Negative Pressure Wound Therapy also widely known as NPWT, WOUND VAC or TNP(Tropical Negative Pressure) is a widely accepted advanced wound management modality today
This document provides an overview of negative pressure wound therapy (NPWT), including its principles, evidence base, treatment applications, and perspectives. NPWT uses subatmospheric pressure to promote wound healing by removing excess fluid, stimulating blood flow, and encouraging granulation tissue formation. The evidence for NPWT comes primarily from case studies and randomized controlled trials showing improved healing outcomes for various acute and chronic wounds compared to standard care. Future developments may include more portable single-use devices and systems that integrate sensors for remote monitoring. Overall, NPWT is a valuable tool for managing hard-to-heal wounds, but its use and cost-effectiveness require careful consideration.
This presentation is intended for diagnosing various vascular lesions on the basis of history and clinical examination. It covers a broad range of anomalies plus you can test yourself in the end.
Mesh infection is one of most disastrous complication following hernia surgery. The consequences are more complex especially following a laparoscopic hernia repair operation. Understanding the pathophysiology of mesh infections is pivotal in adopting preventive strategies. Once infected, exact determination of the extent of the septic complication by CECT is essential. A two staged surgical intervention yields excellent results. A case of infected laparoscopic mesh repair treated by a two staged operation is presented along with a brief review of literature to highlight the safety and efficacy of this approach.
Flaps are vascularized blocks of tissue that are mobilized from a donor site and transferred to another location for reconstructive purposes. They can carry skin, muscle, bone or other tissues. Classification is based on congruity, circulation, and anatomical components. Key principles include replacing like with like tissue and ensuring an adequate blood supply from the pedicle or microvascular anastomosis. Complications can include congestion, infection or partial/complete flap loss if the blood supply is compromised.
This document discusses chronic venous insufficiency, which results from persistent elevated venous pressure in the lower extremities leading to a spectrum of symptoms from edema to venous ulcers. Common signs include varicose veins, edema, skin changes, and leg pain. Diagnosis involves examination, ultrasound, and ruling out other causes. Management focuses on compression therapy with stockings or bandages to reduce pressure and support valves, along with treating skin changes, edema, and in severe cases, closing incompetent veins. Lifelong compression therapy is often needed to prevent worsening of symptoms.
This document discusses anorectal diseases including hemorrhoids, anal fissures, and cryptoglandular abscesses. It describes the anatomy and symptoms of each condition. For treatment, it outlines conservative measures as well as surgical procedures. For hemorrhoids, options include rubber band ligation, sclerotherapy, and hemorrhoidectomy. Anal fissures may be treated with topical medications or lateral internal sphincterotomy. Cryptoglandular abscesses are usually drained surgically with different approaches for perianal, ischiorectal, intersphincteric, and supralevator abscesses based on their location.
Negative Pressure Wound Therapy also widely known as NPWT, WOUND VAC or TNP(Tropical Negative Pressure) is a widely accepted advanced wound management modality today
This document provides an overview of negative pressure wound therapy (NPWT), including its principles, evidence base, treatment applications, and perspectives. NPWT uses subatmospheric pressure to promote wound healing by removing excess fluid, stimulating blood flow, and encouraging granulation tissue formation. The evidence for NPWT comes primarily from case studies and randomized controlled trials showing improved healing outcomes for various acute and chronic wounds compared to standard care. Future developments may include more portable single-use devices and systems that integrate sensors for remote monitoring. Overall, NPWT is a valuable tool for managing hard-to-heal wounds, but its use and cost-effectiveness require careful consideration.
This presentation is intended for diagnosing various vascular lesions on the basis of history and clinical examination. It covers a broad range of anomalies plus you can test yourself in the end.
Mesh infection is one of most disastrous complication following hernia surgery. The consequences are more complex especially following a laparoscopic hernia repair operation. Understanding the pathophysiology of mesh infections is pivotal in adopting preventive strategies. Once infected, exact determination of the extent of the septic complication by CECT is essential. A two staged surgical intervention yields excellent results. A case of infected laparoscopic mesh repair treated by a two staged operation is presented along with a brief review of literature to highlight the safety and efficacy of this approach.
