Journal ArticleDOI
Cleansing the traumatic wound by high pressure syringe irrigation
Thomas R. Stevenson,John G. Thacker,George T. Rodeheaver,Carlos Bacchetta,Milton T. Edgerton,Richard F. Edlich +5 more
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TLDR
High pressure syringe irrigation is being employed routinely in the emergency department for the care of traumatic wounds on the basis of studies conducted on the influence of the fluid dynamics of Syringe irrigation on the efficacy of wound cleansing and the infection rate of experimental wounds.Abstract:
The purpose of this study was to examine the influence of the fluid dynamics of syringe irrigation on the efficacy of wound cleansing and the infection rate of experimental wounds. The pressure experienced by a surface following wound irrigation was directly proportional to the pressure within the syringe and the size of the needle. High pressure syringe irrigation effectively removed bacteria from the surface of the wound. reduction in the wound bacterial count resulted in a decrease in the infection rate of tissues. Low pressure irrigation with an asepto syringe did not significantly cleanse the wound of its bacterial contaminants and did no demonstrable clinical merit. On the basis of these studies, high pressure syringe irrigation is being employed routinely in our emergency department for the care of traumatic wounds.read more
Citations
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WOUND INFECTION: A Failure of Wound Healing Caused by an Imbalance of Bacteria
TL;DR: To be able to prevent and manage wound infections requires an understanding of how each prophylactic or therapeutic maneuver works to maintain or re-establish the bacteria-host balance.
Journal ArticleDOI
Advancements in nanofibers for wound dressing: A review
TL;DR: The consolidated recent advanced works on wound healing and wound dressing which implies the significance of wound dressing are discussed.
Journal ArticleDOI
Evaluation and Management of Traumatic Lacerations
TL;DR: Each year in the United States, more than 12 million traumatic wounds are treated in emergency departments, and only a minority of wounds are caused by mammalian or nonmammalian bites.
Journal ArticleDOI
Comparison of irrigation solutions and devices in a contaminated musculoskeletal wound survival model.
TL;DR: A survival animal model involving the creation of a reproducible complex musculoskeletal wound followed by inoculation with Pseudomonas aeruginosa (lux) bacteria provides the ability for quantitative analysis with a photon-counting camera system.
Journal ArticleDOI
Prophylactic Antibiotics in Common Dog Bite Wounds: A Controlled Study
TL;DR: Wound irrigation and debridement were found to be important in reducing infection and staphylococcus aureus accounted for 10% of all infections, a finding which makes use of a penicillinase-resistantPenicillin logical.
References
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Journal ArticleDOI
Studies in management of the contaminated wound: III. Assessment of the effectiveness of irrigation with antiseptic agents
Richard F. Edlich,Joseph Custer,Joan E. Madden,Adnan S. Dajani,Waid Rogers,Owen H. Wangensteen +5 more
TL;DR: Irrigation of contaminated wounds with either 70 per cent ethyl alcohol, benzalkonium chloride, 0.25 per cent chloramine, aqueous iodine, tincture of iodine, povidone-iodine, or crystal violet provided significant protection against the development of frank infection in contaminated wounds.
Journal ArticleDOI
Effectiveness of pulsating water jet lavage in treatment of contaminated crushed wounds
TL;DR: Results indicate that the pulsating jet lavage was much more effective in reducing the bacterial population and in the removal of necrotic tissue and foreign particles from the wounds than was irrigation with a bulb syringe.
Journal ArticleDOI
Studies in management of the contaminated wound: I. Technique of closure of such wounds together with a note on a reproducible experimental model
TL;DR: The increased likelihood of infection attending primary closure of contaminated wounds with percutaneous sutures gives strong support to the thesis that per cutaneous suture should be avoided in the closure of contaminated wounds.
Journal ArticleDOI
Current Topics in Surgical Research
TL;DR: This is the third volume of papers from the Association for Academic Surgery and the editors selected for publication 46 of the 64 papers that were delivered at the 1970 meeting.