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Related Concept Videos

Burn Injuries01:22

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Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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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...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Updated: Sep 18, 2025

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

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Surgical Options for Advanced Pressure Injuries.

A Bert Chabot1, Shafic Abdulkarim, Samantha D Morin

  • 1A. Bert Chabot, MD, is Resident Physician, Department of General Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Long Island, NY. Shafic Abdulkarim, MD, MSc, is Resident Physician, Division of General Surgery, McGill University, Montreal, Canada. Samantha D. Morin, BS, BA, is MD Candidate, Tulane University School of Medicine, New Orleans, LA. Ibrahim T. Yazgan, BS, is Medical Student, Tulane University School of Medicine. Abigail E. Chaffin, MD, CWSP, MAPWCA, is Professor, Department of Surgery, Division of Plastic and Reconstructive Surgery, Tulane University School of Medicine. Submitted January 1, 2025; accepted in revised form April 11, 2025.

Advances in Skin & Wound Care
|June 25, 2025
PubMed
Summary

This article details managing advanced pressure injuries (PIs), focusing on risk reduction and conservative care. It also covers surgical options for severe cases, offering comprehensive treatment strategies for these challenging wounds.

Keywords:
bed soredecubitus ulcerplastic surgerypressure injuryreconstructive surgerywound care

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Area of Science:

  • Wound healing and regenerative medicine
  • Clinical dermatology and plastic surgery

Background:

  • Advanced pressure injuries (PIs) are severe, treatment-resistant wounds causing significant patient morbidity.
  • PIs represent a substantial economic burden on healthcare systems due to prolonged treatment needs.

Purpose of the Study:

  • To present evidence-based fundamental measures for conservative management of PIs.
  • To explore surgical interventions for advanced PIs unresponsive to conservative care.
  • To enhance understanding of PI risk factors, staging, and treatment.

Main Methods:

  • Review of fundamental principles for conservative PI management.
  • Emphasis on risk factor mitigation, patient optimization, and preventive strategies.
  • Exploration of surgical techniques for refractory PI cases.

Main Results:

  • Identification of key risk factors contributing to PI development.
  • Differentiation between various stages and types of PIs.
  • Application of evidence-based strategies for PI treatment.

Conclusions:

  • Conservative management, including risk factor mitigation and patient optimization, is crucial for PIs.
  • Surgical interventions are necessary for advanced PIs that do not respond to conservative measures.
  • A comprehensive approach integrating prevention, conservative care, and surgical options optimizes outcomes for patients with advanced PIs.