By James W. Simpson, Roderick W. Else

Actual prognosis and powerful long-term treatment or regulate of alimentary disorder within the puppy and cat are tough ambitions to accomplish, because of a scarcity of entire details at the particular stipulations affecting the alimentary tract including an absence of certainly useful tools of research. The ebook offers, in a realistic approach, the data which clinicians, confronted with the day-by-day company of investigating such difficulties, will want. The authors permit the reader to technique an issue from a few angles, arriving at analysis after contemplating the historical past of a grievance and a whole actual exam, and the prospective paths of additional exam. at any place attainable, medical positive factors are correlated with biopsy, clinicopathological findings, and in addition with post-mortem the place this can be proper

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Figure 2-8. Clamshell bandage splint. A Mason metasplint on the dorsal and plantar surface of a pelvic limb bandage. 5 cm and face each other. Figure 2-7. Applying an aluminum rod loop type splint in the front of an elbow bandage. Another application of splints to a special wound healing situation is the use of “clamshell” technique to relieve pressure from the palmar or plantar surface of lacerated pads, pad flaps or pad grafts. This technique is even more effective at relieving pad pressure than the “donut” technique mentioned above and may be particularly indicated for protection of pad surgical sites.

Adherence of the films is poor in areas of skin folds or unshaved hair, and hair growth on periwound skin can push the adhesive Bandaging and Drainage Techniques attachment off. However, adherence to periwound skin can be improved with vapor-permeable film spray. A cloudy white to yellow exudate under the film is just wound surface exudate and should not be confused with infection. The presence of heat, swelling, pain and hyperemia in surrounding tissues would indicate infection. Hydrogel Dressings Hydrogels are water-rich gel dressings in the form of a sheet or amorphorus gel.

They are highly absorptive and indicated for use on moderate to highly exudative wounds. The dressings maintain a moist wound environment which enhances autolytic debridement. They promote granulation tissue formation and epithelialization. Thus, the dressings can Table 2-1. Advantages of Moisture-Retentive Dressings (MRDs)* • Prevention of wound dessication and excessive whole-body evaporative fluid losses from the wound surface (full thickness burns and large wounds) • Maintenance of wound normothermia to improve cellular metabolism • Provides barrier to urine and other liquids • Provides barrier to bacteria • Lower oxygen tension promotes lower pH and enhances collagen synthesis angiogenesis, and leukocyte chemotaxis, and inhibits bacterial growth • Improved autolytic debridement due to improved leukocyte chemotaxis and retention, and maintenance of wound hydration and normothermia • Higher concentration of systemically administered antibiotics via improved wound perfusion • Comfortable for the patient when in place and less uncomfortable to remove compared to adhesive dressings • Decreased frequency of bandage changes and reduced cost • Reduced aerosolization of bacteria during bandage changes compared to wet-to-dry bandages • Decreased scarring Source: Campbell BG.

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