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Decubitus Ulcer

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1. Henna (Lawsonia inermis) as an Inexpensive Method to Prevent Decubitus Ulcers in Critical Care Units: A Randomized Clinical Trial (PubMed)

Henna (Lawsonia inermis) as an Inexpensive Method to Prevent Decubitus Ulcers in Critical Care Units: A Randomized Clinical Trial Henna has been used to combat various diseases and pathological conditions of the skin. This study aimed to determine the cooling and protecting effects of henna on prevention of decubitus ulcers in critical care units.This is a randomized clinical trial. It was conducted on 80 patients hospitalized in intensive care units. Patients were randomly allocated into 2 (...) groups of control and intervention (n = 40) by blocking method. For the intervention group, along with the standard prevention cares for decubitus ulcers, henna was applied with 15 cm extent on the patients' sacrum.At the end of the study, 1 patient in the intervention group (2.7% male) and 6 patients in the control group (14.29% male, 2.85% female) had developed decubitus ulcers; this difference was significant ( P = .001).For every patient at risk of developing decubitus ulcers, application

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2018 Journal of Evidence-based Integrative Medicine

2. Fourier’s gangrene associated with a decubitus ulcer (PubMed)

Fourier’s gangrene associated with a decubitus ulcer 29942775 2018 06 26 2214-2509 12 2018 IDCases IDCases Fourier's gangrene associated with a decubitus ulcer. 149-150 10.1016/j.idcr.2018.05.010 Yuan Lei L Department of Endocrinology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing 400010, China. Xiong Qingsong Q Department of Endocrinology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing 400010, China. Wang Bo B Department of Endocrinology (...) , The Second Affiliated Hospital, Chongqing Medical University, Chongqing 400010, China. eng Journal Article 2018 05 17 Netherlands IDCases 101634540 2214-2509 Decubitus ulcer Fournier’s gangrene 2018 04 19 2018 05 14 2018 05 14 2018 6 27 6 0 2018 6 27 6 0 2018 6 27 6 1 epublish 29942775 10.1016/j.idcr.2018.05.010 S2214-2509(18)30079-9 PMC6011042

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2018 IDCases

3. Decubitus Ulcers In Patients Undergoing Vascular Operations Do Not Influence Mortality But Affect Resource Utilization (PubMed)

Decubitus Ulcers In Patients Undergoing Vascular Operations Do Not Influence Mortality But Affect Resource Utilization While it is anticipated that decubitus ulcers are detrimental to outcomes after vascular operations, the contemporary influence of perioperative decubitus ulcers in vascular surgery remains unknown.Using the National Impatient Survey, all adult patients who underwent vascular operation were selected. Patients were stratified by the presence or absence (non-decubitus ulcers (...) ) of decubitus ulcer. Case-mix adjusted hierarchical mixed-models examined in-hospital mortality, the occurrence of any complication, and discharge disposition.A total of 538,808 cases were analyzed. Decubitus ulcers were most prevalent among Caucasian male Medicare beneficiaries (P < .001). Decubitus ulcer patients also underwent more nonelective vascular operations (P < .001). Wound, infectious, and procedural complications were more common in patients with decubitus ulcers (P < .001). Failure to rescue

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2017 Surgery

4. Support pressure distribution for positioning in neutral versus conventional positioning in the prevention of decubitus ulcers: a pilot study in healthy participants (PubMed)

Support pressure distribution for positioning in neutral versus conventional positioning in the prevention of decubitus ulcers: a pilot study in healthy participants Decubitus ulcers are associated with a burden for the patients and cause enormous costs. One of the reasons for the development of decubitus is prolonged exposure to pressure. The aim of this pilot study was to examine the pressure distribution of healthy individuals either positioned in Positioning in Neutral (LiN) or conventional

