Patients with deep Stage 3 and Stage 4 who are not provided flap closure have a 17% risk of death at one year, and there is a 44% risk of readmission. Long-term acute care hospitals (LTACHs) have a niche role in the health care system. They specialize in caring for patients who are ventilator-dependent, [...]
Polypropylene-induced fibrosis links to pudendal neuralgia; red flag symptoms and PVDF benefits emphasized In our second clinical case, an irritation of the nerve might have occurred due to the fibrosis generated by the posteriorly deviated passage of the sling in the obturator foramen, close to the sacrospinous ligament” … Dr. Nasser Habib, Gynecologist, Siena, [...]
Investigating cases of central-line associated bloodstream infections including PICC lines and midlines. Neonatal sepsis is a major cause of morbidity and mortality. It is the third leading cause of neonatal mortality globally, constituting 13% of overall neonatal. In high-income countries, the mortality rate due to neonatal sepsis ranges from 5% to 20%, and neonatal [...]
Administrar antibióticos a través de una PICC, tanto en entornos hospitalarios como ambulatorios, puede no ser tan inofensivo como se aceptaba anteriormente. Administrar antibióticos a través de una línea PICC, tanto en entornos hospitalarios como ambulatorios, puede no ser tan inofensivo como se aceptaba anteriormente... Cada vez hay más evidencia que cuestiona si la [...]
Maggot therapy has never shown prevent osteomyelitis and death. LTACs may provide level of care for hospital or nursing home acquired decubitus ulcer patients. “Flap closure is rarely a readily available option in these complex patients due to their malnutrition, immobility, inability to offload, and other factors, such as immunosuppression,” states Caitlin Trottier, MD, [...]
Polyurethane and silicone PICC lines are defective products because there are safer materials that reduce the risk of hospital acquired bloodstream infections. In the United States, 250,000 hospital-acquired blood stream infections per year have been reported - 23,000 of them have been related to central venous catheter infection in 2009. Another study conducted in [...]
Adults and children with Short Bowel Syndrome are at serious risk of central line associate blood-stream infections and recurrent loss of venous access. Management of vascular access needs to be part of a comprehensive and multidisciplinary strategy aiming, as a first step, to preserve the vascular real estate of children requiring long-term PN.” …Dr. [...]
Medical device-related pressure ulcers create localized injury to the skin or underlying tissue as a result of sustained pressure from a device. “Medical device-related pressure ulcers (MDR PrUs) hospital acquired pressure ulcers (HAPUs) often mirror the shape and location of a medical device. A unique aspect of MDR PrUs is a rigid plastic material [...]
Investigating cases of neurological loss from spinal epidural abscesses in patients who were previously discharged from care centers without diagnostic testing. Neurological deficits are considered the last presenting factor of a typical spinal epidural abscess triad: The first being back pain and the second fever … Only 0.8% of patients do not have spinal [...]
Las nuevas líneas PICC disminuyen sustancialmente el riesgo de obstrucción del catéter, hinchazón del brazo, coágulos sanguíneos e infecciones sanguíneas. Esta incidencia de trombosis de PICC es relativamente alta, y casi la mitad son asintomáticos"... Dra. Yuxiu Liu, MD. Departamento de Oncología, Hospital de la Universidad de Qingdao. ¿Qué dijo el estudio de la [...]