Flaps are vascularized blocks of tissue that are mobilized from a donor site and transferred to another location for reconstructive purposes. They can carry skin, muscle, bone or other tissues. Classification is based on congruity, circulation, and anatomical components. Key principles include replacing like with like tissue and ensuring an adequate blood supply from the pedicle or microvascular anastomosis. Complications can include congestion, infection or partial/complete flap loss if the blood supply is compromised.
This document discusses chronic venous insufficiency, which results from persistent elevated venous pressure in the lower extremities leading to a spectrum of symptoms from edema to venous ulcers. Common signs include varicose veins, edema, skin changes, and leg pain. Diagnosis involves examination, ultrasound, and ruling out other causes. Management focuses on compression therapy with stockings or bandages to reduce pressure and support valves, along with treating skin changes, edema, and in severe cases, closing incompetent veins. Lifelong compression therapy is often needed to prevent worsening of symptoms.
This document discusses anorectal diseases including hemorrhoids, anal fissures, and cryptoglandular abscesses. It describes the anatomy and symptoms of each condition. For treatment, it outlines conservative measures as well as surgical procedures. For hemorrhoids, options include rubber band ligation, sclerotherapy, and hemorrhoidectomy. Anal fissures may be treated with topical medications or lateral internal sphincterotomy. Cryptoglandular abscesses are usually drained surgically with different approaches for perianal, ischiorectal, intersphincteric, and supralevator abscesses based on their location.
This document provides information on chronic leg ulcers, including their definition, causes, clinical presentation, diagnosis, and management. It defines an ulcer as a loss of epithelial continuity that does not heal or recurs. The most common causes of chronic leg ulcers are venous insufficiency, arterial insufficiency, and neuropathy. Clinical assessment involves examining the ulcer's location, edges, base, and surrounding skin/tissue. Diagnosis is aided by medical history, physical exam, and tests like Doppler ultrasound and ankle-brachial index. Treatment involves addressing the underlying cause, wound care, dressings, compression therapy, and sometimes surgery.
Varicose veins are caused by venous reflux affecting over 25 million Americans. Minimally invasive treatments like radiofrequency ablation using the VNUS Closure system are effective alternatives to traditional surgery for varicose veins and venous reflux. The VNUS Closure procedure uses a catheter to deliver radiofrequency energy to shrink and close diseased veins, providing improved treatment outcomes over surgery with faster recovery times.
The document discusses vacuum-assisted closure (VAC) therapy, a system that uses controlled negative pressure to promote wound healing. It provides an overview of how VAC works, its mechanisms of action including increased blood flow and reduced bacteria, appropriate applications, contraindications, and how to apply the system. Key benefits are that VAC converts complicated wounds into simpler wounds to prepare for the next step of reconstruction.
This document summarizes the experience of a surgeon with 4 cases of liver trauma presenting within one month. It describes the details of each case, including the type and severity of liver injury based on the American Association for Surgery of Trauma grading system. It then reviews anatomical considerations of the liver, mechanisms and etiology of liver trauma, diagnostic approaches, and management strategies including initial resuscitation, definitive surgical and non-surgical options, postoperative concerns, and potential complications.
This document discusses hiatal hernia, including:
1. It classifies hiatal hernias into four types, with type I being the most common sliding hernia and types II and III being paraesophageal hernias.
2. Symptoms vary but can include chest pain, dysphagia, and regurgitation. Paraesophageal hernias pose greater risks of incarceration and strangulation.
3. Diagnosis involves imaging like barium swallow and endoscopy to visualize the GE junction.
4. Treatment is usually surgical repair, with laparoscopic being preferred over open approaches. The hernia sac is excised and the crura are reapproximated.
This presentation discusses the diagnosis and management of anorectal abscesses. It begins with an overview of patient complaints and clinical findings such as perianal discomfort, swelling, and drainage. Differential diagnoses and workup are then reviewed, including imaging tests. The presentation describes the anatomy of the anorectal region and classifications of abscess types. Etiology is often cryptoglandular or related to infection, irritation, or immunocompromised states. Pathophysiology involves infection breaching the internal sphincter barrier. Management involves early surgical drainage along with antibiotic therapy to prevent complications like fistula or stricture formation. Prognosis is generally good but recurrence and fistula development occur in around 50% of cases.
A hernia happens when an organ or maybe fatty tissue squeezes through a weak
spot in a surrounding muscle or connective tissue called fascia.
Hernias were
once the leading cause of acute intestinal obstruction.
Public alertness of early
repair has markedly reduced the frequency of incarceration of intestine in these
musculofascial defects.
