What is the importance of patient positioning in the 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

Patient positioning is dictated by the location of the ulcer and the planned reconstruction. Many pressure ulcers occur in the gluteal region and require prone positioning. Most anesthesiologists choose to use general endotracheal anesthesia, particularly if the patient is prone, but ulcer closure may be performed under regional or local anesthesia if necessary. Significant blood loss is possible; accordingly, 2 units of type-specific packed red blood cells should be available during the operation.


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