NPWT, also known as VAC, is a therapeutic technique that uses negative pressure to promote wound healing. It works by applying a vacuum drainage through a sealed dressing to remove excess fluid, increase blood flow, and promote the formation of granulation tissue. The key components of VAC include a polyurethane foam, vacuum pump, tubes, and transparent adhesive dressing. It has several advantages like maintaining a moist wound environment and removing interstitial fluid. NPWT is indicated for almost any open wound where closure is not feasible, such as pressure ulcers, surgical wounds, and traumatic wounds. Contraindications include necrotic tissue, exposed organs or blood vessels. Monitoring includes pressure levels, effluent,
Triage Meditech is one of the leading Indian medical technology companies acquired a respectable position in Advanced Wound Care arena. We are the leading manufacturers and suppliers of Negative Pressure Wound Therapy (NPWT) products in Indian subcontinent. We have further enhanced our portfolio with Advance Wound Dressings, Colostomy Products, Solutions for Venous Insufficiency, and Surgical Disposables and Consumables. Our R&D team is dedicated to continuous advancement in offerings to create effective products at an affordable cost and helping healthcare professionals and caregivers to offer best practice solutions to their patients. Triage Meditech is an ISO 9001:2008, 13485:2003 certified and DCGI regulated company. We follow WHO Good Manufacturing Practice (GMP) and our products are CE Certified. We have Pan India presence through direct and dealers network and currently we export our products to more than 11 countries.
Triage Meditech is one of the leading Indian medical technology companies acquired a respectable position in Advanced Wound Care arena. We are the leading manufacturers and suppliers of Negative Pressure Wound Therapy (NPWT) products in Indian subcontinent. We have further enhanced our portfolio with Advance Wound Dressings, Colostomy Products, Solutions for Venous Insufficiency, and Surgical Disposables and Consumables. Our R&D team is dedicated to continuous advancement in offerings to create effective products at an affordable cost and helping healthcare professionals and caregivers to offer best practice solutions to their patients. Triage Meditech is an ISO 9001:2008, 13485:2003 certified and DCGI regulated company. We follow WHO Good Manufacturing Practice (GMP) and our products are CE Certified. We have Pan India presence through direct and dealers network and currently we export our products to more than 11 countries.
Negative Pressure Wound Therapy also widely known as NPWT, WOUND VAC or TNP(Tropical Negative Pressure) is a widely accepted advanced wound management modality today
Negative pressure wound therapy: A promising weapon in the therapeutic wound ...KETAN VAGHOLKAR
Negative pressure wound therapy or vacuum assisted wound therapy is an excellent therapeutic option for chronic wounds which are just refusing to heal. The principles and practical applications of this optio are discussed in the article.
The principles of vascular repair with sutures were established in the first decade of the 20th century by Alexis Carrel, who in 1912 was awarded the Nobel Prize for medicine for his work .Since then, technical refinements of suture materials have made possible surgical reconstruction of most arteries from the root of the aorta to microvascular anastomosis or repair of the smallest vessels, e.g., digital arteries or those on the surface of the brain.
Debridement is an important component of the wound bed preparation (WBP) management Model.
Cause of the wound and patient-centered concerns, debridement is a necessary step in local wound care.
Debridement is the removal of necrotic tissue, exudate, bacteria, and metabolic waste from a wound in order to improve or facilitate the healing process
VAC therapy also known as negative pressure wound therapy (NPWT) is a method of delayed wound closure, where in primary closure is not possible. this PPT details the make & model of the device, its modifications, principle , mechanism , advantages and disadvantages
This PPT is mainly on the Basic Principles of Minimal Invasive Surgery. The Final Yr. MBBS - Students shouls know the principles of Lap. surgery before going to their internship.
Negative Pressure Wound Therapy also widely known as NPWT, WOUND VAC or TNP(Tropical Negative Pressure) is a widely accepted advanced wound management modality today
Negative pressure wound therapy: A promising weapon in the therapeutic wound ...KETAN VAGHOLKAR
Negative pressure wound therapy or vacuum assisted wound therapy is an excellent therapeutic option for chronic wounds which are just refusing to heal. The principles and practical applications of this optio are discussed in the article.
