PRESSURE SORE/BED SORE/DECUBITUS ULCER

PRESSURE SORE/BED SORE/DECUBITUS ULCER


#surgicaleducator #pressuresore #bedsore #decubitusulcer #usmle #surgicaltutor #babysurgeon
• Dear Viewers
• Greetings from “Surgical Educator”
• Today in this episode I have discussed about Pressure Sore also known as bed sore or decubitus ulcer
• It is common in bed riddened patients who are having neurological problems like hemiplegia or paraplegia
• I have discussed about the overview,etiology,pathology,staging,clinical features,complications and treatment of Pressure Sore
• I hope this video is interesting and also useful to all of you
• You can watch the video in the following links:
• surgicaleducator.blogspot.com youtube.com/c/surgicaleducator
• Thnak you for watching the video.

1. Dr.B.Selvaraj MS;MCh;FICS “ Surgical Educator” Melaka Malaysia 75150 PRESSURE SORE DECUBITUS ULCER BED SORE

2. PRESSURE SORE Overview Risk factors Pathogenesis Staging Clinical features Complications Treatment Sites: occiput, scapula, ischium, sacrum, heel

3. PRESSURE SORE Defined as tissue necrosis with ulceration due to prolonged pressure . Blood flow to the skin stops once external pressure becomes > 30 mmHg (more than capillary occlusive pressure ) and this causes tissue hypoxia, necrosis and ulceration. It is more prominent between bony prominence and an external surface . Preventable but occur in approximately 5% of all hospitalised patients Sites: occiput, scapula, ischium, sacrum, heel Common sites: Occiput, sacrum, ischium, scapula, calcaneum Bedsores are trophic ulcers . It is due to: - Impaired nutrition. -Defective blood supply. -Neurological deficit . Urinary incontinence in hemiplegic & paraplegic patients causes skin soiling, maceration- infection-necrosis The best treatment is prevention with good skin care , alpha bed and urinary or faecal diversion in selected cases .

4. PRESSURE SORE- Risk Factors Sites: occiput, scapula, ischium, sacrum, heel

5. PRESSURE SORE Sites: occiput, scapula, ischium, sacrum, heel

6. PRESSURE SORE- Pathology Sites: occiput, scapula, ischium, sacrum, heel

7. PRESSURE SORE- Staging Sites: occiput, scapula, ischium, sacrum, heel

8. PRESSURE SORE- Clinical Features Warning signs of pressure ulcers are: -Unusual changes in skin color or texture -Swelling -Pus-like draining -An area of skin that feels cooler or warmer to the touch than other areas -Tender areas - characterised punched out edge

9. PRESSURE SORE- Complications Complications of pressure ulcers , some life-threatening, include : Cellulitis. Cellulitis is an infection of the skin and connective soft tissues . Bone and joint infections . An infection from a pressure sore can burrow into joints and bones . Cancer. Long-term, nonhealing wounds ( Marjolin's ulcers) can develop into a type of squamous cell carcinoma Sepsis. Rarely, a skin ulcer leads to sepsis.

10. PRESSURE SORE- Treatment Frequent position changing (max every 4 hrs ) Use water/ ripple bed- Alpha bed Antibiotics, blood transfusions Radical wound debridement (+ skin grafting/ local rotation flaps s.o.s .)

11. PRESSURE SORE- Treatment Hyperbaric Oxygen Vaccum Assisted C losure or Negative Pressure wound Therapy- VAC/NPWT Others: - Avoid moisture (prevent soaking by urine/ sweat/ pus/ feces ) -Good nursing & nutrition -Regular dressing

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