The prevalence of pressure ulcers in Europe, what does the European data tell us: a systematic review
Journal of Wound Care,Volume 28, Issue 11, Page 710-719, November 2019.
ConclusionciNPWT in open abdominal surgery has demonstrated promising results for reducing SSI rate in some trials however, patient selection remains unclear. Recent randomized controlled trials have failed to demonstrate benefit overall with use of ciNPWT in open abdominal surgery. Further multicentre prospective trials are needed for cost-benefit analysis and appropriate patient-selection.
ConclusionsPerforator flaps mandate thorough pre-operative preparations, meticulous dissections, and long surgery times. There seem no advantage in applying perforator flaps in ischial pressure sore reconstructions in terms of complications and recurrences. Surgeons may prefer to perform straightforward procedures, such as myocutaneous flaps.Level of evidence: Level IV, risk/prognostic, therapeutic study.
AbstractObjectivesTo evaluate the negative effect of physical restraint use on the hospital outcomes of older patients.DesignA retrospective cohort study.SettingInternal medicine wards of a tertiary medical center in Taiwan.ParticipantsSubjects aged 65 years and over who were admitted during April to Dec 2017 were recruited for study.MeasurementsDemographic data, geriatric assessments (polypharmacy, visual impairment, hearing impairment, activities of daily living before and after admission, risk of pressure sores, change in consciousness level, mood condition, history of falls in the previous year, risk of malnutrition an...
Geriatric pelvis and acetabulum fractures have become an entity of increased relevance for healthcare systems worldwide due to an aging population. The majority of pelvis fractures occur in elderly patients and their incidence has continuously increased over the past decades [1, 2]. The injury mechanism of geriatric pelvic and acetabular fractures is usually a low energy trauma in the presence of impaired bone quality . Treatment options range from conservative treatment to percutaneous or open surgical procedures.
Conclusion: Patients needing neurorehabilitation associate immobility at high risk for the development of decubitus ulcers. The most efficient way to prevent and treat pressure sores, is to early asses and identify their general and respectively specific risk factors in each patient and consequently to promptly initiate prevention or curative appropriate measures. PMID: 31803295 [PubMed]
DISCUSSION: The association of FG and NPWT is not known in the clinical practice. Except for the only one experimental study described by Kao et al.4, the theme was not addressed in the medical literature before. In this clinical case, the result obtained regarding the granulation tissue formation drew attention and prevented the use of more complex flaps such as the microsurgical ones. Accelerated granulation tissue formation was observed, filling an extensive and deep bone defect, even with infected bone and biomaterial. Low morbidity and no complications were observed with the use of FG associated with NPWT. When the gr...
CONCLUSION: Using a fillet flap of the lower extremity to cover large sacral ulcers is often the last possibility of surgical treatment. Though many complications can occur, full rehabilitation and social participation is possible after fillet flap surgery even with loss of both legs. Depending on patient's motivation and availability of orthopedic technology like special electric wheel chairs and other tools full mobility can be achieved. PMID: 31802040 [PubMed - in process]
CONCLUSIONS: The onset rate of complications given by the use of prone position in ARDS patients is similar to data reported by previous literature. The implementation of a dedicated protocol in specialized centers and the involvement of 5 trained and skilled professionals while moving the patient in the prone position are recommended to prevent the occurrence of similar adverse events. PMID: 31789984 [PubMed - in process]
AbstractThe aim of this study was to evaluate the effects of photobiomodulation (PBM) by dual-wavelength low-power lasers on the healing and bacterial bioburden of pressure ulcer (PU) models. Twenty-five male Swiss mice were divided into five equal groups. Ischemia reperfusion cycles were employed to cause PU formation by the external application of magnetic plates. Immediately after wounding, a suspension ofPantoea agglomerans was applied at the base of all the wounds of the infected groups, using a calibrated pipette. PBM (simultaneous emission at 660 and 808 nm, 142.8 J/cm2, in continuous wave emission mode) ...
PMID: 31788790 [PubMed - as supplied by publisher]