Woundsite.info

By Woundsite.info

For healthcare professionals in woundprevention and woundcare... more

Download on the App Store

Download on the App Store

Get it on Google Play

FAQs about Woundsite.info:

How many episodes does Woundsite.info have?

The podcast currently has 61 episodes available.

Woundsite.info episodes:

January 13, 2011 Episode 062 Soft tissue wound management and prevention of infection in complex (war) trauma wounds - Lessons learned in Afghanistan
Background
The recent conflicts in Afghanistan and Iraq have demonstrated that body armor
has led to increase survival of combatants but the extremity injuries have been
alarming. The increased numbers of extremity injuries have led to the necessity for
new technologies in managing complex war wounds. Unique characteristics of a
war theater such as environmental contamination, varying evacuation procedures
and differing levels of medical care, add to this complexity.
Wartime injuries are frequently high-energy wounds that devitalize and contaminate
tissue, with high risk for infection and wound complications. In modern warfare
wounds involve in many cases the musculoskeletal system and therefore military
orthopaedic surgeons have assumed a pivotal role in the frontline treatment of
these injuries. Providing battlefield orthopaedic care poses special challenges; not
only are many wounds unlike those encountered in civilian practice:�
...more
14min
January 13, 2011 Episode 061 Clinical experiences with NPWT and/or Instillation Technology in trauma wounds: (The Erlangen algorithm)
Open fractures are still a challenging situation for every trauma surgeon. Soft tissue defects are often associated with necrotic areas and with bacterial superinfection especially after open fractures. Up to 40 % of those injuries are leading to an amputation.� Unfortunately the treatment options of those wounds are still limited.
The basic principles of trauma surgery as initial stabilization, antibiotic treatment, rinsing and debridement often do not lead to a satisfying healing. The NPWT is a great advancement in the treatment of trauma wounds. A wound surface reduction is commonly achieved. But before you can reduce the wound surface a clean wound, with no bacterial growth, should be established.
�
...more
10min
January 13, 2011 Episode 058 Part 2: Challenges and new developments in Active Open Abdomen treatment
Although necessary and possibly life saving, decompressive
laparotomy (DL) will leave the patient with an open abdomen (OA)
prone to complications such as bleeding, infection, enterocutaneous
fistula or excessive fluid losses.
To avoid these complications a form of temporary abdominal
closure (TAC) has to be used. Any TAC procedure used after DL
should first and foremost prevent development of recurrent abdominal compartment� syndrome (ACS).
...more
17min
January 13, 2011 Episode 059 Impact on treatment of the open abdomen after trauma: Value for ICU treatment
Open abdomen treatment (OAT) is now an essential element in the
management of severely traumatized patients, both after penetrating and
blunt trauma. It is often necessary, after damage control surgery for either
abdominal or extra abdominal injuries, to prevent the development of
abdominal compartment syndrome (ACS). Trauma is the leading indication
for OAT in most intensive care units (ICU). In patients who are at risk for
ACS, OAT should optimally be applied after the first surgical intervention;
for patients who develop ACS at a later stage, OAT may need to be applied
when ACS is present.�
...more
15min
January 13, 2011 Episode 060 A new Temporary Abdominal Closure concept: Active Abdominal Therapy
A new Temporary Abdominal Closure concept: Active Abdominal Therapy.
The surgical treatment of patients suffering from peritonitis, abdominal compartment syndrome or in case of damage control surgery with an open abdomen (OA) is common place. There are clear advantages but also challenges to leaving the abdomen open instead of closing and possibly reopening it. Once decided leaving the abdomen open the need for a temporary abdominal closure (TAC) is essential. Among the different solutions to the problem of dressing the open abdomen every closure technique got its advantages and disadvantages.
All in common however scheduled as well as required dressing changes and peritoneal lavages mean a time and cost-intensive challenge for the nursing and medical personnel. Further risks are spontaneous formation of fistulas, risk of evisceration with nosocominal transmission due to the patient�s fluids and lateralization of the abdominal fascia in sense of a frozen abdomen as the worst scenario.
...more
18min
January 13, 2011 Episode 057 Part 1: Challenges and new developments in Active Open Abdomen treatment
Although necessary and possibly life saving, decompressive
laparotomy (DL) will leave the patient with an open abdomen (OA)
prone to complications such as bleeding, infection, enterocutaneous
fistula or excessive fluid losses.
To avoid these complications a form of temporary abdominal
closure (TAC) has to be used. Any TAC procedure used after DL
should first and foremost prevent development of recurrent abdominal compartment� syndrome (ACS).
�
...more
6min
January 13, 2011 Episode 056 Value of Instillation Technology in infected orthopaedic implants.
Periprosthetic infection remains a main complication in arthroplasty.
In case of a possible infection the surgeon needs to have a concept of treatment which can be individually adjusted.
In early and secondary infections, component retention can be successful and sometimes is the only choice also in chronic infections. Surgical debridement is the key for success.
To increase the success of implant retaining surgery, V.A.C.Instill� therapy as a combination of negative pressure therapy and suction drainage, was performed in 35 patients with peri-prosthetic hip infection. Polyhexanide solution was used for irrigation. Definitive wound closure was possible following 2.1 V.A.C.� exchange operations on average. The follow up which was performed in a prospective study is now on average 19 months. In 11 of the 35 patients there was progressive or recurrent infection. In early infection the success rate was 78%, in late infection 38%.
This kind of therapy therefore can be used for salvage of infected hip implants and also can be applied in infected spine implants, knee implants or implants used in trauma surgery.

�
...more
17min
September 27, 2010 Episode 055 Holistic patient care: The UK experience
�
Therapy beds are seen as an essential aspect of the prevention of pressure ulcers. The Newcastle Upon Tyne Hospitals Hospital NHS Foundation Trust (NUTH) is a large regional centre, with 1982 patients? in-beds over four
sites in the city of Newcastle upon Tyne.
...more
13min
September 27, 2010 Episode 054 Education and Implementation in the daily clinical practice to achieve zero prevalence
Scientific abstract
The project purpose was to implement a comprehensive pressure ulcer prevention program with the implementation of evidence-based interventions and staff education to reduce hospital-acquired pressure
ulcers. Hospital-acquired pressure ulcers are a complication threatening many hospitalized patients and may lead to increased morbidity and mortality. Factors contributing to pressure ulcer development include
advanced age, altered mentation and sensory perception, impaired circulation, malnutrition, immobility, and surgical procedures. Treatment costs can be substantial. Identifying at-risk patients and development of
a targeted approach for prevention is vital. The Centers for Medicare and Medicaid Services view pressure ulcers as preventable and not reimbursable, further challenging hospitals to develop prevention programs. A literature search that generated evidence-based guidelines for assessment and prevention was conducted. This provided the necessary support for the hospital interventions employed to decrease pressure ulcer incidence.
...more
16min
September 27, 2010 Episode 053 Microclimate in context: optimising skin conditions
Until recently our understanding of pressure ulcer aetiology had made little significant progress since the classic studies of the early 1960?s. These landmark experiments attempted to define the relationship between tissue
damage, the magnitude of external pressures and the duration of their application. Other extrinsic factors have also been considered to increase skin and soft tissue vulnerability to prolonged or high external loads, of
these the local microclimate (for example temperature and humidity) at the skin-support surface interface has long been viewed as contributing to pressure ulcer development. As with shear forces, microclimate parameters
have been challenging to quantify. In consequence little systematic progress has been made towards reducing any deleterious effects caused by changes in skin temperature or humidity.
...more
13min

FAQs about Woundsite.info:

How many episodes does Woundsite.info have?

The podcast currently has 61 episodes available.