Técnica de momificación con clorhexidina en pie con gangrena húmeda / Mummification technique with chlorhexidine in a foot with humid gangrene

La necrosis, muerte celular de un tejido vivo, se produce por falta de aporte sanguíneo. En las extremidades inferiores esta falta de aporte sanguíneo puede dar lugar a una isquemia gangrenosa. En los casos de necrosis irreversibles puede usarse como técnica terapéutica la momificación, también llamada autoamputación. Se trata de una técnica sencilla y económica, pero que requiere de unos conocimientos previos. El objetivo es evitar la infección, evitar la humedad y limitar la lesión de la úlcera con curas con clorhexidina al 2%

Necrosis, the cellular death of a live tissue, occurs by lack of blood supply. In lower limbs, this lack of blood supply can lead to gangrenous ischemia. Mummification, also called self-amputation, can be used as therapeutic technique in cases of irreversible necrosis. This is a simple and economical technique, but it requires some previous training. The objective is to prevent infection, avoid humidity, and limit the ulcer lesion by using treatment with chlorhexidine 2%

Management Approaches to Stomal and Peristomal Complications: A Narrative Descriptive Study.

PURPOSE: The purpose of this study was to identify optimal interventions for selected complications based on WOC nurse experts' judgment/expertise. METHODS: A cross-sectional quantitative descriptive design with qualitative, narrative-type components was used for this study. Following validation rating of appropriateness of interventions and quantitative rankings of first-, second-, and third-line approaches, participants provided substantive handwritten narrative comments about listed interventions. Comments were organized and prioritized using frequency count. RESULTS: Narrative comments reflected the quantitative rankings of efficacy of approaches. Clinicians offered further specific suggestions regarding product use and progression of care for selected complications. CONCLUSIONS: Narrative analysis using descriptive quantitative frequency count supported the rankings of most preferred treatments of selected stomal and peristomal complications. Findings add to the previous research on prioritized approaches and evidence-based practice in ostomy care.

Avoiding the "danger zones" when injecting dermal fillers and volume enhancers.

Aesthetic providers need to be aware of the serious potential complications that can result from occlusion of specific facial arterial and venous structures. This article focuses on the anatomical "danger zones" to avoid during dermal filler and volume enhancer injection procedures. Clinical pearls are provided on how to avoid these "danger zones" and what to do if a rare complication (e.g., skin necrosis or vision loss) does occur.

[The importance of nursing care in managing complications related to fully-implantable catheters]. / Importância da assistência de enfermagem no manejo de complicação relacionada ao cateter totalmente implantável.

This is an experience report of a thirty-year-old female patient, diagnosed with recurrence of Acute Myeloid Leukemia, submitted to catheter implantation and presenting surgical wound necrosis. The following were used with success: collagenase, calcium alginate and oil lotion with essential fatty acids. It was found that the complications related to catheters are a great challenge in oncology nursing besides implying a delay in the oncological treatment. Making a correct decision as soon as possible is extremely important and avoids removing the catheter too soon.

Importância da assistência de enfermagem no manejo de complicação relacionada ao cateter totalmente implantável / The importance of nursing care in managing complications related to fully-implantable catheters / Importancia de la atención de enfermería en el manejo de complicación relacionada al catéter totalmente implantable

Trata-se de relato de experiência com paciente do sexo feminino, 30 anos, com diagnóstico de recaída de Leucemia Mielóide Aguda, submetida à implantação de cateter e que apresentou necrose na ferida cirúrgica. Foram utilizados com sucesso: colagenase, alginato de cálcio e loção oleosa à base de ácidos graxos essenciais. Ficou claro que as complicações relacionadas a cateteres conferem um grande desafio à enfermagem oncológica além de determinarem atraso no tratamento oncológico. A correta tomada de decisão o quanto antes é de extrema importância e evita a retirada precoce do cateter.

This is an experience report of a thirty-year-old female patient, diagnosed with recurrence of Acute Myeloid Leukemia, submitted to catheter implantation and presenting surgical wound necrosis. The following were used with success: collagenase, calcium alginate and oil lotion with essential fatty acids. It was found that the complications related to catheters are a great challenge in oncology nursing besides implying a delay in the oncological treatment. Making a correct decision as soon as possible is extremely important and avoids removing the catheter too soon.

Se trata de un relato de experiencia con paciente de sexo femenino, treinta años, con diagnóstico de recaída de Leucemia Mieloide Aguda, sometida a la implantación de catéter, que presentó necrosis en la herida quirúrgica. Fueron utilizados con éxito: colagenasa, alginato de calcio y loción oleosa a base de ácidos grasos esenciales. Quedó claro que las complicaciones relacionadas a catéteres representan un gran desafío para la enfermería oncológica, además de determinar atraso en el tratamiento oncológico. La correcta toma de decisión y la inmediatez son de extrema importancia y evitan el retirado precoz del catéter.

Atención al paciente con úlceras arteriales / Treatment for patients who have arterial ulcers

Las úlceras arteriales se producen como consecuencia de una isquemia crónica de las extremidades inferiores. Ello produce una disminución progresiva y lenta del flujo sanguíneo y del aporte de oxígeno a los miembros inferiores. El síntoma principal consiste en la claudicación intermitente (dolor muscular durante la deambulación que cesa con el reposo), pero cuando aparecen los síntomas generalmente la enfermedad ya está avanzada y el abordaje se basa fundamentalmente en tratamiento quirúrgico, farmacológico y local o, lo que es lo mismo, cura de la úlcera. A continuación se expone un breve procedimiento sobre diagnóstico, tratamiento y prevención de las úlceras arteriales(AU)

Arterial ulcers are produced due to chronic ischemia in lower limbs. This causes a progressive, slow decrease in blood flow and oxygen supply to lower limbs. The main symptom consists of an intermittent claudication, or muscle pain while walking which ceases upon resting, but, when these symptoms appear, this wound usually is advanced and medical professionals basically use surgical, pharmaceutical and local treatments to cure this ulcer. In this article, the author presents a guide to diagnosis, treatment and prevention of arterial ulcers(AU)

Atención de enfermería en la hepatonecrosis / Nursing care in hepatonecrosis

Se revisan 100 historias clínicas con diagnóstico clínico, bioquímico y anátomo-patológico de hepatitis aguda; de éstas, 12 casos evolucionan hacia una hepatonecrosis. Todos los casos recibieron igual atención de enfermería. De los 12 enfermos, 10 evolucionaron favorablemente, y fallecieron por insuficiencia hepática los dos restantes, a los 21 y 32 días respectivamente, ambos del sexo femenino. Las edades en nuestra casuística oscilaron entre 20 y 62 años. En los pacientes se observaron por enfermería cambios de la personalidad, como signo premonitorio de pérdida progresiva de la conciencia, hasta llegar al coma, intensificación del íctero, disminución progresiva de la diuresis y manifestaciones de sangramiento rectal. Se plantea que estas variables deben ser recogidas y anotadas cuidadosamente por el personal de enfermería que asiste a los enfermos que padecen de hepatitis aguda, con evolución posible o comprobada hacia una hepatonecrosis aguda