Therapeutic Irrigation
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Therapeutic Irrigation
In medicine, therapeutic irrigation or lavage ( or ) is cleaning or rinsing. Types Specific types include: * Antiseptic lavage * Bronchoalveolar lavage * Gastric lavage * Peritoneal lavage * Arthroscopic lavage * Ductal lavage * Nasal irrigation * Ear lavage *''Pulsed lavage'' is delivering an irrigant (usually normal saline) under direct pressure that is produced by an electrically powered device, and is useful in cleaning e.g. chronic wounds. See also * Vaginal douche * Enema An enema, also known as a clyster, is an injection of fluid into the lower bowel by way of the rectum.Cullingworth, ''A Manual of Nursing, Medical and Surgical'':155 The word enema can also refer to the liquid injected, as well as to a device ... References {{Medical placement and administration procedures Medical treatments ...
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Antiseptic Lavage
Antiseptic lavage is a means of washing, especially of a hollow organ, such as the stomach or lower bowel, with repeated injections of warm water mixed with an antiseptic or antifungal solution. Antiseptic lavages are commonly used as a treatment to pericoronitis of wisdom teeth A third molar, commonly called wisdom tooth, is one of the three molars per quadrant of the human dentition. It is the most posterior of the three. The age at which wisdom teeth come through ( erupt) is variable, but this generally occurs betw .... Applying antibacterial solutions to wash out wounds may reduce infection rates compared with non-antibacterial products. Pumping the washing solution into the wound may reduce infections compared with other methods of washing out. References {{Treatment-stub Medical treatments ...
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Bronchoalveolar Lavage
Bronchoalveolar lavage (BAL) (also known as bronchoalveolar washing) is a diagnostic method of the lower respiratory system in which a bronchoscope is passed through the mouth or nose into an appropriate airway in the lungs, with a measured amount of fluid introduced and then collected for examination. This method is typically performed to diagnose pathogenic infections of the lower respiratory airways (leading to, for example pneumonia and COVID-19), though it also has been shown to have utility in diagnosing interstitial lung disease. Bronchoalveolar lavage can be a more sensitive method of detection than nasal swabs in respiratory molecular diagnostics, as has been the case with SARS-CoV-2 where bronchoalveolar lavage samples detect copies of viral RNA after negative nasal swab testing. In particular, bronchoalveolar lavage is commonly used to diagnose infections in people with immune system problems, pneumonia in people on ventilators, and acute respiratory distress syndrome ...
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Gastric Lavage
Gastric lavage, also commonly called stomach pumping or gastric irrigation, is the process of cleaning out the contents of the stomach. Since its first recorded use in early 19th century, it has become one of the most routine means of eliminating poisons from the stomach. Such devices are normally used on a person who has ingested a poison or overdosed on a drug such as ethanol. They may also be used before surgery, to clear the contents of the digestive tract before it is opened. Apart from toxicology, gastric lavage (or nasogastric lavage) is sometimes used to confirm levels of bleeding from the upper gastrointestinal tract. It may play a role in the evaluation of hematemesis. It can also be used as a cooling technique for hyperthermic patients. Technique Gastric lavage involves the passage of a tube (such as an ''Ewald tube'') via the mouth or nose down into the stomach followed by sequential administration and removal of small volumes of liquid. The placement of the tube in ...
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Diagnostic Peritoneal Lavage
Diagnostic peritoneal lavage (DPL) or diagnostic peritoneal aspiration (DPA) is a surgical diagnostic procedure to determine if there is free floating fluid (most often blood) in the abdominal cavity. Indications This procedure is performed when intra-abdominal bleeding (hemoperitoneum), usually secondary to trauma, is suspected. In a hemodynamically unstable patient with high-risk mechanism of injury, peritoneal lavage is a means of rapidly diagnosing intra-abdominal injury requiring laparotomy, but has largely been replaced in trauma care by the use of a focused assessment with sonography for trauma (FAST scan) due to its repeatability, non-invasiveness and non-interference with subsequent computed tomography (CT scan). Abdominal CT and contrast duodenography may complement lavage in stable patients, but in an unstable or uncooperative persons, these studies are too time-consuming or require ill-advised sedation. Magnetic resonance imaging is extremely accurate for the anatom ...