The principles of vascular repair with sutures were established in the first decade of the 20th century by Alexis Carrel, who in 1912 was awarded the Nobel Prize for medicine for his work .Since then, technical refinements of suture materials have made possible surgical reconstruction of most arteries from the root of the aorta to microvascular anastomosis or repair of the smallest vessels, e.g., digital arteries or those on the surface of the brain.
Debridement is an important component of the wound bed preparation (WBP) management Model.
Cause of the wound and patient-centered concerns, debridement is a necessary step in local wound care.
Debridement is the removal of necrotic tissue, exudate, bacteria, and metabolic waste from a wound in order to improve or facilitate the healing process
VAC therapy also known as negative pressure wound therapy (NPWT) is a method of delayed wound closure, where in primary closure is not possible. this PPT details the make & model of the device, its modifications, principle , mechanism , advantages and disadvantages
This PPT is mainly on the Basic Principles of Minimal Invasive Surgery. The Final Yr. MBBS - Students shouls know the principles of Lap. surgery before going to their internship.
Laparoscopic cholecystectomy is the current gold standard for surgical removal of the Gall bladder, particularly in benign pathologies. Hence, it is necessary to highlight some steps to accomplish this procedure successfully while avoiding pitfalls.
Fast Track surgery from the orthopedic point of view
How to apply FTS in orthopedics specially in Arthroplasty surgery. Evidence based practice in orthopedics
The practice of surgery rests on certain fundamental principles which remain unchanged, though to apply them the surgeon may have to modify techniques to suit the anatomical field, the type of operation and the conditions obtaining at the time.
Principles of use and abuse of suture 1Drkabiru2012
Academic presentation during junior residency rotation at Aminu Kano Teaching Hospital Surgery Department, General Surgery unit by
Dr kabiru SALISU
kbmed2003@yahoo.com
Preoperative preparation of diabetes patientDrkabiru2012
Academic presentation during junior residency rotation at Anaesthesia Department of Aminu Kano Teaching Hospita Kano, by
Dr Kabiru SALISU
kbmed2003@yahoo.com
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
6. • Patient had removal of implant at KTOSH 9/7
prior to presentation.
• Noticed blisters and dark discoloration of skin
around the surgical site as well as purulent
discharge
• For which patient was referred to this center
7. • She had initial ORIF 9yrs following closed
injury to the leg.
• The surgery later got infected with persistent
discharge for about 4years prior to removal of
implant
• No other co-morbidity
18. • He sustain open injury to the right ankle with
pain, deformity and inability to bear weight
following a fall from tree
• He had TBS splintage immediately which was
removed 3/7 later due to excessive swelling
19. • He was taken to a peripheral hospital were he
was commenced on wound dressing before
finally referred to this center
• No other co-morbidity
20. O/E
• Not pale, afebrile, anicteric
• MSS
– An ulcer measuring about 15 x 10cm at the
anterior aspect of the ankle extending to the
malleoli, exposing desiccated distal tibia
and purulent discharge
– Distal neurovascular status
22. Rx
– Admitted into A/E
– Had debridment with excision of desicated bone
on the day of admision
– Billed for ilizarov frame for bone transport and
arthrodesis
– Plastic team were invited and also reviewed
• Commenced on VAC
25. Introduction
• Negative pressure wound therapy (NPWT)
Is a therapeutic technique using a vacuum
dressing to promote healing in acute or
chronic wounds
• First described by Fleischmann et al in 1993
26. • NPWT promotes wound healing by applying a
vacuum drainage through a special sealed
dressing
• Negative pressure wound therapy is also
called Vacuum Assisted Closure (VAC),
36. NPWT - Indications
To completely heal a wound:
• Expensive
• Time-consuming
• Not always effective
A more practical use is to:
• Expeditiously prepare a wound bed for
surgical closure
37. Indications
NPWT is indicated for almost any open wound
where surgical closure is not feasible or
desirable
• Full thickness pressure ulcers
• Dehisced surgical wounds
• Diabetic/neuropathic ulcers
• Venous leg ulcers
38. Indications…
NPWT is indicated for almost any open wound
where surgical closure is not feasible or
desirable
• Post-surgical wounds
• Traumatic wounds
• Pre & post op flaps & grafts
• Burns wounds
50. Conclusion
• NPWT has revolutionized wound
management. It is easy, safe and can be
achieved using cheap and conventional
material in resource constraint settings.
