By Roger William Babcock; Raymond Walton; American Society of Civil Engineers.; Environmental and Water Resources Institute (U.S.)
Read or Download Ahupuaʻa [electronic resource] : World Environmental and Water Resources Congress 2008, May 12-16, 2008, Honolulu, Hawaiʻi PDF
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Additional resources for Ahupuaʻa [electronic resource] : World Environmental and Water Resources Congress 2008, May 12-16, 2008, Honolulu, Hawaiʻi
Even when an elastic material is used for a pressure bandage, excess pressure can impair arterial, venous, and lymphatic flow and can lead to tissue slough as well as nerve impingement. Therefore, the area of the limb distal to a pressure bandage should be carefully inspected for signs of swelling, hypothermia, cyanosis, moisture, loss of sensation, or odor; this duty should be performed at least twice daily by the veterinarian on hospitalized patients or by the client on outpatients. Many limb bandages are applied so as to include the entire foot; therefore the pad surfaces of the two middle digits should be left exposed so that they may be examined.
It has very good handling and knot tying characteristics due to its excellent pliability, and has low tissue reactivity. Caprosyn®, similar to Monocryl®, is useful for general subcutaneous tissue closure, urogenital surgery particularly in the urinary bladder, and where the benefits and rapid absorption may play a role in postoperative success. Suture Knots A knot consists of a minimum of 2 throws (sometimes termed simple knots). As a knot is created, the material is deformed, and depending on the properties of the material, this deformation may weaken the suture by as much as 50% of its original strength.
Refrain from soaking absorbable sutures, particularly in hot water. Use strands directly from the packet; avoid excessive handling of suture strands before use. Avoid suture kinking, or crushing suture with instruments. Suture strands with “memory” may be straightened with a gentle tug. Periodically check suture strands for evidence of fraying or defects, particularly when using a continuous suture pattern. Polyvinylidine Pronova® (Ethicon) This unique synthetic nonabsorbable monofilament suture is made of two polyvinylidine polymers, with a special extrusion process.