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Arthroscopic Lavage
Arthroscopic lavage is the washing out or cleaning out the contents (blood, fluid or loose debris) inside a joint space. Lavage is a general term referring to the therapeutic washing, cleaning or rinsing. Medical uses Excessive growth of irritated synovial membrane causes it to increase its surface area by buckling into fronds, and the fronds may become inflamed and pour destructive enzymes into the joint space, causing joint swelling and joint surface destruction. Removing this excess material via lavage frequently resolves arthritic knee inflammation or pain. Arthroscopic lavage is one of many procedures available to help reverse the damage of early arthritis. There is, however, controversy about the value of simple lavage and debridement for the older patient with established osteoarthritis. Needle lavage should not be used in an attempt to treat persons seeking long-term relief for symptomatic osteoarthritis of the knee., which cites * * The use of this treatment in this cas ...
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Ductal Lavage
Ductal lavage is a screening method used in at-risk women for breast cancer detection. In this method, cells are collected from milk ducts in the breast. The procedure involves inserting a catheter (tube) into the nipple, which releases a small amount of salt water into the duct. The water picks up breast cells and the entire fluid is then retrieved and sent to be examined for cells, which are checked under a microscope. Apart from clinical breast examination and mammography, ductal lavage can also be used to detect breast cancer. Procedure Ductal lavage is a non-invasive screening procedure. It is used to detect precancerous and cancerous cells in the breast ducts. It is a safe and well-tolerated procedure. Some doctors might apply anesthetic cream to numb the nipple area. In ductal lavage, the doctor applies suction to the nipple in order to bring out fluid from the milk ducts that eventually end at the nipple. A micro-catheter is inserted into the milk duct and the fluid is ...
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Nasal Irrigation
Nasal irrigation (also called nasal lavage, nasal toilet, or nasal douche) is a personal hygiene practice in which the nasal cavity is washed to flush out mucus and debris from the nose and sinuses, in order to enhance nasal breathing. Nasal irrigation can also refer to the use of saline nasal spray or nebulizers to moisten the mucous membranes. Medical uses Nasal irrigation can be an effective therapy to relieve symptoms of both chronic sinusitis as well as acute sinusitis caused by upper respiratory tract infections such as the common cold. The evidence for use in chronic sinusitis is weak. It can also be useful for the temporary relief of the symptoms associated with allergic rhinitis. Adverse effects Adverse effects include nasal irritation, nosebleeds, headache, and drainage after the irrigation is done. It is generally well tolerated. There is a risk of infection if the water is not sterile or the device is not cleaned after use. If the device is used improperly t ...
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Chronic Wound
A chronic wound is a wound that does not heal in an orderly set of stages and in a predictable amount of time the way most wounds do; wounds that do not heal within three months are often considered chronic. Chronic wounds seem to be detained in one or more of the phases of wound healing. For example, chronic wounds often remain in the inflammatory stage for too long. To overcome that stage and jump-start the healing process a number of factors need to be addressed such as bacterial burden, necrotic tissue, and moisture balance of the whole wound. In acute wounds, there is a precise balance between production and degradation of molecules such as collagen; in chronic wounds this balance is lost and degradation plays too large a role. Chronic wounds may never heal or may take years to do so. These wounds cause patients severe emotional and physical stress and create a significant financial burden on patients and the whole healthcare system. Acute and chronic wounds are at oppos ...
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Douche
A douche is a device used to introduce a stream of water into the body for medical or hygienic reasons, or the stream of water itself. Douche usually refers to vaginal irrigation, the rinsing of the vagina, but it can also refer to the rinsing of any body cavity. A douche bag is a piece of equipment for douching—a bag for holding the fluid used in douching. To avoid transferring intestinal bacteria into the vagina, the same bag must not be used for an enema and a vaginal douche. Douching after sexual intercourse is not an effective form of birth control. Additionally, douching is associated with a number of health problems, including cervical cancer, pelvic inflammatory disease, endometritis, and increased risk of sexually transmitted infections. Thus, its use is not recommended. Etymology The word's first known use is in 1766. ''Douche'' came into English via French, from it, doccia "conduit pipe" and ''docciare'' "pour by drops" to douche, from ''doccia'' water pipe ...
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Enema
An enema, also known as a clyster, is an injection of fluid into the lower bowel by way of the rectum.Cullingworth, ''A Manual of Nursing, Medical and Surgical'':155 The word enema can also refer to the liquid injected, as well as to a device for administering such an injection. In standard medicine, the most frequent uses of enemas are to relieve constipation and for bowel cleansing before a medical examination or procedure; also, they are employed as a lower gastrointestinal series (also called a barium enema), to treat traveler's diarrhea, as a vehicle for the administration of food, water or medicine, as a stimulant to the general system, as a local application and, more rarely, as a means of reducing temperature, as treatment for encopresis, and as a form of rehydration therapy (proctoclysis) in patients for whom intravenous therapy is not applicable. In other contexts, enemas are used by some alternative health therapies, used for enjoyment, chiefly as part of sexual ...
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