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Occlusive Dressing

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121. Liposuction for chronic lymphoedema

. It leads to chronic swelling that can cause disability, pain and cosmetic issues. Any part of the body can be affected, but the condition is most common in the arms and legs. Lymphoedema can be complicated by recurrent infection (cellulitis), which further damages the lymphatic vessels and aggravates the condition. Primary lymphoedema results from a congenital inadequacy and gradual occlusion of lymphatics. Secondary lymphoedema results from damage to the lymphatic system or removal of lymph nodes (...) by surgery, radiation, infection or injury. In the UK, one of the most common types of chronic lymphoedema is secondary lymphoedema of the arm after breast cancer or its treatment. 2.2 Current conservative treatments for lymphoedema include manual lymph drainage (MLD), which stimulates the movement of lymph away from the affected limb, and decongestive lymphatic therapy (DLT). DLT combines MLD massage techniques with compressive bandaging, skin care and decongestive exercises. Once DLT sessions

2017 National Institute for Health and Clinical Excellence - Interventional Procedures

122. Peripherally Inserted Central Catheter Removal: Clinical Effectiveness and Guidelines

Type: Reference List Result type: Report Question What is the clinical effectiveness regarding occlusive dressings to cover the site after peripherally inserted central catheter (PICC) removal? What is the clinical effectiveness of patient remaining in supine position for thirty minutes after PICC removal? What are the evidence-based guidelines regarding dressings to cover the site after PICC removal? What are the evidence-based guidelines regarding patient positions after PICC removal? Key Message (...) No relevant literature or guidelines were identified regarding the clinical effectiveness or use of occlusive dressings and body positioning after PICC removal in adult patients. Files Rapid Response Reference List Published : March 1, 2019 Follow us: © 2019 Canadian Agency for Drugs and Technologies in Health Get our newsletter:

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

123. IV night teams: Impact on Infection rates, insertion success and deskilling

the IV therapy team having a significant impact on the reduction of catheter-related nosocomial infections, the concern was that only a few highly trained nurses would become proficient in observing sterile technique associated with PICC insertion. The argument for IV therapy teams was the use of a small group of specialized IV nurses to perform dressing changes would make it easier to identify nurse- related practice variances. Discussion Intravenous therapy (IV) is a common and essential (...) the increasing demand of intravenous therapy and to ensure that a consistent quality of care was being rendered with respect to the insertion of cannulas. Along with IV teams, evidence-based strategies to prevent catheter infections including hand hygiene, maximal sterile barriers during insertion, skin disinfection, selection of insertion site, dressings, aseptic non-touch technique, disinfection of catheter hubs/ports, administration set management, prompt removal of catheter, antibiotic locks, systemic

2019 Monash Health Evidence Reviews

127. Recognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

and likely play a direct role in the pathogenesis of the myocardial inflammation, either alone or in concert with a propensity toward specific viral insults. Laboratory Evaluation in Myocarditis The ECG in FM may demonstrate low QRS voltage because of myocardial edema; rarely, there is evidence for left ventricular (LV) hypertrophy. Electrocardiographic signs of an injury current with ST-segment elevations in contiguous leads in a segmental fashion are not uncommon and may mimic coronary occlusion (...) is the most common cause of a cardiac presentation with elevated biomarkers. However, an absence of cTn increase does not rule out myocarditis. Cardiac biomarkers in FM can reach levels similar to those in patients with transmural infarctions caused by epicardial coronary occlusions. Experimental and clinical studies suggest that serum cTn can be a useful diagnostic tool early in the course of myocarditis. , In a registry cohort of 386 patients with myocarditis and preserved LV ejection fraction (LVEF