The common sites for these defects, in order of frequency,
are inguinal, umbilical, incisional and femoral. Techniques of repair continue to
evolve but tension-free, mesh repairs are the current standard.
You may have a hernia if you can feel a soft lump in your belly or groin or in a
scar where you had surgery in the past. The lump may go away when you press on
it or lie down. It may be painful, especially when you cough, bend over, or lift
something heavy.
Triage Meditech is one of the leading Indian medical technology companies acquired a respectable position in Advanced Wound Care arena. We are the leading manufacturers and suppliers of Negative Pressure Wound Therapy (NPWT) products in Indian subcontinent. We have further enhanced our portfolio with Advance Wound Dressings, Colostomy Products, Solutions for Venous Insufficiency, and Surgical Disposables and Consumables. Our R&D team is dedicated to continuous advancement in offerings to create effective products at an affordable cost and helping healthcare professionals and caregivers to offer best practice solutions to their patients. Triage Meditech is an ISO 9001:2008, 13485:2003 certified and DCGI regulated company. We follow WHO Good Manufacturing Practice (GMP) and our products are CE Certified. We have Pan India presence through direct and dealers network and currently we export our products to more than 11 countries.
This document provides information on hemorrhoids, including their anatomy, causes, classification, symptoms, diagnosis, and treatment options. Some key points:
- Hemorrhoids are abnormal dilations of the hemorrhoidal plexus in the anal canal due to venous stasis.
- Risk factors for developing hemorrhoids include low fiber diet, constipation, obesity, prolonged sitting/standing, pregnancy, and lifting heavy weights.
- Hemorrhoids are classified based on their location as internal or external, and by their severity from first to fourth degree.
- Symptoms include pain, bleeding, discharge, and complications like thrombosis. Diagnosis involves history, exam, and potentially anoscopy.
This document discusses wound healing and its pathophysiology. It begins by describing the anatomy of the skin, including the epidermis and dermis layers. It then discusses the functions of intact skin, such as protection, thermoregulation, fluid balance, and vitamin D synthesis. The document classifies wounds and describes healing by primary, secondary, and tertiary intention. It explains the inflammatory, proliferative, and maturation phases of wound healing and compares fetal and adult wound healing. Finally, it discusses aberrations like hypertrophic scars and keloids.
This document discusses wound healing and management of both acute and chronic wounds. It begins by introducing the normal phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. It then discusses factors that can influence wound healing and describes the normal healing process in tissues like bone, nerve and tendon. The document also covers classification of wound closure, managing acute wounds, and issues related to chronic wounds like leg ulcers and pressure sores. Specific topics like bites, puncture wounds, hematomas, degloving injuries, and necrotizing soft tissue infections are also summarized. Throughout the phases and management of both acute and chronic wounds are discussed in detail in this comprehensive overview of wound healing.
Please find the power point on Hemorrhoids. I tried present it on understandable way and all the contents are reviewed by experts and from very reliable references.
- The patient is a 63-year-old male who was involved in an accidental fall from 60 feet and presented with abdominal pain.
- Examination revealed a swelling and tenderness in the right lower abdomen. Imaging showed a defect in the abdominal wall with herniation of the bowel.
- The patient underwent emergency laparotomy which found a perforated and gangrenous small bowel loop, along with a mesenteric tear. Resection, anastomosis and hernia repair were performed.
- Traumatic abdominal wall hernia is a rare complication of blunt abdominal trauma, occurring in about 1% of cases. It requires a high index of suspicion for diagnosis and treatment.
effect of negative pressure wound therapy on wound healingcesar gaytan
Negative pressure wound therapy (NPWT), also known as vacuum-assisted closure or microdeformational wound therapy, has revolutionized wound care over the past 15 years. NPWT uses an open-pore foam, semi-occlusive dressing, suction tubing, and suction device to draw wound edges together and remove fluid. It activates pathways for angiogenesis and cell division. NPWT is commonly used to treat pressure sores, open abdomens, burns, and skin graft sites. Current research is exploring variations like closed incision treatments and instillation devices that deliver irrigation solutions.
This document discusses corrosive ingestion, which is a major health hazard especially for young children. Common caustic agents involved include sodium hydroxide and drain cleaners. Ingestion can cause severe and sometimes lifelong damage to the esophagus. Treatment depends on the severity of injury but may include endoscopy, dilation, steroids, or surgery. Prevention through education and safe storage of chemicals is important to reduce risk of this devastating condition.
