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Occlusive Dressing

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121. Surgical site infections: prevention and treatment

and no excess product should be present before applying an occlusive dressing. The committee agreed that further research is needed to establish the effectiveness of different concentrations of chlorhexidine in reducing the risk of surgical site infections. Therefore the committee made a research recommendation to examine this further. How the recommendations might affect pr How the recommendations might affect practice actice Antiseptic skin preparation before skin incision is standard practice although (...) ] 1.3.21 Consider using sutures rather than staples to close the skin after caesarean section to reduce the risk of superficial wound dehiscence.[2019] [2019] T o find out why the committee made the 2019 recommendations on closure methods and how they might affect practice, see rationale and impact. W Wound dressings ound dressings 1.3.22 Cover surgical incisions with an appropriate interactive dressing at the end of the operation. [2008] [2008] 1.4 Postoperative phase Changing dressings Changing

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

122. 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

124. 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

125. 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

126. Once- versus twice-weekly changing of central venous catheter occlusive dressing in intensive chemotherapy patients: results of a randomized multicenter study. (PubMed)

Once- versus twice-weekly changing of central venous catheter occlusive dressing in intensive chemotherapy patients: results of a randomized multicenter study. Changing a central venous catheter occlusive dressing on a twice-weekly basis is usually recommended in hemato-oncological patients. A longer interval is believed to give rise to infections. However, frequent dressing changes might cause local cutaneous damage.Local cutaneous damage and infections were compared in patients with once (...) -weekly versus twice-weekly changes of central venous catheters occlusive dressings. This was a prospective, randomized, multicenter trial.Eighty-one patients with acute myeloid leukemia being treated with intensive chemotherapy were enrolled (twice-weekly group: n=42, once-weekly group: n=39). They had a non-tunneled polyurethane central venous catheter inserted into the vena subclavia and the insertion site was covered by a polyurethane semi-permeable occlusive dressing. No differences were observed

2009 Medical science monitor : international medical journal of experimental and clinical research

127. The Occlusive Dressing

The Occlusive Dressing The Occlusive Dressing - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. The Occlusive Dressing The safety and scientific validity of this study is the responsibility of the study (...) of Atazoy). These technique involve hospital admission, brachial plexus anaesthesia, a surgical approach with cicatrix and donor site morbidities, postoperative cares, post-surgical pain management. And of course attention must be paid to the risks of postoperative complications related either to anaesthesia and/or to surgery, like necrosis, infection, and others. We have developed a nonoperative treatment for fingertips amputations: the occlusive dressing. It's a technique that has been known for about

2009 Clinical Trials

128. 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

129. 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

130. Optimisation of RIZIV – INAMI lump sums for incontinence

A frail older person is aged over 65 with a combination of impaired physical activity, mobility, balance, muscle strength, motor processing, cognition, nutrition, and endurance (including feelings of fatigue and exhaustion). Frail people usually have multiple chronic medical conditions, take multiple medications, require care from others and assistance to perform some or all of the personal daily activities (bathing, dressing, toileting, mobility) and are often homebound or institutionalised

2019 Belgian Health Care Knowledge Centre

131. Major trauma: assessment and initial management

. 1.3.7 In patients with an open pneumothorax: cover the open pneumothorax with a simple occlusive dressing and and observe for the development of a tension pneumothorax. © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 6 of 231.4 Management of chest trauma in hospital settings Chest decompression of tension pneumothor Chest decompression of tension pneumothorax ax 1.4.1 In patients with tension pneumothorax, perform (...) X-ray and/or ultrasound for first-line imaging to assess chest trauma in children (under 16s). 1.4.7 Do not routinely use CT for first-line imaging to assess chest trauma in children (under 16s). 1.5 Management of haemorrhage in pre-hospital and hospital settings Dressings and tourniquets in pre-hospital and hospital settings Dressings and tourniquets in pre-hospital and hospital settings 1.5.1 Use simple dressings with direct pressure to control external haemorrhage. 1.5.2 In patients

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

132. Fractures (complex): assessment and management

. 1.1.9 Consider a saline-soaked dressing covered with an occlusive layer for open fractures in pre-hospital settings. 1.1.10 In the pre-hospital setting, consider administering prophylactic intravenous antibiotics as soon as possible and preferably within 1 hour of injury to people with open fractures without delaying transport to hospital. Splinting long bone fr Splinting long bone fractures of the leg in the pre-hospital setting actures of the leg in the pre-hospital setting 1.1.11 In the pre (...) . 1.2.21 Consider a saline-soaked dressing covered with an occlusive layer (if not already applied) for open fractures in the emergency department before debridement. 1.2.22 In the emergency department, administer prophylactic intravenous antibiotics immediately to people with open fractures if not already given. Limb salv Limb salvage in people with open fr age in people with open fractur actures es 1.2.23 Do not base the decision whether to perform limb salvage or amputation on an injury severity

