Xenografts in the post‐operative wound management of interpolation flaps

2021 ◽  
Author(s):  
Conrad J. Benedetto ◽  
Antoine Salloum ◽  
Anthony V. Benedetto ◽  
Paul X. Benedetto
Keyword(s):  
Wound Management ◽  
Operative Wound

scholarly journals Use of Virtual Reality as a Distraction Technique to Limit Opiate Use in Traumatic and Surgical Wound Dressing Management

2020 ◽  
pp. 1-3
Author(s):  
Albert Chi ◽  
Albert Chi ◽  
Julius Jockusch ◽  
Michael Long ◽  
Peter Lund ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Wound Management ◽  
Source Control ◽  
Hand Tracking ◽  
Surgical Wound ◽  
Prosthetic Devices ◽  
Opiate Use ◽  
A Prospective Study ◽  
Dressing Change ◽  
Operative Wound

Background: Chronic opiate use in traumatic and surgical wound management has become an increasingly controversial topic nationally. Here we present a case of a large surgical wound previously managed with operative dressing changes with significant opiate use for pain control with the use of virtual reality at the time of dressing changes to decrease opiate use as well as operative need; and therefore, overall cost. Case Presentation: The patient is a 57-year-old female with morbid obesity and poorly controlled diabetes mellitus who presented with a necrotizing soft tissue infection of the left thigh. She was admitted to the intensive care unit, initiated on broad spectrum antibiotics, and taken to the operating room for excisional debridement. After stabilization and source control, the patient continued to require operative incisional wound vac changes every other day despite maximal multimodal pain therapy. After discussion with the patient regarding her continued ongoing operative wound vac changes and her desire to progress care, the team attempted a bedside dressing change utilizing the Facebook Oculus Quest Virtual Reality device application “Nature Treks VR”. The patient endorsed reduced pain scores during the dressing change and endorsed emersion into the virtual world throughout the dressing change. Conclusion: To the best of our knowledge this is the first reported incidence of using a virtual reality platform to reduce opiate use, operative need, progression of care, and overall cost in a patient with a large, debilitating operative wound outside of the burn population. Advances in virtual reality hardware including tether less systems like Oculus Quest, non-controller hand tracking and headset sanitation devices have reduced barriers to introducing virtual reality therapy into the clinic and ICU. A prospective study is needed to validate the use of virtual reality as a distraction therapy at the time of dressing changes. Future use of virtual reality may involve reducing ICU delirium, targeted pain management, post trauma recovery exercises and enhanced rehabilitation of amputees with prosthetic devices.

Operative wound management

2012 ◽  
pp. 157-172.e2 ◽  
Author(s):  
Jong O. Lee ◽  
Manuel Dibildox ◽  
Carlos J. Jimenez ◽  
James J. Gallagher ◽  
Syed Sayeed ◽  
...  
Keyword(s):  
Wound Management ◽  
Operative Wound

scholarly journals Procedural skills training for Canadian medical students participating in international electives

2015 ◽  
Vol 6 (1) ◽  
pp. e23-e33 ◽  
Author(s):  
Joseph Margolick ◽  
David Kanters ◽  
Brian Cameron
Keyword(s):  
Patient Safety ◽  
Medical Students ◽  
Skills Training ◽  
Learning Opportunities ◽  
Wound Management ◽  
Procedural Skills ◽  
Intravenous Line ◽  
Line Insertion ◽  
Level Of Training ◽  
Operative Wound

Background: International medical electives (IMEs) are unique learning opportunities; however, trainees can risk patient safety. Returning medical students often express concern about doing procedures beyond their level of training. The Canadian Federation of Medical Students has developed guidelines for pre-departure training (PDT), which do not address procedural skills. The purpose of this research is to determine which procedural skills to include in future PDT.Methods: Twenty-six medical students who returned from IMEs completed surveys to assess PDT. Using a Likert scale, we compared procedures performed by students before departing on IME to those performed while abroad. We used a similar scale to assess which procedures students feel ought to be included in future PDT.Results: There was no significant increase in number of procedures performed while on IME.  Skills deemed most important to include in future PDT were intravenous line insertion, suturing of lacerations, surgical assisting and post-operative wound care.Conclusions: Pre-departure training is new and lacks instruction in procedural skills. Over half the students rated several procedural skills such as IV line insertion, suturing, assisting in surgery, post operative wound management and foley catheterization as important assets for future PDT.

Operative wound management

2007 ◽  
pp. 177-195 ◽  
Author(s):  
Michael Muller ◽  
Dilip Gahankari ◽  
David N. Herndon
Keyword(s):  
Wound Management ◽  
Operative Wound

scholarly journals Vacuum assisted closure: Review on current application for post-operative wound management in orthopaedics

2018 ◽  
Vol 4 (2.7) ◽  
pp. 858-863
Author(s):  
Piyush Gawai ◽  
Ujwal Ramteke ◽  
Sandeep Gavhale ◽  
Harshit Dave ◽  
Amit Yadav ◽  
...  
Keyword(s):  
Wound Management ◽  
Vacuum Assisted Closure ◽  
Current Application ◽  
Operative Wound

Operative Wound Management

2018 ◽  
pp. 114-130.e2 ◽  
Author(s):  
Mohamed E. Ismail Aly ◽  
Moayad Dannoun ◽  
Carlos J. Jimenez ◽  
Robert L. Sheridan ◽  
Jong O. Lee
Keyword(s):  
Wound Management ◽  
Operative Wound
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