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2017 BMC nursing

5. Cautious use of administrative data for decubitus ulcer outcome reporting. (PubMed)

Cautious use of administrative data for decubitus ulcer outcome reporting. The purpose of this study is to demonstrate that caution should be exercised when using administrative data, exclusively, to report quality and safety outcomes. Investigators identified hospital-acquired decubitus ulcers using Agency for Health-care Research and Quality (AHRQ) patient safety indicator definitions. As validation of this method, investigators abstracted 123 medical charts of patients identified through (...) AHRQ methodology as having hospital-acquired decubitus ulcers. Abstraction of these cases produced a change in rate from 23.3 decubitus ulcers per 1000 patients, derived through administrative data, to a true rate of 7.9 decubitus ulcers per 1000 patients, a 66% reduction. Investigators found 2 additional flaws (1 internal and 1 methodological) that further decreased the decubitus ulcer rate to 6.14 per 1000, a 74% variance. The results of this study suggest that administrative data, when used

2017 American Journal of Medical Quality

6. Decubitus Ulcer Prevention

Decubitus Ulcer Prevention Decubitus Ulcer Prevention Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Decubitus Ulcer Prevention (...) Decubitus Ulcer Prevention Aka: Decubitus Ulcer Prevention , Pressure Sore Prevention , Pressure Sore Positioning From Related Chapters II. Indications See for Risk Factors III. Prevention: General Measures Frequent patient repositioning (every 2 hours) s may develop within 2-4 hours Daily skin care (apply topical moisture barriers) Reduce excessive moisture exposure Correct Avoid s (decrease mobility further, as well as other complications) IV. Prevention: Tissue loads while supine Positioning in bed

2018 FP Notebook

7. Decubitus Ulcer

Decubitus Ulcer Decubitus Ulcer Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Decubitus Ulcer Decubitus Ulcer Aka: Decubitus Ulcer (...) PUGP (1995) Am Fam Physician 51(5):1207-22 Krasner (1995) Prevention Management Pressure Ulcers Lewis (1996) Med-Surg Nursing, Mosby, p. 199-200 Lueckenotte (1996) Gerontologic Nurs., Mosby, p. 800-7 Way (1991) Current Surgical, Lange, p.95-108 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Decubitus Ulcer." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip

2018 FP Notebook

8. A Case of Extensive Sacral Decubitus Ulcer Complicated by an Epidural Abscess (PubMed)

A Case of Extensive Sacral Decubitus Ulcer Complicated by an Epidural Abscess We herein report a 62-year-old man with an extensive sacral decubitus ulcer complicated by an epidural abscess. An epidural abscess is a rare disease, but it should be considered in the differential diagnosis of a deep infection with decubitus. Moreover, the diagnosis may be late in such instances and should be carefully considered when a patient has paralysis.

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2016 Plastic and Reconstructive Surgery Global Open

9. Pneumorrhachis Secondary to a Sacral Decubitus Ulcer (PubMed)

Pneumorrhachis Secondary to a Sacral Decubitus Ulcer An elderly woman with a chronic decubitus sacral ulcer presented to the emergency department with sepsis. A computed tomography of her abdomen showed diffuse gas extending throughout the thoracolumbar spinal canal. Pneumorrhachis is a rare radiographic finding defined as gas within the spinal canal. There are many causes of pneumorrhachis ranging from trauma to infection. In this case the pneumorrhachis was caused by direct spread of gas

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2016 Western Journal of Emergency Medicine

10. Case Series Assessing TissuGlu® Surgical Adhesive in Flap Surgery for Decubitus Repair

provided by (Responsible Party): Cohera Medical, Inc. Study Details Study Description Go to Brief Summary: To evaluate the impact of a high strength lysine-based adhesive (TissuGlu® Surgical Adhesive) on complications and revision rates in large flap surgery for decubitus repair. Condition or disease Intervention/treatment Decubitus Ulcer Device: TissuGlu Surgical Adhesive Detailed Description: A total of 50 subjects undergoing flap surgery for decubitus repair at the Clinic for Plastic and Aesthetic (...) Case Series Assessing TissuGlu® Surgical Adhesive in Flap Surgery for Decubitus Repair Case Series Assessing TissuGlu® Surgical Adhesive in Flap Surgery for Decubitus Repair - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies

2018 Clinical Trials

11. Application of Split Gluteus Maximus Muscle–Adipofascial Turnover Flap and Subcutaneous Tension-Reducing Suture Technique in Repair of Decubitus Ulcers (PubMed)

Application of Split Gluteus Maximus Muscle–Adipofascial Turnover Flap and Subcutaneous Tension-Reducing Suture Technique in Repair of Decubitus Ulcers The purpose of this study was to study the clinical effect of split gluteus maximus muscle-adipofascial turnover flap and tension-reducing suture in the treatment of decubitus ulcers. Thirty-one cases of sacrococcygeal decubitus ulcers were repaired by split gluteus maximus muscle-adipofascial turnover flap. The surface of flaps ranged from 5 (...) ×6 cm to 7×8 cm. The skin was then closed, primarily using subcutaneous tension-reducing suture. Eighty-eight percent of the flaps (27 of 31) healed primarily. The split gluteus maximus muscle-adipofascial turnover flap and tension-reducing suture technique was found to be a highly efficient method of repairing decubitus ulcers with a relatively low ratio of recurrence.

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2014 International surgery

12. Spinal Subdural Abscess: A Rare Complication of Decubitus Ulcer (PubMed)

Spinal Subdural Abscess: A Rare Complication of Decubitus Ulcer Spinal subdural abscess (SSA) is an uncommon entity. The exact incidence is unknown, with very few cases reported in the literature. This condition may result in spinal cord compression, thus constituting a medical and neurosurgical emergency. The pathogenesis of SSA is not well-described, and the available knowledge is based on case observations only. There is only one case report that describes direct seeding from decubitus (...) ulcers as a possible mechanism for development of SSA. We report a case of subacute onset of quadriplegia in a male patient, age 55 years, due to spinal cord compression from SSA and superimposed spinal subdural hematoma. The direct seeding from decubitus ulcers is thought to be the cause of infection in our patient. We present this case of SSA to elucidate and review the predisposing factors, pathogenesis, clinical presentation, diagnostic modalities, and treatment regarding management of this rare

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2014 Clinical medicine & research

13. Recognize High Pressure Areas in Human Body to Prevent Decubitus Ulcers

Recognize High Pressure Areas in Human Body to Prevent Decubitus Ulcers Recognize High Pressure Areas in Human Body to Prevent Decubitus Ulcers - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Recognize High (...) Pressure Areas in Human Body to Prevent Decubitus Ulcers (BEDSORES) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02173431 Recruitment Status : Withdrawn (due to technical issues) First Posted : June 25, 2014 Last Update Posted : March 29, 2016 Sponsor: Assuta Medical Center Information provided

2014 Clinical Trials

14. Pressure ulcer

: an evidence-based analysis (anticipated pubicstion date - mid-2009) PURPOSE: A pressure ulcer , also known as a pressure sore , decubitus ulcer , or bedsore , is 2012 11. Education of healthcare professionals for preventing pressure ulcers . BACKGROUND : Pressure ulcers , also known as bed sores or pressure sores , are localised areas of tissue damage arising due to excess pressure and shearing forces. Education of healthcare staff has been recognised as an integral component of pressure ulcer prevention (...) Pressure ulcer Top results for pressure ulcer - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3

2018 Trip Latest and Greatest

15. Anabolic steroids for treating pressure ulcers. (PubMed)

Anabolic steroids for treating pressure ulcers. Pressure ulcers, also known as bed sores, pressure sores or decubitus ulcers develop as a result of a localised injury to the skin or underlying tissue, or both. The ulcers usually arise over a bony prominence, and are recognised as a common medical problem affecting people confined to a bed or wheelchair for long periods of time. Anabolic steroids are used as off-label drugs (drugs which are used without regulatory approval) and have been used (...) as adjuvants to usual treatment with dressings, debridement, nutritional supplements, systemic antibiotics and antiseptics, which are considered to be supportive in healing of pressure ulcers. Anabolic steroids are considered because of their ability to stimulate protein synthesis and build muscle mass. Comprehensive evidence is required to facilitate decision making, regarding the benefits and harms of using anabolic steroids.To assess the effects of anabolic steroids for treating pressure ulcers.In March

