Dressings

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By Tasneem Masqati and James McGuire DPM, PT, CPed, FAPWHc

The majority of the wounds of the lower extremity are of arterial, venous or neurotrophic(diabetic) origin.

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Michel Hermans's picture
healing rate

By Michel H.E. Hermans, MD

An interesting article in JAMA Internal Medicine (February 2015) by doctors from Massachusetts, Maryland and California (A.B. Jena, M.D. lead author) analyzed mortality and treatment differences in patients who were admitted with cardiovascular pathology during dates of national cardiology meetings and compared these with the situation when the physicians were at the hospital. They found that high-risk patients with heart failure and cardiac arrest had a lower 30-day mortality rate when a national cardiology meeting was taking place. Fewer percutaneous interventions were performed during these meetings without an effect on mortality in patients with an acute myocardial infarction. Although the authors did not state this, one might (cynically?) think that treatment may have been excessive when the (interventional) cardiologists were "at home": perhaps bad for the patient and certainly not good for the cost of health care.

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By the WoundSource Editors

Health care professionals have a major responsibility for assuring patient safety and quality of care when making wound care product selections or recommending treatment options. This is particularly true for wound care.

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By Evangelia Athanasoula and James McGuire DPM, PT, CPed, FAPWHc

The sorbion sachet wound dressing, manufactured by sorbion GmbH & Co. in Germany and marketed in the US by Alliqua Biomedical, is a high capacity dressing that absorbs and holds wound exudate, removes some wound debris, draws in and holds wound bacteria helping to reduce surface bioburden, and maintains a balanced moist wound environment. The dressing uses what it calls "hydration response technology" to accomplish these goals.

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gauze

By Keval Parikh and James McGuire DPM, PT, CPed, FAPWHc

There are many different kinds of >wound dressings available. Choosing one to use depends on the unique characteristics of the wound. According to Watson and Hodgkin, the ideal wound dressing should exhibit a number of characteristics by providing the following: moisture and exudate management, prevention of saturation and strikethrough, diffusion of wound gases, microorganism protection, mechanical protection; localized temperature and pH control; removal/change comfort; wound odor management; cosmetic acceptability; non-allergenic composition; non-contamination of the wound bed; and cost-effectiveness.

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By Mary Ellen Posthauer RDN, CD, LD, FAND

Despite all of the advances in risk assessment strategies, support surfaces, and vigorous educational efforts, pressure ulcers continue to be a major health care problem worldwide.

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Aletha Tippett MD's picture

Naltrexone is an opioid antagonist originally approved by the FDA in the early 1980s for the treatment of heroin addiction. The high dose of 50mg was used, but caused people to become too sick with withdrawal effects, thus falling out of use as few people would take it. What has since been developed in 1986 is low dose naltrexone (LDN), in the 1.5 to 4.5mg range. This low dose has demonstrated some benefit in helping with autoimmune disease. There have been few published studies of limited research showing remarkable results with multiple sclerosis, scleroderma, Crohn's, HIV, fibromyalgia and Parkinson's disease.

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By Sejal Bhojani and James McGuire DPM, PT, CPed, FAPWHc

RTD® (Retro-Tech Dressing) is a foam wound dressing that has been designed to promote healing in chronic wounds by utilizing silver ion (Ag+), gentian violet (GV), and methylene blue (MB). Ag+ ions kill bacteria in the wound fluid absorbed by the dressing. GV works as an antifungal, antimicrobial, and mild analgesic, and MB, which is strongly bound to the foam matrix, has an affinity for negatively charged proteins found in the components of exudate.

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By Elliot Fialkoff and James McGuire DPM, PT, CPed, FAPWHc

Ulcers, wounds, and burns come in many different shapes and sizes based in part on their etiology, which also varies dramatically. As many different etiologies as there are for various dermatological insults, there is an even greater number of dressings and treatment options available. DuoDERM® Hydrocolloid is an occlusive gel dressing that helps maintain a moist wound bed. According to the ConvaTec website (the maker of DuoDERM®), "On contact with wound exudate, the hydrocolloid matrix forms a cohesive gel which supports moist wound healing."

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