Volume 17 - Issue 9 - September, 2005
Editorial Message
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September, 2005
Dear Readers,
Dr. Marco Romanelli, Section Editor for the Skin Measurement Techniques section, discusses the importance of evolving noninvasive and minimally invasive methods being applied to the assessment of acute and chronic wounds. Dr. Romanelli assembled 3 articles that discuss the following topics: 1) investigation of the effects of compression bandaging techniques on sub-bandage pressures; 2) measurement approaches in the diabetic foot to determine risk of ulceration, assessment of diabetic foot ulcers and healing, and analysis of the post-ulceration stage; and 3)
September 2005
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Healthpoint’s Xenaderm® Ointment Available in a 30-g Tube
Healthpoint (Fort Worth, Tex) announces that Xenaderm™ (Balsam Peru, Castor Oil USP/NF, Trypsin USP) Ointment is now available in a 30-g tube.
The ointment will give clinicians in acute and extended care settings more flexibility when treating patients with varying wound sizes. Patients with smaller wounds will benefit from this new 30-g size, while those with larger wounds can continue to benefit from the 60-g tube.
The ointment is intended for the treatment of partial-thickness wounds, particularly for incontinence-asso
September 2005
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Curative Health Services Signs Contracts to Open 12 New Wound Care Center® Programs
Curative Health Services Inc. (Nashua, NH) announces the signing of 12 Wound Management ProgramSM contracts in 2005. These 12 hospitals, located in California, Georgia, Indiana, Kentucky, Missouri, New Mexico, North Carolina, Ohio, and Texas, have partnered with Curative to offer state-of-the-art outpatient Wound Care Center programs and in many cases other continuum of care services within the communities they serve. Each location will offer advanced technologies and proven clinical protocols in the treat
Section Editor's Message: Skin Measurement Techniques
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I t gives me great pleasure as section editor to introduce this issue of the journal, which focuses on skin measurements. Wound assessment is rapidly becoming a very well defined subspecialty in wound care mainly due to the rapid growth of new therapeutic products, which necessitate proof of their efficacy aside from clinical assessment. Today, objective wound assessment with quantitative evaluation can measure various different parameters in clinical practice, while a vast array of computerized technologies is providing clinicians increasingly more consistent data. Significant results have b
The Effect of Compression Bandage Application Technique Upon Measured Sub-bandage Pressures
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C ompression bandaging remains the primary treatment for venous leg ulcers, and multilayer systems are apparently more effective than single-layer bandages.1 To date, controversy remains as to whether elastic or inelastic bandages differ in their relative efficacy. While these general comments on the effectiveness of compression bandages can be drawn from randomized, controlled trials, many of the comparisons between bandage systems depend upon surrogate outcome measures, such as sub-bandage pressure and its effect upon local blood flow.2–4 Surrogate outcome measures,
Measurements in the Diabetic Foot
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D iabetic foot syndrome (DFS) is a complex and heterogeneous disorder that affects 1 out of 5 patients with diabetes at least once in his or her lifetime with relevant consequences both on lower limb survival and general morbidity.1 Diabetes is the most frequent determinant of lower limb amputations in developed countries, and foot ulcers are the principal cause of amputations in patients with diabetes.2 Lower limb complications are major contributors to hospitalization of patients with diabetes, and they account for the vast majority of in-hospital stay and resource con
Burn Depth Assessment Using a Tri-stimulus Colorimeter
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E arly and accurate assessment of burn depth is an essential element in the care of thermally injured patients. Cutaneous burn wounds are currently classified by accurate clinical estimation of depth and outcome. This classification describes 4 levels of burn injuries: superficial burns, superficial partial-thickness burns, deep partial-thickness (deep dermal) burns, and full-thickness burns.1 Burn depth and extent assessment is a key step in determining prognosis and establishing proper treatment options.
Early excision of devitalized tissue and grafting are the current treatmen
Hyperbaric Oxygen as Primary Treatment for Ischemic Foot Ulcers: Case Report
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A 67-year-old man with diabetes presented with painful hammer-toe deformities of the left foot. His podiatrist recommended surgical correction of the hammer-toe deformities but was concerned about wound healing, since no pedal pulses were palpable. The podiatrist referred the patient to a vascular surgeon who felt that the patient had adequate vascular supply to the foot to support wound healing. The vascular surgeon did not recommend a pre-operative arteriogram or transcutaneous oxygen monitoring.
On June 4, 2004, the podiatrist performed surgical correction of the hammer-toe deformities.
Antimicrobial Activity of Silver-Containing Dressings is Influenced by Dressing Conformability with a Wound Surface
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Disclosure: All authors are paid employees of ConvaTec Ltd, Flintshire, United Kingdom.
W ound tissue can provide a favorable environment for microbial colonization with a variety of aerobic and anaerobic bacteria.1 Although wound colonization per se is not an indication of infection, factors, such as diabetes, immunosuppression, or the concomitant administration of certain medications, can influence the bacterial balance,2 which may lead to a wound bioburden greater than the level manageable by the host.3 As a consequence of these conditions, clinic
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