Contents
30 Breaking ground in wound healing: The rise of topical oxygen therapy Natrox Wound Care
33 Healing power
Chronic wounds present a substantial economic burden to healthcare systems, while significantly reducing the quality of life for those affected. For many patients, the affliction can lead to limb amputations or even premature deaths. We’re unlikely to see a marked reduction in chronic wounds anytime soon – but one treatment pathway that could be promising is the use of electrical stimulation to aid in the wound- healing process. Andrea Valentino speaks to experts across the sector.
Infection control 41 In safe hands?
Despite hospitals’ best efforts to prevent patients from acquiring infections through hand hygiene environmental sanitation and isolation rooms, hospital-onset infections still occur. Poor hand hygiene is a well-known factor in the number of these healthcare- associated infections (HAIs); according to the OECD, just improving hand hygiene will prevent 30,000 deaths each year across all the G7 countries between 2015–50. With WHO projecting that 35–70% of HAIs can be reduced, what can hospitals do to improve hand hygiene to avoid HAIs? Sarah Harris asks Dr Janet Glowicz, MPH, PhD, RN, infection preventionist at the Division of Healthcare and Quality Promotion and Dr Shanina Knighton, PhD, RN, CIC, research associate professor in the Frances Payne Bolton School of Nursing at Case Western Reserve University.
Operating room technology 46 The mind’s AI
Brain tumour classification is notoriously tricky. While there are more than 80 different subtypes of brain tumour, each with its own best course of treatment, the diagnosis
Practical Patient Care /
www.practical-patient-care.com 46 5
doesn’t usually become available until a week after surgery. However, surgeons may now be able to alter their strategy in real-time, thanks to a new deep-learning algorithm that classifies tumours in hours, not days. Abi Millar talks to the researchers to find out more.
Critical care
49 Inside the oxygen paradox In recent years, a number of studies have found that conservative, normoxic oxygenation strategies could yield certain benefits and can help reduce mortality. A study conducted at UCL and Great Ormond Street Hospital found similar findings with reduced oxygen levels in critically ill children on mechanical ventilators potentially saving tens of young lives each year. Roughly 20,000 children are admitted to intensive care each year; with three-
quarters requiring oxygen through a ventilator, how can reduced oxygen result in improved outcomes? Monica Karpinski speaks to associate professor of medicine and critical care physician at Vanderbilt University Medical Centre, Matthew Semler and Mark Peters professor of paediatric intensive care at University College London Great Ormond Street Institute of Child Health to investigate the latest research to find out whether reduced oxygen could help save lives.
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53 Efficient cold storage: curbing £35bn losses TITAN Containers
Events 55 Events to look out for in 2024
57 EWMA 2024 Preview Reasons why you shouldn’t miss out.
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