What preoperative care is needed to ensure successful surgical management of pressure injuries (pressure ulcers)?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

The patient should be medically stable and able to benefit from the procedure. The patient should also participate in the decision. The nutritional status of the patient must be considered because good nutritional parameters are required for good wound healing and immune function. Involuntary muscle spasms should be controlled preoperatively with baclofen or diazepam.

Factors associated with impaired healing should be corrected preoperatively. Tobacco use and smoking are associated with intrinsic factors that compromise wound healing. [152] For example, carbon monoxide and nicotinic acid are potent vasoconstrictors that increase blood viscosity. [153] These factors predispose tissue to excessive oxidase activity and free radical injury.


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