Pressure ulcer treatment
Pressure ulcer (decubitus, bed sore) is necrosis of the subcutaneous tissue, also often occurring in muscles and bones. It develops as a result of prolonged pressure and associated tissue hypoxia in sites where a bony prominence is in a direct contact with a hard surface – on buttocks, shoulder blades, tailbone, ankles, or heels.
Depending on the development stage of a pressure ulcer, appropriate treatment should be specified.
Redness that becomes pale under light pressure. This indicates that the microcirculation in tissues is still working properly.
Redness in non-blanchable and does not disappear even when pressed. Swelling, epidermis damage and blisters appear. The patient begins to feel pain.
The pressure ulcer runs deep in the skin and reaches the subcutaneous tissue. The edges of the wound and deep tissue loss are clearly visible. The wound is surrounded by erythema and edema.
Damage spreads to the subcutaneous fat tissue and reaches the bones. Necrosis with bone inflammation and reactive arthritis appear. The edges of the wound are visibly separated and the wound bed is filled with masses of disintegrating tissue and black necrosis.
Advanced fascia and muscle necrosis, followed by bone and joint necrosis. The wound is filled with masses of disintegrating and leaking tissue and black (or black-brown) necrosis. General infection develops – sepsis.