AI Article Synopsis
- A 23-year-old woman with severe myocarditis underwent heart transplantation after 295 days with a biventricular assist device (BiVAD).
- When her cannula sites became necrotic 3 months post-placement, she was treated with a vacuum-assisted closure (VAC) system for wound management.
- This prophylactic VAC therapy, which included the use of a skin barrier paste, successfully prevented infections at the cannula sites, highlighting its potential benefits for similar patients.
Article Abstract
We report wound management using a vacuum-assisted closure (VAC) system for the cannula sites of extracorporeal biventricular assist devices (BiVADs) for 295 days in a 23-year old Chinese female patient with fulminant giant cell myocarditis, who finally underwent heart transplantation. When the cannula sites appeared necrotic 3 months after BiVADs placement, she received negative pressure wound therapy prophylactically for four cannula sites, using a VAC system for 3 months, followed by no infections. Such prophylactic VAC therapy, using the skin barrier paste usually used for the ostomy pouching system to create a flatter surface and airtightness, may be useful to avoid cannula site infections, which is still a fatal complication causing sepsis, especially in patients with extracorporeal BiVADs.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/0391398821991156 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Appropriate Use and Care of Peripheral Intravenous Cannulas: A Quality Improvement Project.
Cureus
January 2025
Diabetes and Endocrinology, Peterborough City Hospital, Peterborough, GBR.
Article Synopsis
- More than a third of peripheral intravenous cannulas (PIVCs) inserted in hospitals remain unused, highlighting issues with documentation and potential complications.
- A quality improvement project involved conducting an initial audit, implementing changes, and a follow-up audit to assess adherence to a PIVC care bundle.
- The project aimed for a target adherence score of 90-100% on PIVC documentation and care; results showed a comparison between the first and second cycles, with improved scores indicating successful implementation.
Complex intestinal fistula treatment and care: A case report and literature review.
Medicine (Baltimore)
November 2024
Department of General Surgery, Jiaozhou Branch of Shanghai East Hospital, Tongji University, Qingdao, China.
Article Synopsis
- Abdominal cocoon is a rare condition that can lead to serious complications like intestinal rupture and fistulas, as seen in a 51-year-old man who experienced abdominal injuries from a traffic accident.
- The surgery revealed that his small intestine was encased in dense fibrous tissue, leading to complications that required intensive postoperative care, including ventilator support and drainage management.
- Despite the challenges of a delayed intestinal fistula occurring 10 days after surgery, comprehensive nursing strategies and treatments led to the successful healing of the incision, allowing the patient to eventually recover and reverse the stoma after 5 months.
Article Synopsis
- The study evaluated the safety and effectiveness of the post-closure technique using the ProGlide device during decannulation after veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in 170 patients.
- Technical success was achieved in 92.4% of patients, though 9.4% experienced lower limb complications, including arterial thrombosis and pseudo-aneurysms.
- The findings suggest that the suture-mediated closure of the femoral artery is a promising approach, with no significant increase in complications based on different cannula sizes.
Clavicular Contouring with a Novel Subperiosteal Filler Injection Technique: A Single-Case Study.
Aesthetic Plast Surg
November 2024
Chang's Clinic of Cosmetic Surgery, Taipei, Taiwan.
Objective: Injectable cosmetic procedures are increasingly popular among beauty seekers as rapid technology and material advancements making it easier to achieve desired results through minimal trauma. The technique of subperiosteal injection, which is not yet introduced to the field of medical esthetics, may achieve more satisfying results. This study confirms the possibility of subperiosteal injection of dermal filler, using the clavicle area as the validation region, and has been validated by ultrasound examinations.
View Article and Find Full Text PDFAssessment of neonatal referral infrastructure and clinical characteristics of referred neonates in three first referral hospitals in Nairobi County, Kenya.
Wellcome Open Res
November 2023
Health Services Unit, KEMRI - Wellcome Trust Research Programme, Nairobi, Kenya.
Background: One in five newborns in Nairobi County, Kenya, may require inpatient neonatal care. We sought to examine referrals to and from three busy first-level referral public hospitals in Nairobi and what infrastructure and systems are available to support neonatal transport from these first-referral level hospitals to the main tertiary care center.
Methods: Patient-level data of newborns over 12 months were retrospectively extracted from routinely collected patient data and examined to characterize those referred into and out of three newborn units in the study hospitals.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!