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Oliguric Renal Failure of Surgical Origin

1960; BMJ; Volume: 2; Issue: 5211 Linguagem: Inglês

10.1136/bmj.2.5211.1473

0959-8138

R. Shackman, M. D. Milne, N. W. Struthers,

Ureteral procedures and complications

MEDICA JoURNAL 1473 task to make clear that the protection afforded by barrier creams is questionable, and that it has not yet been scientifically substantiated; we should demand that the experts employed by manufacturers publish the evidence on which their views are based in such a form and in such detail that it can be critically assessed; and we should insist that the formulae of these products are made known.The claims of those who make and sell these preparations are specious and their literature voluminous, but I have shared Porter's experience that these firms yield little information when one seeks the precise evidence on which their claims are based, and when one tries to find out the composition of their products.I am not saying that all barrier creams are completely useless; only that we do not know and at present have no means of knowing.If this conclusion is correct, then no employer should be blamed or held negligent for failing to provide them.The present unsatisfactory situation is partly our fault, and we should reconsider our position.First, we should actively advocate the use of barrier cream only when we know that the proof of its value is soundly based (at the present time I suggest this means never); anything short of this should be regarded as an experiment and should be planned accordingly.Second, we should adhere to the general principle that we cannot recommend the use of an application whose exact composition is not made known to us.At the present time proprietary barrier creams are secret remedies.