Volume 20 - Issue 8 - August, 2008
Wound Care Education in Ghana
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God, your people are dying for a lack of our knowledge.
–Nurse’s prayer at end of wound care program.
Kumasi, Ghana, July 24, 2008
Dear Readers,
The World Health Organization (WHO) has asked the Association for the Advancement of Wound Care (AAWC) to develop guidelines for the treatment of wounds and lymphedema in resource-poor countries of the world. The first part of that initiative was to provide rec
Critical Limb Ischemia
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Dear Readers:
Critical limb ischemia (CLI), the most severe stage of peripheral arterial disease, affects 250,000 new patients annually in the United States with an estimated 40% requiring amputation within 12 months of a CLI episode, in addition to an annual mortality rate of more than 20%.1,2 Distal bypass surgery prompts healing of lower extremity ulcers associated with CLI if resulting arterial patency supports skin perfusion pressure of at least 35 mmHg.3 Surgical bypass of the occluded arterial segment improves3,4
Definitive Repair of a Stab Wound to the Right Ventricle With Skin Staples in Emergency
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Case Report.
A 19-year-old man was brought by Emergency Medical Services to a Level I trauma center 20 minutes after sustaining 3 stab wounds to the left chest. The patient was awake and oriented, but complaining of difficulty in breathing and left sided chest pain. The patient’s vital signs were as follows: heart rate = 110 bpm, blood pressure (BP) = 110/75 mmHg, oxygen saturation = 92% on 10 L/min O2 by facemask. The physical exam revealed 2 stab wounds in the left chest between the anterior and posterior axillary lines at the third and fourth in
A Retrospective Review of the Outcomes of Vacuum-assisted Closure Therapy in a Vascular Surgery Unit
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Vacuum-assisted closure, or negative pressure wound therapy (NPWT), is being used increasingly to treat chronic and complicated wounds since its effectiveness was documented in a pig model.1,2
Peripheral Arterial Perfusion: Is it Adequate for Wound Healing?
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More than 8 million Americans are affected by peripheral arterial occlusive disease (PAOD).1 The presence of PAOD can seriously inhibit the ability of a lower extremity ulceration to heal. Many wounds will not heal unless adequate arterial perfusion is reestablished. Traditionally, revascularization was achieved by open surgical bypass,2 but recent advances in percutaneous angioplasty and stenting techniques have provided new options. These innovations offer promising new treatment alternatives for those patients who were previously considered unsuitab
Calendula officinalis and Wound Healing: A Systematic Review
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Whether acute or chronic, wounds can compromise an individual’s wellbeing, self-image, working capacity, and independence.1 These financial, social, and physical implications suggest that good wound management is necessary not only for the individual, but also for the community. While appropriate wound management by qualified healthcare professionals is an integral part of treatment success, dressing choice and specification is equally important. As previously argued, wound-healing agents should adhere to certain specifications. It has been suggested that t
Industry News
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KCI Enters into Agreement with 3M Health Care
Kinetic Concepts Inc (San Antonio, Tex) entered into an agreement with 3M Health Care (St. Paul, Minn) for the supply of 3M Tegaderm™ brand transparent film dressings for inclusion in KCI kits with KCI’s V.A.C.® Therapy System in the treatment of complex, hard-to-heal wounds. The newly designed Tegaderm dressing that was configured exclusively for use with V.A.C. Therapy will provide a skin-friendly interface that conforms to the body and flexes with skin for greater patient comfort. Healthcare professionals will find the T
Products News
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Melgisorb® Ag Ionic Silver Dressing Absorbs More Than Leading Dressings
Mölnlycke Health Care (Norcross, Ga) introduces Melgisorb® Ag, a new antimicrobial ionic silver dressing. The dressing is a nonwoven pad composed of alginate, CMC fibers, and ionic silver. The ionic sliver provides sustained silver release and antibacterial effect up to 4 days. The alginate with the CMC fibers limits maceration to the wound due to low lateral wicking. While in contact with wound exudate, Melgisorb Ag creates a hydrophilic gel, providing a moist environme
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