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Spinal cord injury pressure ulcer treatment : an experience-based approach

SUNN G
PHYS MED REHABIL CLIN N AM , 2014, vol. 25, n° 3, p. 671-680
Doc n°: 170223
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmr.2014.05.002
Descripteurs : AE21 - ORIGINE TRAUMATIQUE, DA451 - ESCARRES

Pressure ulcers continue to impact the lives of spinal cord injury patients
severely. Pressure ulcers must be accurately staged according to National
Pressure Ulcer Advisory recommendations before treatment design. The first
priority in treatment of pressure ulcers is offloading. Intact skin ulcers may be
treated with noncontact nonthermal low-frequency ultrasound. Superficial pressure
ulcers may be treated with a combination of collagenase and foam dressings.
Deeper pressure ulcers warrant negative-pressure wound therapy dressings along
with biologic adjuncts to fill in wound depth. Discovery and treatment of
osteomyelitis is a high priority when initially evaluating pressure ulcers.
Surgical intervention must always be considered.
CI - Published by Elsevier Inc.

Langue : ANGLAIS

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