She was well until 9years ago when she was involved in RTA
She sustain open injury to the left leg with pain deformity and inability to bear weight
She was managed initially by TBS for about 2years with no significant improvement
She later went to peripheral hospital were she had ORIF
The surgery later got infected with persistent discharge for about 4years
Vacuum assisted closure (also called vacuum therapy, vacuum sealing or topical negative pressure therapy) is a sophisticated development of a standard surgical procedure, the use of vacuum assisted drainage to remove blood or serous fluid from a wound or operation site.
In essence the technique is very simple. A piece of foam with an open-cell structure is introduced into the wound and a wound drain with lateral perforations is laid on top of it. The entire area is then covered with a transparent adhesive membrane, which is firmly secured to the healthy skin around the wound margin. When the exposed end of the drain tube is connected to a vacuum source, fluid is drawn from the wound through the foam into a reservoir for subsequent disposal
vacuum therapy, vacuum sealing or topical negative pressure therapy
Reduces oedema
Reduces bacterial load
Stimulates cell proliferation
Enhances dermal perfusion
Promotes micro angiogenesis
Protects wound from re-infection, cross infection or spreading further infection
Promotes Skin Graft/Flap uptake (The flexible foam dressing gently presses the skin graft or flap ensuring full contact with the wound bed
Pore size: 400-600 microns
Romovac
The observation that intermittent or cycled treatment appears more effective than continuous therapy is interesting although the reasons for this are not fully understood. Two possible explanations were advanced by Philbeck et al [9]. They suggested that intermittent cycling results in rhythmic perfusion of the tissue which is maintained because the process of capillary autoregulation is not activated. They also suggested that as cells which are undergoing mitosis must go through a cycle of rest, cellular component production and division, constant stimulation may cause the cells to 'ignore' the stimulus and thus become ineffective. Intermittent stimulation allows the cells time to rest and prepare for the next cycle. For this reason it is suggested that cyclical negative pressure should be used clinically, although some authors [10] [11] suggest that this may follow a 48-hour period of continuous vacuum, which can be applied to exert a rapid initial cleansing effect.
The strongest contraindication is of tumour in the wound; theoretically the
increase in blood flow may encourage tumour growth and possibly facilitate movement
of malignant cells across tissue planes
• Excessive necrotic tissue or untreated osteomyelitis
• Fistulae may cause large fluid losses though in selected cases vacuum therapy has
been used to close fistulae.
Other relative contraindications include: arterial disease, heavily infected wounds and
patients with bleeding or those on anticoagulants.
Vacuum wound closure can be applied to a wide variety of wounds; there are numerous
case reports/studies in the literature. It has been used in venous and diabetic ulcers,
pressure sores, and surgical wounds such as sternotomy wounds. In addition, its use in
flaps, flap donor sites and split skin graft fixation, particularly on borderline recipient
sites, has been described. Its effectiveness seems well established but there is a lack of
randomized data comparing it to standard methods. One common concern is that the
cost makes clinicians reluctant to use it, although some studies compare it favourably to
other treatments in terms of overall cost. Introduction of a wider role for this treatment
depends on increased awareness as well as establishing its efficacy in robust randomized
controlled trials and demonstrating its cost-effectiveness.
Suction can be painful, particularly with venous ulcers. It may require analgesia;
topical local anaesthetic can be applied on the wound or injected through the
tubing. One can start at a lower pressure and titrate upward; if the pain is uncontrollable,
the treatment may need to be stopped.
• Excessive fluid loss may cause electrolyte or fluid disturbance in large exuding
wounds.
• Over-granulation into the sponge may lead to bleeding when the dressing is removed.