Erik H E W de Laat

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OBJECTIVE A randomized clinical trial was conducted to determine the effectiveness and safety of topical negative pressure therapy in patients with difficult-to-heal wounds. METHODS A total of 24 patients were randomly assigned to either treatment with topical negative pressure therapy or treatment with conventional dressing therapy with sodium(More)
AIMS AND OBJECTIVES To describe the current scientific evidence in the field of diagnostics and treatment of pain, malodour and exudate from pressure ulcers and to give recommendations for practice, based on these findings. BACKGROUND Patients with pressure ulcers are confronted with symptoms of chronic wounds and impaired wound healing. Assessment and(More)
BACKGROUND Having a leg ulcer has a major impact on daily life. Lifestyle is mentioned in most leg ulcer guidelines but mostly without much emphasis on the subject. AIMS AND OBJECTIVES Evidence for the effect of nutrition, leg elevation and exercise on the healing of leg ulcers was reconsidered. Furthermore, the evidence for effective pain-related(More)
OBJECTIVE To determine the effects of a new policy on the efficiency of pressure ulcer care. DESIGN Series of 1-day pressure ulcer surveys before and after the implementation. SETTING A 900-bed University Medical Centre in The Netherlands. PARTICIPANTS On the days of the surveys, 657 patients were included before the implementation, 735 patients at 4(More)
AIMS AND OBJECTIVES We investigated whether: (i) Early postoperative lateral position after coronary artery bypass surgery may have a negative influence on the cardiac output and (ii) Whether turning procedures cause practical problems. BACKGROUND Directly following surgery, coronary artery bypass patients are not receiving routine turning every two hours(More)
OBJECTIVE To describe the short-term and long-term effects of a hospital-wide pressure ulcer prevention and treatment guideline on both the incidence and the time to the onset of pressure ulcers in critically ill patients. DESIGN Prospective cohort study. SETTING Adult intensive care department of a university medical center. PATIENTS Critically ill(More)
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