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2017 Cochrane

16. Dressings and topical agents for treating pressure ulcers. (PubMed)

Dressings and topical agents for treating pressure ulcers. Pressure ulcers, also known as bedsores, decubitus ulcers and pressure injuries, are localised areas of injury to the skin or the underlying tissue, or both. Dressings are widely used to treat pressure ulcers and promote healing, and there are many options to choose from including alginate, hydrocolloid and protease-modulating dressings. Topical agents have also been used as alternatives to dressings in order to promote healing.A clear (...) and current overview of all the evidence is required to facilitate decision-making regarding the use of dressings or topical agents for the treatment of pressure ulcers. Such a review would ideally help people with pressure ulcers and health professionals assess the best treatment options. This review is a network meta-analysis (NMA) which assesses the probability of complete ulcer healing associated with alternative dressings and topical agents.To assess the effects of dressings and topical agents

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2017 Cochrane

17. Decubitus Ulcers (Follow-up)

Decubitus Ulcers (Follow-up) Pressure Injuries (Pressure Ulcers) and Wound Care Treatment & Management: Approach Considerations, General Measures for Optimizing Medical Status, Pressure Reduction Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTkwMTE1LXRyZWF0bWVudA== processing > Pressure Injuries (Pressure Ulcers) and Wound Care Treatment & Management Updated: Jun 11, 2018 Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF Share Email Print Feedback Close Sections Sections Pressure Injuries (Pressure Ulcers) and Wound Care Treatment Approach Considerations Once a pressure injury (pressure ulcer) has developed, immediate treatment is required. [ ] Commonly used treatments over the years have included innovative mattresses

2014 eMedicine Surgery

18. Decubitus Ulcers (Diagnosis)

Decubitus Ulcers (Diagnosis) Pressure Injuries (Pressure Ulcers) and Wound Care: Practice Essentials, Background, Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTkwMTE1LW92ZXJ2aWV3 processing > Pressure (...) Injuries (Pressure Ulcers) and Wound Care Updated: Jun 11, 2018 Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF Share Email Print Feedback Close Sections Sections Pressure Injuries (Pressure Ulcers) and Wound Care Overview Practice Essentials Although the terms decubitus ulcer, pressure sore, and pressure ulcer have often been used interchangeably, the National Pressure Ulcer Advisory Panel (NPUAP) currently considers pressure injury the best term to use, given that open

2014 eMedicine Surgery

19. Decubitus Ulcers (Treatment)

Decubitus Ulcers (Treatment) Pressure Injuries (Pressure Ulcers) and Wound Care Treatment & Management: Approach Considerations, General Measures for Optimizing Medical Status, Pressure Reduction Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTkwMTE1LXRyZWF0bWVudA== processing > Pressure Injuries (Pressure Ulcers) and Wound Care Treatment & Management Updated: Jun 11, 2018 Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF Share Email Print Feedback Close Sections Sections Pressure Injuries (Pressure Ulcers) and Wound Care Treatment Approach Considerations Once a pressure injury (pressure ulcer) has developed, immediate treatment is required. [ ] Commonly used treatments over the years have included innovative mattresses

2014 eMedicine Surgery

20. Decubitus Ulcers (Overview)

Decubitus Ulcers (Overview) Pressure Injuries (Pressure Ulcers) and Wound Care: Practice Essentials, Background, Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTkwMTE1LW92ZXJ2aWV3 processing > Pressure (...) Injuries (Pressure Ulcers) and Wound Care Updated: Jun 11, 2018 Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF Share Email Print Feedback Close Sections Sections Pressure Injuries (Pressure Ulcers) and Wound Care Overview Practice Essentials Although the terms decubitus ulcer, pressure sore, and pressure ulcer have often been used interchangeably, the National Pressure Ulcer Advisory Panel (NPUAP) currently considers pressure injury the best term to use, given that open

2014 eMedicine Surgery

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