Tap Water for Wound Irrigation --> RE: wound irrigation

[Guest guest]

Hmmmm...that was a new one.

I know there were articles about not needing sterile gloves to do lacerations -- the non-sterile (but clean) latex gloves work fine.

Tap water was a new one for irrigation of wounds.

See below.

I suppose the IMP clinic of the future will irrigate the wound with tap water, use non-sterile latex gloves, and so it up with fishing line.

:-)

East Afr Med J. 2004 Jul ;81 (7):348-52 15490706 Atraumatic intracutaneous skin closure with self-made fishing line suture compared to commercial thread. [My paper] S Freudenberg , C Mkony , T Wilhelm , T Nyawawa , C Kuhn , R Grobholz , S Post OBJECTIVE: The aim of this study was to prove, whether the intracutaneous skin closure with self made fishing line suture is equivalent to commercial sutures. DESIGN: It was a randomised blinded animal study. SETTING: The study was performed in December 2002 at the Muhimbili University College of Health Sciences in Dar-es-salaam. SUBJECTS: Both German surgeons from Mannheim, and Tanzanian surgeons from Dar es salaam operated on nine one year old Tanzanian domestic sheep. INTERVENTIONS: 108 standardised cutaneous wounds on the backs of the animals were closed by intracutaneous sutures either with self produced fishing line suture or a commercial nylon suture (Ethilon). MAIN OUTCOME MEASURES: The clinical and histological outcomes, as well as the costs of this self-made fishing line suture, with a commercial nylon thread were evaluated and compared. RESULTS: There are no significant differences between the two sutures in histological or clinical findings, or in the reported ease of use by the surgeons. The cost of a self-produced atraumatic thread is US$ 0.12, less than one-twentieth of the cost of the commercial thread. CONCLUSION: Self-made fishing nylon suture has characteristics and properties in sheep skin wounds comparable to commercial nylon suture. The advantage of the commercial thread is the guaranteed quality assurance. It is discussed whether this quality assurance justifies the large price difference, and whether the self-produced thread should be recommended to surgeons in countries where the costs of surgical material often remains an obstacle for life saving operations. Mesh-terms: Animals; Comparative Study; Nylons, economics; Random Allocation; Research Support, Non-U.S. Gov't; Sheep, Domestic; Skin, injuries; Skin, surgery; Sutures, economics; Wound Healing; Wounds, Penetrating, surgery;

Locke, MD

====================================

Items 1 - 20 of 31

1:

Related Articles,

LinksEdmonds M.

Irrigation of simple lacerations with tap water or sterile saline in the emergency department did not differ for wound infections.

Evid Based Med. 2007 Dec;12(6):181. No abstract available.

PMID: 18063741 [PubMed]

2:

Related Articles,

LinksCooke M.

Irrigation of simple lacerations with tap water or sterile saline in the emergency department did not differ for wound infections.

Evid Based Nurs. 2007 Oct;10(4):113. No abstract available.

PMID: 17905765 [PubMed]

3:

Related Articles,

LinksMoscati RM, Mayrose J, Reardon RF, Janicke DM, Jehle DV.

A multicenter comparison of tap water versus sterile saline for wound irrigation.

Acad Emerg Med. 2007 May;14(5):404-9.

PMID: 17456554 [PubMed - indexed for MEDLINE]

4:

Related Articles,

LinksHall S.

A review of the effect of tap water versus normal saline on infection rates in acute traumatic wounds.

J Wound Care. 2007 Jan;16(1):38-41. Review.

PMID: 17334147 [PubMed - indexed for MEDLINE]

5:

Related Articles,

LinksIkeda N, Hayasaka S, Hayasaka Y, Watanabe K.

Alkali burns of the eye: effect of immediate copious irrigation with tap water on their severity.

Ophthalmologica. 2006;220(4):225-8.

PMID: 16785752 [PubMed - indexed for MEDLINE]

6:

Related Articles,

LinksKompa S, Redbrake C, Hilgers C, Wüstemeyer H, Schrage N, Remky A.

Effect of different irrigating solutions on aqueous humour pH changes, intraocular pressure and histological findings after induced alkali burns.

Acta Ophthalmol Scand. 2005 Aug;83(4):467-70.

PMID: 16029272 [PubMed - indexed for MEDLINE]

7:

Related Articles,

LinksWhaley S.

Tap water or normal saline for cleansing traumatic wounds?

Br J Community Nurs. 2004 Nov;9(11):471-8. Review.

PMID: 15580097 [PubMed - indexed for MEDLINE]

8:

Related Articles,

LinksJito J, Nakasu Y, Nakasu S, Hatsuda N, Matsuda M.

Tissue plasminogen activator levels after single intracisternal injection in patients with subarachnoid hemorrhage.

Neurol Med Chir (Tokyo). 2004 Feb;44(2):55-60; discussion 60.

PMID: 15018324 [PubMed - indexed for MEDLINE]

9:

Related Articles,

LinksPatel S, Beldon P.

Examining the literature on using tap water in wound cleansing.

Nurs Times. 2003 Oct 28-Nov 3;99(43):22-4. Review.