2020 American Heart Association

128. IV night teams: Impact on Infection rates, insertion success and deskilling

of catheter-related nosocomial infections, the concern was that only a few highly trained nurses would become proficient in observing sterile technique associated with PICC insertion. The argument for IV therapy teams was the use of a small group of specialized IV nurses to perform dressing changes would make it easier to identify nurse- related practice variances. Discussion Intravenous therapy (IV) is a common and essential intervention for patients in hospitals. Its purpose is to provide a channel (...) was being rendered with respect to the insertion of cannulas. Along with IV teams, evidence-based strategies to prevent catheter infections including hand hygiene, maximal sterile barriers during insertion, skin disinfection, selection of insertion site, dressings, aseptic non-touch technique, disinfection of catheter hubs/ports, administration set management, prompt removal of catheter, antibiotic locks, systemic antibiotic prophylaxis and chlorhexidine bathing. [16] Specialized PICC insertion teams

2019 Monash Health Evidence Reviews

131. Crizanlizumab, Voxelotor, and L-Glutamine for Sickle Cell Disease: Effectiveness and Value

adverse event US United States USPSTF United States Preventive Services Task Force VOC Vaso-Occlusive Crisis WAC Wholesale acquisition cost ©Institute for Clinical and Economic Review, 2020 Page 8 Evidence Report - Crizanlizumab, Voxelotor, and L-Glutamine for SCD Return to Table of Contents Executive Summary Background Sickle cell disease (SCD) is a broad term referring to a group of inherited disorders carried by the beta (ß) allele of the hemoglobin (Hb) gene. It is characterized by abnormal (...) pathophysiologic mechanisms: the loss of deformability of the RBC leading to vascular obstruction and ischemia; a shortened lifespan of the RBC leading to both intravascular and extravascular hemolysis; a sticky RBC surface increasing adherence to the vascular endothelium which can result in vascular obstruction and can contribute to vascular proliferative lesions. 3 Recurrent acute pain crisis, or vaso-occlusive crisis (VOC), is one of the most prevalent manifestations of SCD. Patients also experience

2020 California Technology Assessment Forum

132. Drug-Induced Liver Injury

induced by pyr- rolizidine alkaloids is veno-occlusive disease, so called sinusoidal obstruction syndrome (SOS). Pyrrolizidine alkaloids account for more than 8,000 cases of SOS worldwide and make up1ofthemajorcausesofthissyndrome. 32,34,35 Anotherexam- ple in which the mechanism of hepatotoxicity has been clearly elucidated isgermander (Teucrium chamaedris). 29 Here it is pos- sible to make the diagnosis with a biological marker, as the presence of serum anti-hydrolase antibodies may be detected

2019 European Association for the Study of the Liver

133. Occupational liver diseases

Occupational Mor- tality Study (COMS) reported a high mortality from cirrhosis among selected low social class occupations, including bar- tenders, loggers, laborers, roofers, construction workers, farm workers, ironworkers and painters for men, and waitresses, telephone operators, cosmetologists, dress makers, hospital orderlies, textile workers and laborers for women. Conversely, a low mortality from cirrhosis was observed among high social class occupations. 10 An elevated mortality from cirrhosis

2019 European Association for the Study of the Liver

134. Practice Guidelines for Central Venous Access 2020: An Updated Report by the American Society of Anesthesiologists Task Force on Central Venous Access

associated with central venous access include, but are not limited to, (1) intravenous antibiotic prophylaxis; (2) aseptic preparation of practitioner, staff, and patients; (3) selection of antiseptic solution; (4) selection of catheters containing antimicrobial agents; (5) selection of catheter insertion site; (6) catheter fixation method; (7) insertion site dressings; (8) catheter maintenance procedures; and (9) aseptic techniques using an existing central venous catheter for injection or aspiration (...) with the recommendation to determine the use of sutures, staples, or tape for catheter fixation on a local or institutional basis. The consultants and ASA members both strongly agree with the recommendation to minimize the number of needle punctures of the skin. Insertion Site Dressings Literature Findings . The literature is insufficient to evaluate the efficacy of transparent bioocclusive dressings to reduce the risk of infection. Pooled estimates from RCTs are consistent with lower rates of catheter colonization

