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Management of Complex Wounds, An Issue of Critical Care Nursing Clinics - E-Book

Management of Complex Wounds, An Issue of Critical Care Nursing Clinics - E-Book

Janet Foster

(2012)

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Book Details

Abstract

This issue of Critical Care Nursing Clinics, Guest Edited by Janet Foster, PhD, RN, CNS, will focus on Wound Care, with article topics including: Wound management; wound debridement; acute wounds; nutrition and wound healing; biology of acute wound failure; psychological stress and wound healing; chronic wound management in the elderly; and adjuncts to preparing wounds for closure: growth factors, skin substitutes, negative pressure therapy and hyperbaric oxygen.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Management of Complex\rWounds i
Copyright Page ii
Table of Contents v
Contributors iii
Preface ix
Chapter 1. Wound Healing Primer 165
PHASES OF WOUND HEALING 165
HEMOSTASIS PHASE 166
INFLAMMATORY PHASE 166
PROLIFERATIVE PHASE 168
REMODELING PHASE 170
MECHANISMS OF WOUND HEALING 171
DEFINITION OF WOUNDS 172
GUIDELINES FOR THE HEALING OF ACUTE WOUNDS 172
NORMAL AND PATHOLOGIC RESPONSES TO WOUND HEALING 174
SUMMARY 175
REFERENCES 175
Chapter 2. Nutrition and Wound Healing 179
NUTRITIONAL FACTORS IN WOUND REPAIR 180
OTHER FACTORS AFFECTING WOUND HEALING 191
SUMMARY 193
REFERENCES 193
Chapter 3. The Impact of Psychological Stress on Wound Healing: Methods and Mechanisms 201
OBSERVATIONAL STUDIES 202
EXPERIMENTAL STUDIES 202
INTERVENTION STUDIES 205
BIOLOGY OF WOUND HEALING 206
PHYSIOLOGIC PATHWAYS OF THE STRESS-INDUCED WOUND-HEALING IMPAIRMENT 207
BEHAVIORAL MECHANISMS LINKING STRESS AND WOUND HEALING 210
SUMMARY 210
REFERENCES 210
Chapter 4. Wound Management 215
PHYSIOLOGY 216
CLINICAL EVALUATION 216
THERAPEUTIC INTERVENTION 218
ANTIBIOTICS IN WOUND CARE 230
COSMESIS 231
AFTERCARE INSTRUCTIONS 232
FUTURE OF WOUND CARE 232
SUMMARY 233
REFERENCES 234
Chapter 5. Wound Debridement: Therapeutic Options and Care Considerations 239
BENEFITS OF WOUND DEBRIDEMENT 239
THE PROCESS OF WOUND HEALING: BARRIERS AND FACILITATORS 241
SPECIAL ROLE OF WOUND BED DEBRIDEMENT 241
EVIDENCE-BASED PRACTICE AND WOUND DEBRIDEMENT 242
METHODS OF WOUND DEBRIDEMENT 243
SUMMARY 250
SUGGESTED READING 250
REFERENCES 251
Chapter 6. Wound Healing Agents 255
STAGES OF WOUND HEALING 256
IMPEDIMENTS TO WOUND HEALING 256
WOUND HEALING AGENTS 257
SUMMARY 260
REFERENCES 260
Chapter 7. Management of Forearm Compartment Syndrome 261
PATHOPHYSIOLOGY 262
ANATOMY 263
DIAGNOSIS 265
NONOPERATIVE TREATMENT 267
SURGICAL TECHNIQUES 267
OUTCOMES 269
VOLKMANN’S ISCHEMIC CONTRACTURE 270
CHRONIC COMPARTMENT SYNDROME 271
SUMMARY 272
REFERENCES 272
Chapter 8. Intra-Abdominal Hypertension: Evolving Concepts 275
DEFINITIONS 277
RECOGNITION OF ABDOMINAL COMPARTMENT SYNDROME 277
DIAGNOSIS 278
PATHOPHYSIOLOGIC IMPLICATIONS 282
IMPORTANCE OF INTRA-ABDOMINAL PRESSURE IN OTHER CLINICAL CONDITIONS 287
INTRODUCING A NEW CONCEPT: THE POLYCOMPARTMENT SYNDROME 289
FLUID RESUSCITATION, MULTIPLE ORGAN FAILURE, AND POLYCOMPARTMENT SYNDROME 289
INTRODUCING ANOTHER NEW CONCEPT: ACUTE BOWEL INJURY AND ACUTE INTESTINAL DISTRESS SYNDROME 293
HOW DO WE DEFINE ACUTE BOWEL INJURY AND ACUTE INTESTINAL DISTRESS SYNDROME? 294
CLINICAL MANAGEMENT 295
SUMMARY 299
REFERENCES 299
Chapter 9. Reconstruction of the Foot After Leg or Foot Compartment Syndrome 311
PREVENTION 312
DELAY IN DIAGNOSIS IN THE ACUTE PHASE OF CARE 314
LATE TECHNIQUES 314
SUMMARY 320
REFERENCES 320
Chapter 10. Postoperative Infections: Prevention and Management 323
PREOPERATIVE MODIFIABLE RISK FACTORS 324
MALNUTRITION 324
SMOKING 324
MRSA CARRIER 325
DIABETES 325
HIV 326
RA 326
MASTECTOMY 327
PROPHYLACTIC ANTIBIOTICS 327
INTRAOPERATIVE MODIFIABLE RISK FACTORS 328
PREOPERATIVE SKIN PREPARATION 328
PREOPERATIVE HAIR REMOVAL 330
WOUND IRRIGATION 330
DRAINS 331
MANAGEMENT OF SSIs 331
WOUND VAC 332
SEPTIC ARTHRITIS 333
OSTEOMYELITIS 334
NECROTIZING FASCIITIS 336
SUMMARY 337
REFERENCES 337
Index 345