Hemorrhoids, also known as piles, are enlarged or swollen veins in the lower rectum and anus. They are common in adults, especially between ages 45-65. Hemorrhoids are classified based on their location as internal or external. Symptoms include rectal bleeding, itching, and pain. Treatments range from lifestyle and diet changes to office procedures and surgery. Preventing constipation and straining during bowel movements can help prevent hemorrhoids.
This document discusses wound management and surgical products. It begins with an introduction to wound types including open wounds such as abrasions, lacerations, and punctures, as well as close wounds like contusions and hematomas. Next, it covers the history of wound management and the role of community pharmacists. It then discusses various surgical instruments, dressings, and the classification and types of surgical dressings used in wound care. The key steps in dressing a wound are also outlined.
healing by primary intention, secondary intention explained in flowcharts and videos are added. healing of fracture and extraction sockets are also added in the form of flowcharts for better understanding
1. Parastomal hernias occur when viscus penetrates the abdominal wall around ostomies like colostomies and ileostomies. Inadequate wound healing between the ostomy tunnel and abdominal wall causes hernias.
2. Parastomal hernias are classified by location as subcutaneous, interstitial, perstomal, or intrastomal.
3. Surgical repair techniques include relocating the stoma, direct repair with or without mesh, indirect repair using mesh, and laparoscopic repair. Placement of a prophylactic mesh may reduce hernia rates.
Vortrag beim 14. Schnittstellenseminar "Umgang mit chronischen Wunden in der stationären Altenpflege" des Berliner Projekts am 26.11.2014 im Lazarus-Haus in Berlin.
This document provides information on chronic leg ulcers, including their definition, causes, clinical presentation, diagnosis, and management. It defines an ulcer as a loss of epithelial continuity that does not heal or recurs. The most common causes of chronic leg ulcers are venous insufficiency, arterial insufficiency, and neuropathy. Clinical assessment involves examining the ulcer's location, edges, base, and surrounding skin/tissue. Diagnosis is aided by medical history, physical exam, and tests like Doppler ultrasound and ankle-brachial index. Treatment involves addressing the underlying cause, wound care, dressings, compression therapy, and sometimes surgery.
Varicose veins are caused by venous reflux affecting over 25 million Americans. Minimally invasive treatments like radiofrequency ablation using the VNUS Closure system are effective alternatives to traditional surgery for varicose veins and venous reflux. The VNUS Closure procedure uses a catheter to deliver radiofrequency energy to shrink and close diseased veins, providing improved treatment outcomes over surgery with faster recovery times.
The document discusses vacuum-assisted closure (VAC) therapy, a system that uses controlled negative pressure to promote wound healing. It provides an overview of how VAC works, its mechanisms of action including increased blood flow and reduced bacteria, appropriate applications, contraindications, and how to apply the system. Key benefits are that VAC converts complicated wounds into simpler wounds to prepare for the next step of reconstruction.
This document summarizes the experience of a surgeon with 4 cases of liver trauma presenting within one month. It describes the details of each case, including the type and severity of liver injury based on the American Association for Surgery of Trauma grading system. It then reviews anatomical considerations of the liver, mechanisms and etiology of liver trauma, diagnostic approaches, and management strategies including initial resuscitation, definitive surgical and non-surgical options, postoperative concerns, and potential complications.
This document discusses hiatal hernia, including:
1. It classifies hiatal hernias into four types, with type I being the most common sliding hernia and types II and III being paraesophageal hernias.
2. Symptoms vary but can include chest pain, dysphagia, and regurgitation. Paraesophageal hernias pose greater risks of incarceration and strangulation.
3. Diagnosis involves imaging like barium swallow and endoscopy to visualize the GE junction.
4. Treatment is usually surgical repair, with laparoscopic being preferred over open approaches. The hernia sac is excised and the crura are reapproximated.
This presentation discusses the diagnosis and management of anorectal abscesses. It begins with an overview of patient complaints and clinical findings such as perianal discomfort, swelling, and drainage. Differential diagnoses and workup are then reviewed, including imaging tests. The presentation describes the anatomy of the anorectal region and classifications of abscess types. Etiology is often cryptoglandular or related to infection, irritation, or immunocompromised states. Pathophysiology involves infection breaching the internal sphincter barrier. Management involves early surgical drainage along with antibiotic therapy to prevent complications like fistula or stricture formation. Prognosis is generally good but recurrence and fistula development occur in around 50% of cases.
