B Braun D5613 Wound Irrigation Solution, 350ml

£9.9
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B Braun D5613 Wound Irrigation Solution, 350ml

B Braun D5613 Wound Irrigation Solution, 350ml

RRP: £99
Price: £9.9
£9.9 FREE Shipping

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development by Staphylococcus epidermidis compared to an untreated control group. Zubko and Zubko (2013) reported the Andriessen AE, Eberlein T. Assessment of a wound cleansing solution in the treatment of problem wounds. Wounds: A Compendium of Clinical Research & Practice 2008; 20(6): 171-5.

Barros LH, Barbosa TA, Esteves J, Abreu M, Soares D, Sousa R. Early Debridement, antibiotics and implant retention (DAIR) in patients with suspected acute infection after hip or knee arthroplasty – safe, effective and without negative functional impact. J Bone Joint Infect. 2019; 4:300–305. doi: 10.7150/jbji.39168. [ PMC free article] [ PubMed] [ CrossRef] [ Google Scholar] Using the Prontosan ® Debridement Pad decreases the time it takes to conduct the wound bed preparation process, and subsequently a reduction in the soak time as you are physically removing the biofilm from the wound bed. Marx RG, Wilson SM, Swiontkowski MF. Updating the Assignment of Levels of Evidence. Journal Bone Joint Surg. 2015; 97:1–2. doi: 10.2106/JBJS.N.01112. [ PubMed] [ CrossRef] [ Google Scholar] Clinician perspective on time and resource related to dressing changes. Available at https://www.wounds-uk.com/journals/issue/506/article-details/clinician-perspectives-on-time-and-resources-related-to-dressing-changes [accessed Jan 2021] Bellingeri A, Falciani F, Traspedini P, et al. Effect of a wound cleansing solution on wound bed preparation and inflammation in chronic wounds: a single-blind RCT. J Wound Care 2016; 25(3): 160, 2-6, 8.

Surgical debridement →“9L NS, PI b, H 2O 2 b irrigation” → modular component exchange → drain with continuous NS irrigation for 24h (6L/d rate) Haddad FS, Sukeik M, Alazzawi S. Is single-stage revision according to a strict protocol effective in treatment of chronic knee arthroplasty infections? Clin Orthop Relat Res. 2015; 473:8–14. [ PMC free article] [ PubMed] [ Google Scholar] Hunter C, Duncan S. Clinical Effectiveness of a Biofilm Disrupting Surgical Lavage in Reducing Bacterial Contamination in Murphy C, Atkin L, Swanson T, et al. Defying hard-to-heal wounds with an early antibiofilm intervention strategy: wound hygiene. Journal of Wound Care 2020; 29(Sup3b): S1-S26.

Kavolus JJ, Schwarzkopf R, Rajaee SS, Chen AF. Irrigation Fluids Used for the Prevention and Treatment of Orthopaedic Infections. J Bone Joint Surg Am. 2020; 102:76–84. [ PubMed] [ Google Scholar] Atkin L, Stephenson J, Cooper DM. Wound bed preparation: a case series using polyhexanide and betaine solution and gel—a UK perspective. Journal of Wound Care 2020; 29(7): 380-6. FDA requests withdrawal of bacitracin for injection from market. FDA; [last access: 12January2021]. 2020. available at: https://www.fda.gov/drugs/drug-safety-and-availability/fda-requests-withdrawal-bacitracin-injection-market . [ Google Scholar] HOCl: hypochlorous acid; CHG: Chlorhexidine gluconate.Table content reproduced with permission from Kavolus et al.(2020).Valenzuela AR, Perucho NS. The effectiveness of a 0.1% polyhexanide gel. Revista de enfermeria (Barcelona, Spain) 2008; 31(4): 7‐12.

Atkin et al, (2020) Wound bed preparation: a case series using polyhexanide and betaine solution and gel—a UK perspective George DA, Konan S, Haddad FS. Single-Stage Hip and Knee Exchange for Periprosthetic Joint Infection. J Arthroplastym. 2015; 30:2264–2270. [ PubMed] [ Google Scholar]Surgical debridement → 3–6L NS pulse lavage → modular component exchange versus head and liner replacement after 10–15min 97% ethanol soak → PI 10% soak 5–10min → 3L NS irrigation Lineaweaver W, Howard R, Soucy D, McMorris S, Freeman J, Crain C, Robertson J, Rumley T. Topical Antimicrobial Toxicity. Arch Surg. 1985; 120:267–270. [ PubMed] [ Google Scholar] Van Meurs SJ, Gawlitta D, Heemstra KA, Poolman RW, Vogely HC, Kruyt MC. Selection of an optimal antiseptic solution for intraoperative irrigation: An in vitro study. J Bone Joint Surg Am. 2014; 96:285–291. [ PubMed] [ Google Scholar] Surgical debridement → modular component exchange → 500mL PI 0.35% bulb irrigation → 1L NS pulse lavage → 1g Vancomycin deep to fascia, 1g Vancomycin superficial contamination as multiple organisms, including Burkholderia cepacia, P.aeruginosa, Mycobacterium abscessus, and fungal pathogens, have



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