A Comparative Study Measuring Surface Pressure Among Variation of Adhesive Dressing Methods.

Abstract A Comparative Study Measuring Surface Pressure Among Variation of Adhesive Dressing Methods.   Suphakan      Techapongsatorn      MD.,* Anan               Manomaipiboon         MD., MSc (Clinical Epidemiology)* Cherdchai      Kittipovanon               MD.,* Satit                Srimontayamas         MD.,* Pong               Kanchanasuttirak      MD.*   *Department of Surgery, Bangkok Metropolitan Administration Medical College and Vajira Hospital   Objective: To compare the surface pressure of various adhesive dressing after mastectomy. Study design: Experimental study in thoracic and breast model. Intervention: Four types of adhesive dressing, including 1)         adhesive dressing with fixumull® 2)         adhesive dressing with OCL elastic bandage BPC 3)         adhesive dressing with tensoplast®  EAB 4)         adhesive dressing with compressive brassiere, were applies to the model. Surface pressure was measures at 0, 1, 6, 24 hours. The experiment was repeated for 6 times. Data were analysed by using ANCOVA and repeated measure analysis. Results: The surface pressure of adhesive dressing with fixumull®, OCL elastic bandage BPC®  , tensoplast®  EAB and compressive brassiere were not different. The surface pressure of adhesive dressing from compressive brassiere was the most sustainable during the first 24 hours. Conclusion: Each kinds of adhesive dressing produced different pressure. the adhesive dressing from compressive brassiere was the most sustainable of the surface pressure than others. Vajira Med J 2005 ; 49 : 117 - 122

Peripheral Arterial Disease of Lower Extremities, PAD

Abstract Peripheral Arterial Disease of Lower Extremities, PAD Burapa                 Kanchanabat                 MD Waigoon               Stapanavatr                  MD Yoothapong         Sangpayup                     MD Pong                     Kanchanasuttirak          MD           Peripheral arterial disease (PAD) commonly affects lower Extremities. The main cause is atherosclerosis. There is no available incidence data in Thai population. It is a major cause of lower limb amputation. PAD could be categorized as chronic arterial occlusion, presenting with chronic ulcer, gangrene or rest pain and acute arterial occlusion which leading to rapid limb loss. PAD is easily diagnosed by history taking, physical examination and measurement of ankle/brachial index (ABI). Treatment options are depends on its severity and the patient's condition. Risk factors modification, antiplatelets, anti-coagulants, thrombolytics and arterial bypass surgery may consider for appropriate patients. Vajira Med J 2007 ; 51 : 217 - 225