Wound management

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Decubitus ulcers

After acknowledging that too many patients were developing hospital-acquired decubitus ulcers (also known as pressure ulcers or bedsores), staff at England’s Royal Liverpool and Broadgreen University Hospitals NHS Trust adopted a zero tolerance approach and prioritised action against bedsore development, which has resulted in a dramatic decrease in cases.

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W.A.R. against wound infections

Prevention is better than a fight against an infected wound – but, to avoid a battle you must know your enemy – and the wound’s infection risk level. Unfortunately, there are no generally accepted definitions for those risk levels. Now, the introduction of a new clinical assessment score – named W.A.R. (wound at risk) – which makes standardised classification of ‘risky’ wounds…

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Plasma therapy: an alternative to antibiotics?

Cold plasma jets could be a safe, effective alternative to antibiotics to treat multi-drug resistant infections, says a study published this week in the January issue of the Journal of Medical Microbiology. The team of Russian and German researchers showed that a ten-minute treatment with low-temperature plasma was not only able to kill drug-resistant bacteria causing wound infections in rats but…

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The psychology of healing

People suffering from diabetes-related foot ulcers show different rates of healing according to the way they cope and their psychological state of mind, according to new research by a health psychologist at The University of Nottingham, UK. The large study published in the journal Diabetologia has shown that the way patients cope with the condition and their levels of depression, affect how the…

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Negative pressure wound healing technology

Despite some uncertainty about how it works, there is a growing consensus that Negative Pressure Wound Therapy (NPWT) – also known as Vacuum Assisted Closure (VAC) – is revolutionising wound care. Speaking at the 1st International Surgical Wound Forum, held recently in Amsterdam, surgeons from Europe and the USA predicted the growing use of this innovative technology across the spectrum of…

Intelligent temperature management

The normal regulation of the core body temperature of a healthy, resting adult human (around 37°C) is affected during surgery, which can lead to an increased rate of wound infections, bleeding and cardiac complications. The manufacturer of MoeckWarming System reusable blankets reports that these provide comprehensive temperature management to ensure patients remain normothermic.

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Negative pressure wound therapy

Quality in wound care no longer centres only on a successful healing process but is taking a more holistic, patient-orientated approach. Wounds cause pain, impair quality of life, and make treatment far more complex for medical teams. Approaches that facilitate a painless change of dressings and less wound trauma are therefore welcome – and advancing.

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Surgical site infections

Post-operative wound infection occurs after an estimated 17% of surgical operations – sometimes with devastating consequences for the patient. The list of preventive measures is manifold and long. However, one strategy is increasingly moving into the spotlight: the use of antibacterial coated sutures. Ethicon Products is at the cutting edge in this field. Sandra Rasche, head of this Business…

Secret to Healing chronic wounds might lie in tiny pieces of silent RNA

Scientists have determined that chronic wounds might have trouble healing because of the actions of a tiny piece of a molecular structure in cells known as RNA. The Ohio State University researchers discovered in a new animal study that this RNA segment in wounds with limited blood flow lowers the production of a protein that is needed to encourage skin cells to grow and close over the sore.

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Hard-to-heal wounds

In `Hard-to-heal wounds: a holistic approach´ a paper produced by the European Wound Management Association (EWMA), the authors analyse the calculation of treatment costs, based on international examples, and point out problems associated with a clear definition of the term treatment costs. They also emphasise the importance of the addition of the term holistic approach.

Changing approaches to wound management

In recent years wound management has been primarily nurse-led, and not benefited from a multi-disciplinary approach. This must change, said Madeleine Flanagan, Principal Lecturer at the University of Hertfordshire's school of Post Graduate Medicine in the faculty of health and human science, where she runs the MSc in Dermatology and an MSc in Skin Integrity; she is also Principal of the European…

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Accidents? We can all make mistakes!

Paramedics and other first-aid workers are often confronted with severe bleeding that can be arrested relatively easily. However, inappropriate approaches are frequent, and sometimes even increase bleeding, or cause other damage to the victim. Medical journalist Karl Eberius MD, asked Dr Edgar Biemer MD, of the Praxisklinik Dr Caspari hospital, in Munich, Germany, and the former head of the…

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RUT -

A system of national quality registers, established in recent decades in Sweden's health and medical services, now numbers 64 registers. Along with three competence centres, these cover, for example, diabetes mellitus (NRD), dementia (SeDEM), Swedish intensive care (SIR) and acute coronary care (RIKS-HIA), and the Register Ulcer Treatment (RUT), which was added at the dawn of 2007. The latter has…

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Wundauflagen mit Wirkstoffdepots

Allein in Deutschland müssen jährlich schätzungsweise vier Millionen Patienten mit chronischen Wunden versorgt werden. Eine Wundauflage, die von den Hohenstein Instituten in Bönnigheim im Rahmen eines Forschungsprojektes in Zusammenarbeit mit der Gesellschaft zur Förderung von Medizin-, Bio- und Umwelttechnologien e.V. (GMBU) in Dresden entwickelt wurde, eröffnet…

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New treatment methods for chronic wounds on horizon

A wound compress is being developed at the Hohenstein Institute in Boennigheim, Germany, that could pave the way for new treatment opportunities. The new wound compress would integrate and continually deliver effective ingredients on the basis of nanosol technology. The technique speeds up healing, simplifies treatment and reduces the amount of time required for care.

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