has draining sinus tracts, then an occlusive dressing should not be used (Mulder and LaPan 1988). It is also better to use a dry dressing if the sore is inactive (Torrance 1983).
Anticipating and preventing complications in spinal cord stimulator implantation
Published in Expert Review of Medical Devices, 2023
Steven M. Falowski, Hao Tan, Joseph Parks, Alaa Abd-Elsayed, Ahmed Raslan, Jason Pope
The NACC and CDC have well-established recommendations for reducing infection risk [3,8]. Preoperatively, optimizing blood sugar control, cessation of tobacco use, and improved nutritional intake all reduce infection risk [8]. Engaging multidisciplinary specialists for immunocompromised patients is worthwhile to consider. Some may also find value in screening patients for S. Aureus as carriers are at higher risk of SSI. Perioperatively, prophylactic antibiotics may reduce the risk for infection by approximately 50% [8]. Following surgery, administration of antimicrobial agents at the local wound site, in addition to occlusive dressings may decrease infection risk as well [10,13]. Postoperative antibiotics decreases infection risk and is generally recommended for at least a 24 hour post operative course [5,10,13]. Lastly, proper sterile technique must be maintained throughout the duration of surgery to minimize contamination and SSI risk.
Periocular manifestations of trigeminal trophic syndrome: A case series and literature review
Published in Orbit, 2018
Katherine A. McVeigh, Morag Adams, Richard Harrad, Rebecca Ford
We discuss the management of the under-recognised associated periocular skin ulcerations that result from physical manipulation of dysesthic skin and prove to be persistent and challenging to treat. Patient education and counselling are crucial in understanding and preventing the detrimental effect of physical manipulation of the skin. Occlusive dressings can reduce recurrent trauma. Topical lubricants, antibiotics, or autologous serum may be needed in cases with corneal involvement or exposure. Surgical interventions may be used, but frequently fail if the underlying neurological pathology and skin manipulation has not been adequately addressed.
Efficacy and safety of stromal vascular fraction on scar revision surgery: a prospective study
Published in Journal of Dermatological Treatment, 2023
Hyeokjae Kwon, Seokui Lee, Jiyoung Kim, Seung Han Song
In addition, the SVF accelerates early wound healing in the first six months (24), suggesting that the SVF might be a valid option for treating acute cutaneous wounds. The current guidelines for treating acute wounds are based on limiting bacterial growth, lowering edema, and maintaining hydration. Occlusive and semi-occlusive dressings, procedural interventions including surgical debridement and primary closure, and topical therapy, such as antiseptics and antibacterial medications, are examples of typical procedures. The SVF can be included in advances in tissue regeneration, including engineered skin substitutes (23).