Negative wound pressure therapy in treatment of a pressure ulcer in paraplegics

Česká verzia

Authors: T. Poch; T. Vidim; M. Štíchová
Authors place of work: Centrum vaskulárních intervencí, chirurgické oddělení, Oblastní nemocnice Kolín a. s.
Published in the journal: Cesk Slov Neurol N 2019; 82(Supplementum 1): 26-28
Category: Původní práce
doi: https://doi.org/10.14735/amcsnn2019S26

Summary

This is a case report about the treatment of a patient with post-traumatic paraplegia and pressure ulcer using negative pressure wound therapy. After treating the septic state of the patient, the necessary necrectomy was performed, which was followed by performing a sigmoideostomy and orchiectomy. Negative pressure wound therapy was then used to clean the defect. Despite the application of low molecular weight heparin, the condition was complicated by pulmonary embolism and subsequent heart failure, resulting in the death of the patient. This case report also documents the financial and time benefits of this treatment in the care of a complicated patient

Keywords:

pressure ulcer – Paraplegia – negative pressure wound therapy

Zdroje

1. Mrňa L, Frajer L, Hoch J et al. Dekubity u paraplegiků. Rozhl Chir 2015; 94(8): 329– 332.

2. Vašíčková L, Siegelová J, Mašek M. Dekubity u pacientů spinální ambulance celoživotní péče FN Brno 2013– 2016. Cesk Slov Neurol N 2018; 81/ 114 (Suppl 1): S38– S42. doi: 10.14735/ amcsnn2018S38.