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Related Experiment Videos

Dutch Venous Ulcer guideline update.

M Birgitte Maessen-Visch1, Kees-Peter de Roos2

  • 1Rijnstate Ziekenhuis, Arnhem, the Netherlands birgittemaessen@kpnplanet.nl.

Phlebology
|May 21, 2014
PubMed
Summary

This guideline update emphasizes using the CEAP classification, Venous Clinical Severity Score (VCSS), and Quality of Life (QoL) scores for assessing venous leg ulcers. It recommends duplex ultrasound for etiology and advises on wound care, antibiotics, and adjunct therapies like aspirin.

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Area of Science:

  • Vascular Medicine
  • Clinical Guidelines
  • Evidence-Based Practice

Background:

  • The 2013 guideline is an update to the 2005 guideline on venous leg ulcers.
  • This project involved simultaneous revision of four guidelines related to venous disease management.

Approach:

  • A collaborative meeting included representatives from all organizations involved in venous disease management.
  • Eighteen clinical questions were defined, and an accelerated strategy was employed.
  • The process resulted in two new and two revised guidelines within one year.

Key Points:

  • Recommends using CEAP classification, Venous Clinical Severity Score (VCSS), and Quality of Life (QoL) scores for clinical assessment.
  • Advocates for duplex ultrasound to determine etiology and treatment needs.
Keywords:
Venous leg ulcerwound dressings

Related Experiment Videos

  • Suggests the TIME model for describing venous ulcers and notes limited evidence for antiseptic/antibiotic wound care, except possibly cadexomer iodine.

    • Conclusions:

    • Signs of infection are the primary indication for oral antibiotics.
    • Oral aspirin and pentoxifylline may be considered as adjuncts for non-healing ulcers.
    • Patient education improves compression therapy compliance but not wound healing rates.