{"id":398,"date":"2024-11-06T17:18:49","date_gmt":"2024-11-06T17:18:49","guid":{"rendered":"https:\/\/iims.uthscsa.edu\/isrn\/?page_id=398"},"modified":"2024-11-06T17:18:49","modified_gmt":"2024-11-06T17:18:49","slug":"the-development-of-replant-and-free-tissue-monitoring-chart","status":"publish","type":"page","link":"https:\/\/iims.uthscsa.edu\/isrn\/resources\/ereading-room\/abstracts\/the-development-of-replant-and-free-tissue-monitoring-chart\/","title":{"rendered":"The Development of Replant and Free Tissue Monitoring Chart"},"content":{"rendered":"

[vc_row][vc_column width=”2\/3″][vc_column_text css=””]<\/p>\n\n\n\n\n\n
Primary Author:<\/td>\nThanaporn Kaewruang, Bsc<\/td>\n<\/tr>\n
Co-Principal Investigators\/Collaborators:<\/td>\nSuteera Pradupwong, RN, Kamonvav Jeanviteesuk, MD, Darawan Augsornwan, RN, MPH<\/td>\n<\/tr>\n
Organization<\/td>\nKhonkaen University<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Abstract<\/h2>\n

Background<\/h3>\n

Patients after replantation\/free flap coverage operation need close flap monitoring for 5 days. Previously monitoring tools made decisions difficult such as assessment of the temperature by touching the skin, so can not be sure if it cold or cool. Also there can be difference between the record of the observer, some may say warm or cool or cold temperature so hard to arrive at objective decision. This can cause delay of notification and delay of treatment.<\/p>\n

Research Question<\/h3>\n

How to monitor the replantation effectively after surgery?<\/p>\n

Objective<\/h3>\n

To develop replantation monitoring tools for patients who are undergoing replantation \/ free flap coverage surgery.<\/p>\n

Materials & Methods<\/h3>\n

This study is an action research. The sample population were 9 patients and 10 nurses . We developed and modified a replant\/flap monitoring chart combined with infrared thermometer for assessment of the replant\/flap. Validity was checked by physician and expert nurse. Observation in each patient by 2 staff nurse .. Data analysis was by kappa statistical and ICC (Intra-class Correlation)<\/p>\n

Results<\/h3>\n

83.33% of patients had hand injury from accident. 66.67% of patients with gum cancer.<\/p>\n

The Intra-class correlation (ICC) of infrared thermometer monitoring is 0.984 (95% ICC = 0.979 \u2013 0.987). The Kappa for capillary refill, color, turgor monitoring is 1.00 (P = 0.07),1.0(P = 0.05) \u0e41\u0e25\u0e30 1.00 ( P =0.02)<\/p>\n

Conclusion<\/h3>\n

The monitoring tools are good for patients with replantation\/free flap coverage. However the sample size of this study was small, so need more further study.<\/p>\n

Bibliography<\/h3>\n

Buncke H.J. Lineawaver, W.C. Valauri, F.A., Buncke, G.H. (1991). Monitoring. In Microsurgery: transplantation, Replantation: and Atlas- text. Philadelphia: Lea & Febiger, 715.<\/p>\n

Weinzweig, J. (1999). Plastic surgery secrets. Bangkok: Book Promotion service.<\/p>\n

Webster, M. H.C, Soutar, D.S. (1986). Practical guide to free tissue transfer. London: Butterworths.<\/p>\n

Waikakul S. Microsurgery the limb. (2004). Bangkok. Holistic puplising.
\n\u00a9 Improvement Science Research Network, 2012<\/p>\n

The ISRN\u00a0published this as received and with permission from the author(s).[\/vc_column_text][\/vc_column][vc_column width=”1\/3″]