Article

Regional anaesthesia with sedation protocol to safely debride sacral pressure ulcers.

DK O'Neill, MD, Department of Anesthesiology, New York University School of Medicine, New York, NY 10016, USA B Robins, BS, NYU-NIH Summer Program, New York University Langone Medical Center, New York, NY 10016, USA EA Ayello, PhD, RN, ACNS-BC, CWON, MAPWCA, FAAN, Faculty, Excelsior College School of Nursing, The John A. Hartford Institute of Geriatric Nursing, New York University College of Nursing, New York, NY, USA G Cuff, BSN, MPH, CCRP, Department of Anesthesiology, New York University Langone Medical Center, New York, NY 10016, USA P Linton, MD, Department of Anesthesiology, New York University School of Medicine, New York, NY 10016, USA H Brem, MD, Division of Wound Healing and Regenerative Medicine, Department of Surgery, Winthrop University Hospital, Mineola, NY, USA.
International Wound Journal (impact factor: 1.46). 04/2012; 9(5):525-543. DOI:10.1111/j.1742-481X.2011.00912.x pp.525-543
Source: PubMed

ABSTRACT A treatment challenge for patients with sacral pressure ulcers is balancing the need for adequate surgical debridement with appropriate anaesthesia management. We are functioning under the hypothesis that regional anaesthesia has advantages over general anaesthesia. We describe our regional anaesthesia protocol for perioperative and postoperative management.

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Keywords

adequate surgical debridement
 
appropriate anaesthesia management
 
regional anaesthesia protocol
 
sacral pressure ulcers
 
treatment challenge