A hernia happens when an organ or maybe fatty tissue squeezes through a weak
spot in a surrounding muscle or connective tissue called fascia.
Hernias were
once the leading cause of acute intestinal obstruction.
Public alertness of early
repair has markedly reduced the frequency of incarceration of intestine in these
musculofascial defects.
The common sites for these defects, in order of frequency,
are inguinal, umbilical, incisional and femoral. Techniques of repair continue to
evolve but tension-free, mesh repairs are the current standard.
You may have a hernia if you can feel a soft lump in your belly or groin or in a
scar where you had surgery in the past. The lump may go away when you press on
it or lie down. It may be painful, especially when you cough, bend over, or lift
something heavy.
Triage Meditech is one of the leading Indian medical technology companies acquired a respectable position in Advanced Wound Care arena. We are the leading manufacturers and suppliers of Negative Pressure Wound Therapy (NPWT) products in Indian subcontinent. We have further enhanced our portfolio with Advance Wound Dressings, Colostomy Products, Solutions for Venous Insufficiency, and Surgical Disposables and Consumables. Our R&D team is dedicated to continuous advancement in offerings to create effective products at an affordable cost and helping healthcare professionals and caregivers to offer best practice solutions to their patients. Triage Meditech is an ISO 9001:2008, 13485:2003 certified and DCGI regulated company. We follow WHO Good Manufacturing Practice (GMP) and our products are CE Certified. We have Pan India presence through direct and dealers network and currently we export our products to more than 11 countries.
This document provides information on hemorrhoids, including their anatomy, causes, classification, symptoms, diagnosis, and treatment options. Some key points:
- Hemorrhoids are abnormal dilations of the hemorrhoidal plexus in the anal canal due to venous stasis.
- Risk factors for developing hemorrhoids include low fiber diet, constipation, obesity, prolonged sitting/standing, pregnancy, and lifting heavy weights.
- Hemorrhoids are classified based on their location as internal or external, and by their severity from first to fourth degree.
- Symptoms include pain, bleeding, discharge, and complications like thrombosis. Diagnosis involves history, exam, and potentially anoscopy.
This document discusses wound healing and its pathophysiology. It begins by describing the anatomy of the skin, including the epidermis and dermis layers. It then discusses the functions of intact skin, such as protection, thermoregulation, fluid balance, and vitamin D synthesis. The document classifies wounds and describes healing by primary, secondary, and tertiary intention. It explains the inflammatory, proliferative, and maturation phases of wound healing and compares fetal and adult wound healing. Finally, it discusses aberrations like hypertrophic scars and keloids.
This document discusses wound healing and management of both acute and chronic wounds. It begins by introducing the normal phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. It then discusses factors that can influence wound healing and describes the normal healing process in tissues like bone, nerve and tendon. The document also covers classification of wound closure, managing acute wounds, and issues related to chronic wounds like leg ulcers and pressure sores. Specific topics like bites, puncture wounds, hematomas, degloving injuries, and necrotizing soft tissue infections are also summarized. Throughout the phases and management of both acute and chronic wounds are discussed in detail in this comprehensive overview of wound healing.
Please find the power point on Hemorrhoids. I tried present it on understandable way and all the contents are reviewed by experts and from very reliable references.
- The patient is a 63-year-old male who was involved in an accidental fall from 60 feet and presented with abdominal pain.
- Examination revealed a swelling and tenderness in the right lower abdomen. Imaging showed a defect in the abdominal wall with herniation of the bowel.
- The patient underwent emergency laparotomy which found a perforated and gangrenous small bowel loop, along with a mesenteric tear. Resection, anastomosis and hernia repair were performed.
- Traumatic abdominal wall hernia is a rare complication of blunt abdominal trauma, occurring in about 1% of cases. It requires a high index of suspicion for diagnosis and treatment.
effect of negative pressure wound therapy on wound healingcesar gaytan
Negative pressure wound therapy (NPWT), also known as vacuum-assisted closure or microdeformational wound therapy, has revolutionized wound care over the past 15 years. NPWT uses an open-pore foam, semi-occlusive dressing, suction tubing, and suction device to draw wound edges together and remove fluid. It activates pathways for angiogenesis and cell division. NPWT is commonly used to treat pressure sores, open abdomens, burns, and skin graft sites. Current research is exploring variations like closed incision treatments and instillation devices that deliver irrigation solutions.
