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http://hdl.handle.net/2445/182920
Title: | Topical treatment of tissue damage due to extravasation of iodated contrast using thermal compresses |
Author: | Roca-Sarsanedas, Jaume Galimany Masclans, Jordi Regidor-Braojos, Ana M. Falcó Pegueroles, Anna M. (Anna Marta) |
Keywords: | Ferides i lesions Termoteràpia Malalties vasculars Inflamació Wounds and injuries Thermotherapy Vascular diseases Inflammation |
Issue Date: | 1-Feb-2022 |
Publisher: | Elsevier Ltd |
Abstract: | Objective: To study the effectiveness of the topical application of dry cold or dry hot compresses in the treatment of non-ionic iodinated contrast extravasation injury. Methods: A multicenter, consecutive, non-probabilistic experimental clinical trial was carried out between June 2017 and September 2020. The study included patients with extravasation of non-ionic iodinated contrast, administered through an injector pump during a computed tomography procedure. In the experimental group, a dry heat pack was applied in the first hour of treatment followed by a dry cold pack; the control group received only the cold pack. The size of the extravasation, pain, details of contrast administration, anthropomorphic data and the patient's clinical history were recorded. Follow-up was carried out at 24h. Results: 65 patients were included, of which 32 were treated with cold pack only and 33 with heat and cold. In those receiving heat treatment, 30 (90.9%) patients had complete resolution, while those with cold treatment only had complete resolution in 13 (40.6%); p<0.001 and odds ratio 14.6 (95% CI 3.7-58.1). With the initial application of dry heat, local inflammation improved by 1.2% more than in those with dry cold treatment only. Conclusions: The application of dry heat during the first hour of treatment was more effective, by more than 50 percentage points, at diffusing contrast and modulating the inflammatory process. |
Note: | Versió postprint del document publicat a: https://doi.org/10.1016/j.jtv.2021.12.006 |
It is part of: | Journal of Tissue Viability, 2022, vol. 31, num. 1, p. 135-141 |
URI: | http://hdl.handle.net/2445/182920 |
Related resource: | https://doi.org/10.1016/j.jtv.2021.12.006 |
ISSN: | 0965-206X |
Appears in Collections: | Articles publicats en revistes (Infermeria Fonamental i Clínica) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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File | Description | Size | Format | |
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718029.pdf | 3.19 MB | Adobe PDF | View/Open |
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