[Anaesthesia for patients with chronic wounds]

Area of Science:

• Surgical Anesthesiology
• Wound Management

Background:

• Chronic wounds require multidisciplinary perioperative management.
• Severe comorbidities increase post-operative complication risks in these patients.
• Minimally invasive techniques optimize wound healing.

Purpose of the Study:

• To evaluate ultrasound-guided peripheral nerve blocks (PNB) as an anesthesia method for chronic wound surgeries.
• To highlight the benefits of PNB in patients with comorbidities undergoing wound procedures.

Main Methods:

• Application of ultrasound-guided peripheral nerve blocks (PNB) for surgical procedures.
• Anesthesiological and surgical management of patients with chronic wounds and comorbidities.

Main Results:

• PNB is an ideal anesthesia for wound revisions, amputations, and skin grafting.
• PNB facilitates continued anticoagulant therapy.
• PNB provides effective post-operative analgesia and reduces opioid consumption.
• PNB aids in early patient mobilization.

Conclusions:

• Ultrasound-guided PNB is a safe and effective anesthetic technique for perioperative wound management.
• PNB improves outcomes in high-risk patients by enabling minimally invasive procedures and enhancing recovery.