Summary Ketamine is a racemic mixture of two enantiomers, R- and S-ketamine [1]. The primarily used as anaesthestic agent. In low or sub anaesthetic doses, ketamine has potent analgesic properties, it been effectively either primary adjuvant in varieties pain syndromes burn dressings children [2]. this case report, we illustrate the effectiveness oral controlling during wound dressing an adult ...

conclusions this report is the first to document other treatment possibilities for pressure ulcer and/or stasis dermatitis in cases where the use of topical applied ointments and medications is difficult. this new therapy may therefore help physicians to treat pressure ulcers and stasis dermatitis. case presentation case 1: a 21-year-old japanese female with lower-body paralysis. pressure ulcer...

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INTRODUCTION Chronically hospitalized patients are often burdened with skin ulcerations, which may be persistent and even irreversible. Treatment with hyaluronic acid is widely used in the early phases of the ulcers to relieve symptoms and accelerate the healing process. The present study hypothesized that lysine hyaluronate (Lys-HA) (Lysial(®), Fatai-Nyl Srl; Jasper LLC, Lugano, Switzerland), ...

A 29-year-old man with paraplegia secondary to a gunshot wound presented to the emergency department (ED) with worsening abdominal pain over the past 2 weeks with associated fever, dysuria, nausea, and vomiting. He had been diagnosed with a urinary tract infection (UTI) 2 days earlier and was started on antibiotics without improvement. On examination he was afebrile, tachycardic up to 140, tach...

DESCRIPTION Bacteraemic infections caused by Staphylococcus aureus have been reported with increasing frequency, and have emerged as the leading cause of infective endocarditis in many regions of the world. Endocarditis is an inflammation of the inner layer of the heart, the endocardium, with involvement of the heart valves (native or prosthetic valves). Other structures that may be involved in...

Biopsy of infected decubitus ulcers for culture disrupts tissues and may disseminate infection. Antimicrobial prophylaxis to prevent dissemination of infection may adversely affect biopsy culture results. Irrigation-aspiration to obtain submarginal specimens from draining decubitus ulcers was studied as an atraumatic, noninvasive culturing technique to serve as an alternative to biopsy in resea...