 Posted: Mon 11:06, 18 Nov 2013 Post subject: hollister uk Facilities and Equipment for Scleroth |
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| In comparison with surgery and other endovenous methods of treating varicose veins, very little is required in the way of equipment and facilities to treat varicose veins by foam sclerotherapy. The room used for this purpose may be a consulting room, a clinic room or treatment room. The facilities [url=http://www.diecastlinks.co.uk]hollister uk[/url] offered by an operating theatre are not required and may be intimidating to patients.
An adjustable and tiltable examination couch is essential for comfortable working. Most sclerotherapy is done with the patient lying recumbent, [url=http://www.mastercyid.it]moncler sito ufficiale[/url] but it is useful to be able to tilt the couch during foam sclerotherapy to empty distal veins and [url=http://www.davidhabchy.com]barbour outlet[/url] to deal with occasional instances of syncope. A modern ultrasound machine with imaging frequencies in the range of 5-15 MHz is required. A linear array transducer of about 40 mm length is the most appropriate for foam sclerotherapy. The better the resolution of the image, the easier it will be to see where the needle has gone. Portable machines now [url=http://wiki.xivresource.com/index.php?title=User%3AU1pm9t0m#barbour_sale_The_Myth_of_Middle_Aged_Spread_-_written_by_ian]barbour sale The Myth of Middle Aged Spread - written by ian[/url] provide images comparable with much larger machines from a few years ago and are much easier to move from room to room. A trolley containing needles, syringes, cannula, bandages and all other items required to complete the treatment is useful, so that there is no need to search the cupboards for missing items. In the exceptional case that a severe allergic reaction occurs following treatment, suitable drugs and equipments must be available to manage this problem. Appropriate compression stockings will also be required. Then it comes to the preparation of sclerosant foam. Many doctors have described methods of preparing foam which may be used for ultrasound-guided sclerotherapy. The most widely used method is that of Tessari, which is readily achieved using materials available in most clinics. Two syringes are connected using a [url=http://www.davidhabchy.com]barbour sale[/url] three-way tap. A 5 ?m intravenous filter can be inserted [url=http://www.forum.thelivingmemoir.com/discussion/229244/hollister-uk-important-things-you-have-to-fully-grasp-before-creating-a-bunkbed]hollister uk Important things You Have To Fully Grasp Before Creating A Bunkbed[/url] between the syringes and this greatly improves the quality of the foam. Either 2 mL or 5 mL syringes may be used, or a combination. A mixture of sclerosant and air is drawn into one syringe at a ratio [url=http://www.villazuki.it]woolrich outlet online[/url] of one part of sclerosant to four parts of gas. The sclerosant can be sodium tetradecyl sulphate 1-3% [url=http://www.orlando-apts.com/cheapnfljerseys/]nfl jerseys[/url] or POL 0.5-3%. Low concentrations of POL make better foam when mixed in the ratio of 1:1 with air. The mixture is oscillated vigorously between the two syringes about 10 or 20 times. The tap can be turned slightly to reduce the aperture and increase [url=http://www.tileproject.net]barbour outlet[/url] the smoothness of the foam. The foam produced in this way is stable for about two minutes so it should be injected as soon as it has been made. A recent letter to the New England Journal of Medicine rapidly finds its way [url=http://www.villazuki.it]woolrich sito ufficiale[/url] to the right side of the heart and may be a factor in producing visual disturbance. The problem may lie with the nitrogen in air which is relatively insoluble, and replacing this with carbon dioxide can limit the reported side-effects of treatment. A mixture of 70% CO2 and 30% O2 can be used to make foam. 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