ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

To evaluate the response to plasma exchange (PE) in thermal injuries in patients who did not respond in the anticipated manner to conventional fluid resuscitation, a protocol was designed for patients aged 15 to 70 years with TBSA burns of greater than 30%, with or without inhalation injury. Materials include the Haemonetics V-50 apheresis machine in double-arm continuous fashion using type-specific fresh frozen plasma replacing 1.5 times the calculated plasma volume. Appropriate data were obtained prior to and after each PE via invasive and noninvasive means. Values studied included cardiac index (CD, stroke index (SI), cardiac chamber pressures, systemic vascular resistance, pulmonary vascular resistance, and pulmonary dynamics. Seven male patients, three with an associated inhalation injury, benefited from PE with increased CI (50% ± 33%, P<0.01) and SI (63% ± 54% P<0.01). Of these patients, 71% tolerated reduced volume infusion from a mean of 264% of calculated requirements to maintenance levels within a mean of 3.5 hours postexchange. PE therapy seems to sustain patients during the immediate postburn period when they fail to respond appropriately to conventional fluid resuscitation.

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Adjacent normal tissue has always been the ideal tissue for reconstruction of deformity from scars in the face, head, and neck region. Tissue expansion increases the amount of available tissue and increases the safety with which it can be transferred. The technique requires at least two operations and multiple office visits and is attended by potential problems. Although there were complications in 48% of expanders inserted, 81% of cases were managed successfully by this technique, and there was a high degree of patient satisfaction. The results were often far superior to those in available alternative techniques. With its limitations and potential pitfalls in mind, the technique of tissue expansion should be added to our reconstructive practice.

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

An agar well diffusion technique was used to determine whether antagonistic or synergistic antimicrobial effects resulted from the combination of four antimicrobial creams. Eighteen mixtures were made of mafenide acetate (MA), nitrofurazone (F), silver sulfadiazine (SS), and gentamicin (G), in 1 :1, 1:3, and 3 :1 combinations; 0.1 ml of each was introduced into wells cut into agar plates inoculated with Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli, or Klebsiella pneumoniae. The inhibition zone size (diameter) was measured after 24 hours of incubation. The mean and standard deviations are based on six replicate assays.Synergistic effects were noted against P. aeruginosa for all three ratios of nitrofurazone, and silver sulfadiazine combined. The 3 :1 combinations of nitrofurazone-silver sulfadiazine and all three combinations of nitrofurazonemafenide acetate appeared to have a synergistic effect against K. pneumoniae. The 1:3 combination of nitrofurazone-gentamicin appeared to be synergistic against E. coli.

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

The in vitro antimicrobial activity of five hand cleansers/surgical scrubs were tested againstStaphylococcus aureus, Pseudomonas aeruginosa,andCandida albicans.The cleansing agents were diluted in tap water and the ability of the agents to kill 1 X 108organisms was tested after 10 and 30 seconds of exposure. Betadine and Idex, agents containing iodine, proved the most effective against all three microorganisms. Hibiclens was effective against S.aureusand P.aeruginosabut was less effective against C.albicansat a 10-second exposure. Phisohex was extremely microbicidal to S.aureusbut was not effective in killing P.aeruginosaor C.albicans, whereas Para- San was ineffective against all three organisms under the testing conditions.

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Burn related injuries are the second-largest cause of death in children 1 to 4 years of age, exceeded only by injuries caused in automobile accidents.1 The management of burned children continues to be a challenge despite technical advances including the availability of anti-pseudomonas antibiotics, nutritional support, and early excision and grafting of burn wounds. In many cities in the United States special treatment facilities for burned children are available. In most areas, however, burned children are taken to facilities primarily designed and developed for the treatment of adult burn patients. The treatment of burned children in such facilities should not compromise short- or long-term goals in the acute management and rehabilitation of these patients. It was the authors' belief that principles applying to the treatment of adult patients were equally effective in the management of burned children in their facility. The future management of children with burns can benefit from a review of recent experience and evaluation of current practice. Such data will help logically evaluate the impact of the anticipated introduction of new wound covers, changing techniques of mechanical ventilation, and new topical agents. The ongoing monitoring of results of treatment of burned children will be the best guide for the continuing evolution of burn care.

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID