Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

PTEN acts as a master mediator of nonhealing venous leg ulcers by suppressing immune response, angiogenesis, and lymphangiogenesis.

Science translational medicine·2026
Same author

Skin Health and Persons with Diabetes.

Advances in skin & wound care·2026
Same author

Improving Care for People Living With Stomas and Ostomies.

Advances in skin & wound care·2026
Same author

Celebrating International Nurses Day 2026.

Advances in skin & wound care·2026
Same author

Skin Cancer and Wound Healing.

Advances in skin & wound care·2026
Same author

Celebrating Pressure Injury Milestones: The Eighth Pressure Injury Themed Issue Welcomes a New NPIAP Partnership.

Advances in skin & wound care·2026

Related Experiment Video

Updated: May 23, 2026

Application of Lucilia sericata Larvae in Debridement of Pressure Wounds in Outpatient Settings
09:37

Application of Lucilia sericata Larvae in Debridement of Pressure Wounds in Outpatient Settings

Published on: December 4, 2021

Anesthesia protocol for heel pressure ulcer debridement.

Daniel K O'Neill1, Shek-Man Tsui, Elizabeth A Ayello

  • 1New York University School of Medicine, USA.

Advances in Skin & Wound Care
|April 21, 2012
PubMed
Summary

This study introduces a new anesthesia protocol for heel debridement, utilizing regional anesthesia with sedation. This approach aims to improve patient outcomes for challenging heel ulcers requiring tissue removal.

More Related Videos

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
07:22

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Related Experiment Videos

Last Updated: May 23, 2026

Application of Lucilia sericata Larvae in Debridement of Pressure Wounds in Outpatient Settings
09:37

Application of Lucilia sericata Larvae in Debridement of Pressure Wounds in Outpatient Settings

Published on: December 4, 2021

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
07:22

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Area of Science:

  • Podiatric surgery
  • Wound healing
  • Anesthesiology

Background:

  • Heel ulcers present significant clinical challenges due to limited soft tissue over the calcaneus, increasing vulnerability to pressure injuries.
  • Effective debridement of fibrotic, infected, and necrotic tissue is critical for promoting heel ulcer healing.
  • General anesthesia poses risks, especially for patients with comorbidities often associated with chronic wounds.

Purpose of the Study:

  • To present a standardized anesthesia protocol for heel debridement procedures.
  • To evaluate the efficacy and safety of regional anesthesia with sedation as an alternative to general anesthesia for heel debridement.
  • To provide a reproducible method for managing pain and patient comfort during critical wound care.

Main Methods:

  • Development and implementation of a standardized regional anesthesia protocol.
  • Inclusion of conscious sedation alongside regional blocks for patient comfort and cooperation.
  • Application of the protocol during surgical debridement of heel ulcers with fibrotic, infected, or necrotic tissue.

Main Results:

  • Successful implementation of the standardized anesthesia protocol for heel debridement.
  • Regional anesthesia with sedation provided adequate anesthesia and patient comfort, avoiding general anesthesia.
  • Facilitated thorough debridement, a crucial step in the management of complex heel ulcers.

Conclusions:

  • A standardized regional anesthesia with sedation protocol is a viable and effective alternative to general anesthesia for heel debridement.
  • This approach can enhance patient safety and comfort during the management of challenging heel ulcers.
  • Optimized anesthesia techniques contribute to successful surgical interventions for pressure injuries.