This document discusses corrosive ingestion, which is a major health hazard especially for young children. Common caustic agents involved include sodium hydroxide and drain cleaners. Ingestion can cause severe and sometimes lifelong damage to the esophagus. Treatment depends on the severity of injury but may include endoscopy, dilation, steroids, or surgery. Prevention through education and safe storage of chemicals is important to reduce risk of this devastating condition.
Hemorrhoids, also known as piles, are enlarged or swollen veins in the lower rectum and anus. They are common in adults, especially between ages 45-65. Hemorrhoids are classified based on their location as internal or external. Symptoms include rectal bleeding, itching, and pain. Treatments range from lifestyle and diet changes to office procedures and surgery. Preventing constipation and straining during bowel movements can help prevent hemorrhoids.
This document discusses wound management and surgical products. It begins with an introduction to wound types including open wounds such as abrasions, lacerations, and punctures, as well as close wounds like contusions and hematomas. Next, it covers the history of wound management and the role of community pharmacists. It then discusses various surgical instruments, dressings, and the classification and types of surgical dressings used in wound care. The key steps in dressing a wound are also outlined.
healing by primary intention, secondary intention explained in flowcharts and videos are added. healing of fracture and extraction sockets are also added in the form of flowcharts for better understanding
1. Parastomal hernias occur when viscus penetrates the abdominal wall around ostomies like colostomies and ileostomies. Inadequate wound healing between the ostomy tunnel and abdominal wall causes hernias.
2. Parastomal hernias are classified by location as subcutaneous, interstitial, perstomal, or intrastomal.
3. Surgical repair techniques include relocating the stoma, direct repair with or without mesh, indirect repair using mesh, and laparoscopic repair. Placement of a prophylactic mesh may reduce hernia rates.
Vortrag beim 14. Schnittstellenseminar "Umgang mit chronischen Wunden in der stationären Altenpflege" des Berliner Projekts am 26.11.2014 im Lazarus-Haus in Berlin.
Dieser Fotostandard für die (ambulante) Dokumentation (chronischer) Wunden wurde 2012 im Rahmen der Arbeit des ZIM-NEMO-Netzwerks TECLA (Technische Pflegeassistenzsysteme) an der Hochschule Harz erarbeitet.
Este documento describe los diferentes tipos de libros de contabilidad que se utilizan para llevar un registro ordenado de las transacciones financieras de una empresa u organización. Explica que los libros principales son el Libro Diario, el Libro Mayor y el Libro de Inventarios, y que cada asiento contable representa un hecho económico registrado de manera equilibrada entre débitos y créditos.
Vereinfachen Sie die Bewertung von chronischen Wunden, sowie deren Dokumentation — und nehmen Sie sich wieder mehr Zeit für Ihre Patienten.
+WoundDesk kümmert sich um den Rest.
http://wounddesk.com
Mobilität und Lebensqualität – Herausforderungen bei der Versorgung von Menschen mit chronischen Wunden
Steve Strupeit, Hochschule für angewandte Wissenschaften Hamburg
Gonda Bauernfeind, Pflegedienst Bauernfeind, Hamm
Niederrheinischer Pflegekongress 2016
Vortrag: Eine Legislaturperiode nähert sich dem Ende - Pflegepolitisch top oder Flop?
Referent: Andreas Westerfellhaus
Dr. Pick, Geschäftsführer MDS, referierte am 17.09.2015 beim 7. Niederrheinischen Pflegekongress im Agnes Karll Saal der Stadthalle Neuss.
Die neue Definition des Pflegebedürftigkeitsbegriffs erfordert ein neues Begutachtungsassessment (NBA). Durch diese neuen Kriterien werden neue Pflegegrade definiert und die Leistungsbeträge angepasst.
am 17.09.2015 referierte Zeynep Babagadi im Agnes Karll Saal der Stadthalle Neuss zu einem interkulturelle Thema in der Pflege "Die süßen Türken - Besonderheiten im Umgang mit Gesundheit und Krankheit"
2. Geschichte
Wundversorgung ist schon Jahrtausende alt
• Im klassischen Griechenland
berichteten die großen Philosophen
(z.B. Hippokrates) und deren
Anhänger vom Unterschied
zwischen scharfen und
gequetschten Wunden und der
davon abhängigen trockenen
Heilung oder Eiterung. Auch sie
benutzten feines Leinen als
Verbandstoffe. Mit starkem Rotwein
getränkte Leinenkompressen
wurden als antiseptischer
Wundverband verwendet.
