Pressure Dynamics of Various Irrigation Techniques Commonly Used in the Emergency Department

Singer, Adam J.; Hollander, Judd E.; Subramanian, S.; Malhotra, A K; Villez, Paul A

doi:10.1016/s0196-0644(94)70159-8

Cited by 68 publications

(30 citation statements)

References 3 publications

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“…By creating different simulation and measurement systems for the main irrigation techniques and comparing the use of syringes, intravenous solution bags, and plastic compartments with solutions, the authors evidenced that the pressure the syringe exerted was greater in comparison to other methods. 21 A statistically significant association was found between catheters' intermittent administration and infiltration. It is known that, in clinical practice, intermittent peripheral intravenous catheter administration favors greater catheter manipulation, presupposing that this leads to the occurrence of this intravenous therapy complication.…”

Section: Discussionmentioning

confidence: 94%

Predisposing Factors for Infiltration in Children Submitted to Peripheral Venous Catheterization

Jacinto

Avelar

Peterlini

2011

Journal of Infusion Nursing

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Section: Discussionmentioning

confidence: 94%

Predisposing Factors for Infiltration in Children Submitted to Peripheral Venous Catheterization

Jacinto

Avelar

Peterlini

2011

Journal of Infusion Nursing

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“…Puncturing containers of irrigation fluid and manually squeezing are inadequate for pressure irrigation [23]. Studies have shown that when using a syringe with an attached 19-gauge needle, pressures range from 11 to 31 psi—however, only 8 psi may reach the wound [23, 24]. Current medical devices have been designed to provide a more consistent and measurable application of wound irrigation pressure.…”

Section: Discussionmentioning

confidence: 99%

Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations

et al. 2010

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BackgroundAs millions of emergency department (ED) visits each year include wound care, emergency care providers must remain experts in acute wound management. The variety of acute wounds presenting to the ED challenge the physician to select the most appropriate management to facilitate healing. A complete wound history along with anatomic and specific medical considerations for each patient provides the basis of decision making for wound management. It is essential to apply an evidence‐based approach and consider each wound individually in order to create the optimal conditions for wound healing.AimsA comprehensive evidence‐based approach to acute wound management is an essential skill set for any emergency physician or acute care practitioner. This review provides an overview of current evidence and addresses frequent pitfalls.MethodsA systematic review of the literature for acute wound management was performed.ResultsA structured MEDLINE search was performed regarding acute wound management including established wound care guidelines. The data obtained provided the framework for evidence‐based recommendations and current best practices for wound care.ConclusionAcute wound management varies based on the wound location and characteristics. No single approach can be applied to all wounds; however, a systematic approach to acute wound care integrated with current best practices provides the framework for exceptional wound management.

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“…In animal and human studies, continuous high-pressure syringe irrigation has been shown to be most effective at removing contamination by debris and bacteria while avoiding trauma to the soft tissues 6 – 8. The recommended irrigation pressure is between 5 and 8 psi (between approximately 250 and 400 mm Hg).…”

Section: Discussionmentioning

confidence: 99%

A simple, effective and cheap device for the safe irrigation of open traumatic wounds

Stevens

Gardner

Lee

2009

Emergency Medicine Journal

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This study reports the use of an overturned plastic gallipot from a sterile wound dressing pack as a splashguard during the irrigation of traumatic wounds with a device consisting of a 20 ml syringe and a 21F gauge hypodermic needle. This simple, effective and cheap device can be constructed from items readily available within the emergency department or operating theatre and minimises exposure to biologically hazardous material during wound irrigation.

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Pressure Dynamics of Various Irrigation Techniques Commonly Used in the Emergency Department

Cited by 68 publications

References 3 publications

Predisposing Factors for Infiltration in Children Submitted to Peripheral Venous Catheterization

Predisposing Factors for Infiltration in Children Submitted to Peripheral Venous Catheterization

Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations

A simple, effective and cheap device for the safe irrigation of open traumatic wounds

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