The Bagautdinov dressing method: negative pressure wound therapy in a patient with an allergy to acrylate adhesive
We describe the case of a 63‐year‐old woman with an intractable leg ulcer resulting from external‐beam radiotherapy (XRT). Treatment with a standard commercial NPWT system induced severe inflammation of the skin in direct contact with drape adhesive. We successfully administered prolonged, outpatient NPWT to the patient using an alternative method (first described by Bagautdinov in 1986), using plain polyethylene film and petrolatum. The necessary hermetic seal is achieved by smearing the skin with petrolatum before applying the polyethylene film and activating the vacuum pump. The Bagautdinov method is a practical solution to the problem of adapting NPWT to patients with contact sensitivity or skin tears related to the adhesive compounds in the flexible drapes. Its use of a circumferential elastic wrap to maintain constant pressure on the seal probably limits the Bagautdinov technique to the extremities.
ConclusionsBronchodilator dose responsiveness may be useful for phenotyping and may be of utility in practice and future studies focused on asthma outcomes or quantification of treatment responses. In children and adolescents, this phenotype of poor bronchodilator responsiveness may be associated with periods of relatively stable disease yet marked airway constriction in response to triggers, including tobacco smoke, respiratory infections/pneumonia, and aeroallergens.
ConclusionWe applied the ALDEN score to the claims database to identify possible culprit drugs for SJS and TEN in South Korea. This approach could shed light on research and policymaking for drug adverse reactions.
Publication date: Available online 11 October 2019Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Luis Caraballo, Mahapatra Shayan, Ves Dimov, Frank J. Eidelman
Publication date: Available online 9 October 2019Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Timothy E. Dribin, Kenneth A. Michelson, Michael C. Monuteaux, David Schnadower, Mark I. Neuman
CONCLUSION: Prophylactic incisional negative pressure wound therapy use did not reduce postoperative wound morbidity when compared with a standard surgical dressing in women with class III obesity. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT02289157. PMID: 31503147 [PubMed - as supplied by publisher]
Authors: Polak A, Kucio C, Kloth LC, Paczula M, Hordynska E, Ickowicz T, Blaszczak E, Kucio E, Oleszczyk K, Ficek K, Franek A Abstract The use of electrical stimulation (ES) should be considered for treating nonhealing pressure ulcers (PUs), but optimal ES wound treatment protocols have yet to be established. A randomized, controlled, double-blind clinical study was conducted to evaluate the effects of cathodal and anodal high-voltage monophasic pulsed current (HVMPC) on periwound skin blood flow (PSBF) and size reduction of Stage 2 to Stage 4 PUs of at least 4 weeks' duration. Persons>18 years of age, hospitali...
Acelity said today it launched its Prevena Duo incision management system in the US. The Prevena Duo is a single use negative pressure wound therapy system specifically designed for the simultaneous management of 2 closed surgical incisions, the San Antonio, Texas-based company said, claiming it is the 1st such product of it’s kind. The system is designed to reduce post-operative complications in bilateral procedures, including vascular harvesting, breast reconstruction and orthopedic trauma surgeries. “SSIs encompass more than 20 percent of all HAIs and represent a significant burden both financially...
We examined risk for pressure ulcers vs monitoring duration using Kaplan-Meyer survival analysis, and performed multivariate risk assessment using Cox proportional hazard model. Results: Among 1,519 patients, EERPU occurred in 118 (7.8%). Most (n = 109, 92.3%) consisted of hyperemia only without skin breakdown. A major predictor was monitoring duration, with 3-, 5-, and 10-day risks of 16%, 32%, and 60%, respectively. Risk factors included older age (mean age 60.65 vs 50.3, p
Objective: To identify the incidence of and potential risk factors contributing to skin injury during continuous EEG (cEEG) recordings. Background: Skin irritation is a known but underreported complication of EEG monitoring. Despite increasing national concern around this issue, there is limited data about the mechanism, risk factors, and incidence of such complications. Methods:Two year cross-sectional study of patients admitted to Children’s National undergoing cEEG who developed skin breakdown at electrode sites.Wet electrodes were applied conventionally in the International 10-20 positions using Nuprep (Weaver &a...
DiscussionNEPTUNE is the first randomized controlled trial to investigate the role of incisional negative pressure wound therapy in decreasing the rates of surgical site infections in the abdominal incisions of patients following an elective, open colorectal resection. This low-risk intervention may help decrease the morbidity and costs associated with the development of an SSI in our patients.Trial registrationNCT02007018 – clinicaltrials.gov; 5 December 2013