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DACC (dialkylcarbamoyl chloride) coated dressings - new advice from EBPB (Jan 2023)
The EBPB have issued advice and an evidence review for the use of DACC (dialkylcarbamoyl chloride) coated dressings.
Due to the mixed results reported in the review and the few well designed studies published to date, the EBPB agreed that the evidence is currently inadequate to make a positive recommendation for the use of DACC coated wound dressings.
The full statement and evidence review are available on the EBPB pages.
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Single-Use Screws and Plates
The SMTL's R&D team has published a document on single-use screws and plates. The document is an update to a piece of work previously published in 2010 and aims to provide information on single-use screws and plates. On balance there are genuine clinical and risk-management benefits in moving to single-use pre-packaged small implants in the Welsh NHS.
The upated document can be found in the R&D section of Medidex.
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Atraumatic Diagnostic Lumbar Puncture - new advice from EBPB (May 2021)
The EBPB have issued advice and an evidence review for the use of atraumatic needles in diagnostic lumbar puncture (DLP).
The EBPB concluded that there was a clear clinical benefit to using atraumatic needles for DLP, through a reduction of post-dural puncture headache (PDPH). Economic analysis suggests that despite the increased cost of atraumatic needles, cost savings could be achieved through PDPH reduction. The EBPB agreed that even without the potential for cost savings, patients would still benefit from this change in needle design.
The full statement and evidence review are available on the EBPB pages.
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Uro-tainer polihexanide for patients with encrusted long-term urinary catheters - new advice from EBPB (Feb 2022)
The EBPB have issued advice and an evidence review for the use of Uro-tainer polihexanide (UT-P) for patients with encrusted long-term urinary catheters.
The EBPB considers there is currently insufficient evidence to support its use in the Welsh NHS. In addition, the EBPB noted the concerning adverse event rates when using Uro-tainer polihexanide.
The full statement and evidence review are available on the EBPB pages.
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Reprocessing of reusable face masks respirators during Covid 19
Interim advice and guidance for NHS organisations to consider when purchasing and using reusable respirators in a healthcare context has been co-authored by SMTL, and approved by the UK PPE Decision Making Committee (DMC) in Dec 2020. The paper and the backround research are now available.