2020 American Society of Anesthesiologists

135. Respiratory distress and CPAP

the catheter anterior to the lung is critically important, and this may be facilitated by having an assistant roll the baby away from you after you have the catheter in the pleural space Notes · If drainage is ineffective contact higher level neonatal service · If choosing to suture the ICC, do not use a purse string suture as this will produce a puckered scar · Tape with transparent, bio-occlusive dressing by sandwiching the catheter between the two pieces [refer to Figure 6], or use two wide steristrips (...) gauge butterfly needle or 24 gauge intravenous cannula · 3-way stopcock · 10 or 20 mL syringe · Alcohol wipe for skin preparation - · Sterile dressing pack Site · Avoid the heart, internal mammary artery and the intercostal arteries · Use either: o 2nd intercostal space, mid-clavicular line OR o 4th intercostal space, anterior axillary line · Insert the needle as near as possible to the upper edge of the lower rib · Refer to Figure 1. Needle aspiration Procedure · Attach a 23 gauge butterfly needle

2020 Queensland Health

136. Overview of dermatitis

skin barrier mechanisms, such as frequent use of emollients and avoidance of irritants. Warshaw E. Therapeutic options for chronic hand dermatitis. Dermatol Ther. 2004;17(3):240-50. http://www.ncbi.nlm.nih.gov/pubmed/15186370?tool=bestpractice.com In patients unresponsive to lifestyle measures, topical corticosteroids Volden G. Successful treatment of chronic skin diseases with clobetasol propionate and a hydrocolloid occlusive dressing. Acta Derm Venereol. 1992;72(1):69-71. http

2018 BMJ Best Practice

137. Overview of dermatitis

skin barrier mechanisms, such as frequent use of emollients and avoidance of irritants. Warshaw E. Therapeutic options for chronic hand dermatitis. Dermatol Ther. 2004;17(3):240-50. http://www.ncbi.nlm.nih.gov/pubmed/15186370?tool=bestpractice.com In patients unresponsive to lifestyle measures, topical corticosteroids Volden G. Successful treatment of chronic skin diseases with clobetasol propionate and a hydrocolloid occlusive dressing. Acta Derm Venereol. 1992;72(1):69-71. http

2018 BMJ Best Practice

138. Infection

. Principal author(s) Joan L Robinson, Jane C Finlay, Mia Eileen Lang, Robert Bortolussi; Canadian Paediatric Society , , Paediatr Child Health 2014;19(6):315-19 Abstract Recent studies have resulted in major changes 2014 12. Systematic review with meta-analysis: Review: chlorhexidine-impregnated dressings reduce risk of colonisation of central venous catheters and risk of catheter-related bloodstream infection Review: chlorhexidine-impregnated dressings reduce risk of colonisation of central venous (...) * Password * your user name or password? You are here Review: chlorhexidine-impregnated dressings reduce risk of colonisation of central venous catheters and risk of catheter-related bloodstream infection Article Text 2015 13. Patients' Hand Washing and Reducing Hospital-Acquired Infection . BACKGROUND: Hand hygiene is important to prevent hospital-acquired infections . Patients' hand hygiene is just as important as hospital workers' hand hygiene. Hospital-acquired infection rates remain a concern across

2018 Trip Latest and Greatest

139. Clobetasol

0.05% Cream Versus Hydrocortisone 1% Cream in Children With Alopecia Areata Resource links provided by NLM: available for: Further study details as provided by The Hospital for Sick Children 2011 14. A Randomized, Single-Blind Trial of Clobetasol Propionate 0.05% Cream Under Silicone Dressing Occlusion Versus Intra-Lesional Triamcinolone for Treatment of Keloid. 27888448 2016 11 26 2017 04 10 2017 04 10 1179-1918 37 3 2017 Mar Clinical drug investigation Clin Drug Investig A Randomized, Single (...) -Blind Trial of Clobetasol Propionate 0.05% Cream Under Silicone Dressing Occlusion Versus Intra-Lesional Triamcinolone for Treatment of Keloid. 295-301 10.1007/s40261-016-0484-x Keloid (...) is conventionally treated with intra-lesional (IL) triamcinolone, which is highly operator dependent and has its own adverse effects. Topical steroid and silicone dressings are a patient friendly and non-invasive treatment alternative. We therefore sought to determine the efficacy and safety of topical

2018 Trip Latest and Greatest

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