Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2012 Oct;9(5):525-43.
doi: 10.1111/j.1742-481X.2011.00912.x. Epub 2012 Apr 20.

Regional anaesthesia with sedation protocol to safely debride sacral pressure ulcers

Affiliations
Review

Regional anaesthesia with sedation protocol to safely debride sacral pressure ulcers

Daniel K O'Neill et al. Int Wound J. 2012 Oct.

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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Regional anaesthesia hierarchy for sacral pressure ulcers. © O’Neill & Ayello 2012
Figure 2
Figure 2
Review of respiratory physiology. © O’Neill & Ayello 2012
Figure 3
Figure 3
Classification of ventilation techniques. © O’Neill & Ayello 2012
Figure 4
Figure 4
(A) Capnography part 1, endotracheal tube mask and (B) capnography with abnormalities. © O’Neill & Ayello 2012
Figure 5
Figure 5
Face mask gas sampling and oxygen delivery. © O’Neill & Ayello 2012
Figure 6
Figure 6
Airway devices: Head to head comparison. (A) Supraglotic laryngeal mask. (B) Endotracheal tube.

References

    1. National Pressure Ulcer Advisory Panel (NPUAP) and European Pressure Ulcer Advisory Panel (EPUAP). Prevention and treatment of pressure ulcers: clinical practice guideline. Washington, DC: National Pressure Ulcer Advisory Panel, 2009.
    1. Brem H, Lyder CH. Protocol for the successful treatment of pressure ulcers. Am Surg 2004;188 Suppl:9S–17S. - PubMed
    1. Lyder CH. Pressure ulcer prevention and management. JAMA 2003;289:223–6. - PubMed
    1. Russo CA, Steiner C, Spector W. Hospitalizations related to pressure ulcers among adults 18 years and older 2006. Healthcare Cost and Utilization Project (HCUP) Statistical Brief 64. Rockville, MD: Agency for Healthcare Research and Quality, 2008. URL http://www.hcup‐us.ahrq.gov/reports/statbriefs/sb64.pdf [acce‐ssed on 21 June 2010] - PubMed
    1. Allman RM, Goode PS, Burst N, Bartolucci AA, Thomas DR. Pressure ulcers, hospital complications, and disease severity: impact on hospital costs and length of stay. Adv Wound Care 1999;12:22–30. - PubMed

Publication types