PMID: 14626040 [PubMed - indexed for MEDLINE]

10:

Related Articles,

LinksGriffiths RD, Fernandez RS, Ussia CA.

Is tap water a safe alternative to normal saline for wound irrigation in the community setting?

J Wound Care. 2001 Nov;10(10):407-11.

PMID: 12964289 [PubMed - indexed for MEDLINE]

11:

Related Articles,

LinksQuintero-Betancourt W, Gennaccaro AL, TM, Rose JB.

Assessment of methods for detection of infectious Cryptosporidium oocysts and Giardia cysts in reclaimed effluents.

Appl Environ Microbiol. 2003 Sep;69(9):5380-8.

PMID: 12957926 [PubMed - indexed for MEDLINE]

12:

Related Articles,

Links[No authors listed]

Flushing wounds in children--is tap water OK?

Child Health Alert. 2003 Jun;21:4. No abstract available.

PMID: 12814092 [PubMed - indexed for MEDLINE]

13:

Related Articles,

LinksValente JH, Forti RJ, Freundlich LF, Zandieh SO, Crain EF.

Wound irrigation in children: saline solution or tap water?

Ann Emerg Med. 2003 May;41(5):609-16.

PMID: 12712026 [PubMed - indexed for MEDLINE]

14:

Related Articles,

LinksFernandez R, Griffiths R, Ussia C.

Water for wound cleansing.

Cochrane Database Syst Rev. 2002;(4):CD003861. Review.

PMID: 12519612 [PubMed - indexed for MEDLINE]

15:

Related Articles,

LinksBansal BC, Wiebe RA, Perkins SD, Abramo TJ.

Tap water for irrigation of lacerations.

Am J Emerg Med. 2002 Sep;20(5):469-72.

PMID: 12216046 [PubMed - indexed for MEDLINE]

16:

Related Articles,

LinksKompa S, Schareck B, Tympner J, Wüstemeyer H, Schrage NF.

Comparison of emergency eye-wash products in burned porcine eyes.

Graefes Arch Clin Exp Ophthalmol. 2002 Apr;240(4):308-13. Epub 2002 Mar 7.

PMID: 11981646 [PubMed - indexed for MEDLINE]

17:

Related Articles,

LinksO'Neill D.

Can tap water be used to irrigate wounds in A & E?

Nurs Times. 2002 Apr 2-8;98(14):56-9. Review.

PMID: 11974735 [PubMed - indexed for MEDLINE]

18:

Related Articles,

LinksChou TD, Lee TW, Chen SL, Tung YM, Dai NT, Chen SG, Lee CH, Chen TM, Wang HJ.

The management of white phosphorus burns.

Burns. 2001 Aug;27(5):492-7.

PMID: 11451604 [PubMed - indexed for MEDLINE]

19:

Related Articles,

Links C.

The use of Askina saline in the wound cleansing process.

Br J Nurs. 2000 Jan 27-Feb 9;9(2):115-6. Review.

PMID: 11022436 [PubMed - indexed for MEDLINE]

20:

Related Articles,

LinksPieper B, Templin TN, Dobal M, Jacox A.

Wound prevalence, types, and treatments in home care.

Adv Wound Care. 1999 Apr;12(3):117-26.

PMID: 10655791 [PubMed - indexed for MEDLINE]

From: [mailto: ] On Behalf Of Lonna LarshSent: Monday, January 14, 2008 2:25 PMTo: Subject: Re: wound irrigation

As usual, beautiful Joanne. Elegant and inexpensive.

Lonnajoanne holland wrote:

Sterile irrigation:

I have a plug in pot that I use for making tea: takes about a minute to boil the water to use for irrigation. Why buy it? No one ever said it had to be distilled, just clean. Just like in the old movies: "boil some water, Nurse." Oh, that would be me.

Irrigating with a syringe is useful, but I often point it back into the sterile plastic casing backwards, so the big open end of the case is down, and I can spray the water into a directed site without having to be too close because a very narrow stream makes it hurt the patient more. Also, it keeps the water stream from splashing purulence upon your clothes by accident. They sell little wide ended nozzels attachments which do this, but the syringe casing works very well: I have to cut or burn a little hole in the end to hold the plastic needle end of the syringe. Usually do this while waiting for the water to boil.

Joanne Holland DVM/MD the Old MD in Drain, Oregon Ben Brewer <brewermd98> wrote:

Simple wounds can be irrigated with tap water with the same outcome.Ben Brewer MD

wound irrigation

We're one week into our new micropractice in Rhode Island. Two of us (moms with young kids) are essentially job-sharing, rotating mornings and afternoons, sharing 1,000 sq feet that we bought together. No staff. Lots of computers. Six patients on the panel so far, 994 to go.What are people using for a wound irrigation set-up? Just sterile water, syringe, and basin? Any less-expensive way to do it?Thanks, DennyBarrington Family Medicine(401)246-1300

Looking for last minute shopping deals? Find them fast with Yahoo! Search.

Looking for last minute shopping deals? Find them fast with Yahoo! Search.

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.