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

133. Management of Stroke in Neonates and Children

thrombosis (CSVT) or cortical vein thrombosis. In CSVT, occlusion of venous sinuses may or may not be accompanied by hemorrhage. In older infants and children, some literature uses the term silent stroke when asymptomatic infarcts are found on neuroimaging. However, this is a misnomer because the definition of stroke includes a clinical event; we use the term silent infarct in this review. However, silent infarcts are likely not truly silent; as in adults, a sufficient burden likely causes vascular (...) thrombectomy) are rarely considered in neonates with AIS because there is no evidence for their use. Although endovascular procedures such as mechanical thrombectomy are sometimes used in older children with an arterial occlusion, , , the small artery size of neonates precludes the use of current endovascular devices in these individuals. Outcomes The majority of neonates with AIS experience residual neurological deficits. Golomb et al summarized 111 children with perinatal stroke, including 67 who

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2019 American Heart Association

135. 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

136. 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

137. British Association of Dermatologists and British photodermatology Group guidelines for topical photodynamic therapy

microneedling, skin vaporization with CO 2 laser or ablative fractional resurfacing. 57–61 A layer of prodrug cream approximately 1 mm thick is applied via spatula to the lesion and the surrounding 5–10 mm of skin. Treatment sites are covered with light-occlusive dressings, as full exposure to ambient light during the incubation period potentially increases activation of PpIX super?cially (bleach- ing), thereby reducing deeper prodrug or photosensitizer pen- etration before photoactivation. Occlusion (...) is standard practice for conventional PDT using MAL and nc-ALA. After the incubation time of 3 h the dressing is removed, with the remnant cream or gel wiped off with saline 09% solution. This is followed by illumination using red light of 570–670 nm, achieving a dose of 75 J cm 2 , or a narrow- spectrum 635-nm LED lamp with a distance from skin to lamp of 5–8 cm, achieving a dose of 37 J cm 2 with an intensity of approximately 50–80 mW cm 2 . The regimen for AK is one treatment, whereas for BCC and SCC

2019 British Association of Dermatologists

138. Optimal Exercise Programs for Patients With Peripheral Artery Disease: A Scientific Statement From the American Heart Association

extremities. In patients who have not had a prior lower-extremity revascularization, clinical evidence of PAD includes typical limb symptoms with exercise and an ankle-brachial index (ABI) of ≤0.90. However, imaging evidence for significant occlusive disease is now more widely used to make the diagnosis, as are other noninvasive vascular laboratory tests. Some patients who have undergone a prior lower-extremity revascularization will have normal ABIs but still have PAD as the underlying disease (...) ; HRQOL, health-related quality of life; NA, not available; PAD, peripheral artery disease; PRWD, patient-reported walking distance; PWD, peak walking distance; PWT, peak walking time; QOL, quality of life; SET, supervised exercise therapy; and SFA, superficial femoral artery. SET Versus Revascularization Versus SET Plus Revascularization Lundgren et al randomized 75 patients with claudication resulting from above-the-knee occlusive disease to surgical revascularization, surgical revascularization

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2019 American Gastroenterological Association Institute

139. ACR-ASNR-SIR-SNIS Practice Parameter for the Performance of Diagnostic Cervicocerebral Catheter Angiography in Adults

occurring within 24 hours of the procedure or any puncture-site infection should be reviewed as part of the institution-wide quality improvement program. Major Complications Reported Rates Suggested Threshold Contrast media–associated nephrotoxicity 0%-0.15% 0.2% Arterial occlusion requiring surgical 0%-0.4% 0.5% thrombectomy or thrombolysis Arteriovenous fistula/pseudoaneurysm 0.01%-0.22% 0.3% Hematoma requiring transfusion or surgery 0.26%-2% 2% Published rates for individual types of complications (...) for the determination of carotid artery stenosis, the final report should reflect the methodology and reference the criteria for percentage of stenosis outlined in the North American Symptomatic Carotid Endarterectomy Trial (NASCET). Care should be taken to avoid recognized pitfalls for NASCET-type measurements. Care should also be taken not to calculate percentage ratios in the presence of a poststenotic arterial diameter decrease (near occlusion). The percentage of stenosis must be calculated using the diameter

2019 American Society of Neuroradiology

140. Global Vascular Guidelines for patients with chronic limb-threatening ischemia

trunk. CFA, Common femoral artery; CTO, chronic total occlusion; DFA, deep femoral artery; Pop, popliteal; SFA, superficial femoral artery. ---- | ---- Fig 5.3 Infrapopliteal (IP) disease grading in Global Limb Anatomic Staging System (GLASS). AT, Anterior tibial; CTO, chronic total occlusion; TP, tibioperoneal. ---- | ---- Fig 5.4 Representative angiograms of Global Limb Anatomic Staging System (GLASS) stage I disease patterns. The target arterial path (TAP) is outlined in yellow . Left panel , TAP (...) includes the anterior tibial (AT) artery. Femoropopliteal (FP) grade is 0. Infrapopliteal (IP) grade is 2 (3-cm chronic total occlusion; chronic total occlusion of AT artery and total length of disease <10 cm). Right panel , TAP includes the peroneal artery. FP grade is 2 (chronic total occlusion <10 cm; total length of disease <⅔). IP grade is 0. ---- | ---- Fig 5.5 Representative angiograms of Global Limb Anatomic Staging System (GLASS) stage II disease patterns. The target arterial path (TAP

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2019 Society for Vascular Surgery

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