Wundversorgung wurde in den letzten
Jahrzehnten austrocknend
durchgeführt
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 1
5. Einführung
• Welches sind die drei Hauptziele
in der Wundversorgung?
1. Debridement
2. Exsudat-Management
3. Bakterielle Balance
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 4
6. Einführung
Kriterien des idealen Wundverbandes (nach Turner)
• überschüssiges Wundexsudat entfernen + festhalten
• feuchtes Milieu im Wundbereich erhalten
• den Gasaustausch gewährleisten
• thermische Isolierung der Wunde gegen die Umwelt
• Undurchlässigkeit für Mikroorganismen
• keine Abgabe von Fremdstoffen (Fasern, etc.)
• atraumatische Entfernbarkeit
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 5
7. Einführung
• Zahllose Produkte u. Variationen der
• „feuchten Wundbehandlung“
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 6
8. Wundauflagen
• Komponenten einer Wundauflage:
- Deckschicht
- Adhäsivschicht
- Kissen = Wundfüller
• Wundauflagen mit Abschluß
• Wundauflagen ohne Abschluß
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 7
9. Wundauflagen - Einteilung
• Wundauflagen mit mäßigem Flüssigkeitsaufnahmevermögen
• Wundauflagen mit hohem Flüssigkeitsaufnahmevermögen
• Wundsysteme mit der Fähigkeit zur Flüssigkeitsabgabe
• Wundauflagen mit antiseptischen Zusätzen
• Aktive Wundsysteme
• Wundauflagen zur Geruchsbindung
• Biologische Wundreinigung
• Vakuum-Versiegelung
• Fettgaze
• Transparent-Verband
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 8
22. • Umwandlung und Quellung in ein feuchtes
Alginate Hydrogel von schleimiger Konsistenz
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 21
23. Alginate
Eigenschaften
• Erhaltung des feuchten Wundmilieus
• Wundreinigung durch Aufnahme von Keimen und Wunddebris
• Aufnahme des überschüssigen Sekretes
• Übergang in formstabiles Gel
• Benötigt Sekundärverband
• Blutstillend
• Nicht adhäsiv
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 22
24. Alginate
Wundtyp
• Mäßig bis stark sezernierende Wunde
• Oberflächige oder tiefe, ggf. zerklüftete und unterminierte Wunde
• Evt. kolonisierte Wunde
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 23
25. Hydrofaser
• Kapillare Struktur mit hoher, extrem schneller Sekretaufnahme (hier im
Vergleich zu einer Mull- Kompresse)
•Extrem hohe Sauggeschwindigkeit
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 24
26. Hydrofaser
• Sekretaufnahme lediglich vertikal,
damit keine Mazeration in der
Umgebung
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 25
27. 4. Wundsysteme mit der Fähigkeit zur
Flüssigkeitsabgabe
Hydrogele
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 26
28. Hydrogele
Aufbau und Wirkmechanismus
• Hydratisierend (Aufquellen und Lösen von trockenen Belägen und
Nekrosen, Feucht halten einer Wunde)
• Unterstützung der Wundreinigung
• Sekretaufnahme
• Nicht klebend, benötigt Sekundärverband
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 27
40. 9. Vakuumversiegelung
Wirkmechanismus
• Absorption von Sekret,
• Bakterien und Toxinen
• über eine Unterdruckpumpe
• Gewebedistraktion
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 39
41. Vakuumversiegelung
• Konfektionen
• PU = Polyurethanschwamm, schwarzer
- offenporig
- hat eine Porengröße von 400 – 600 µm
- als Unterdruck wird 25 – 250 mm Hg (entspricht 0,03 - 0,3 bar)
angewendet
• PVA = Polyvinylalkoholschwamm, weiß
- Bei Unterdruckwerten von 150-600 mm Hg / (entspricht 0,2-0,8
bar) angewendet
- Sehr fest, kann an der umgebenden Haut angeklammert werden
Ulf Gillmann 2009 22:55HELIOS Klinikum Krefeld 40