I have a patient who had a failed mesh placement and a panniculectomy and who has developed at least three separate fistulas with a very large amount of output (3-4 L/24 hrs). Any suggestions? I am using an Eakin wound management pouch hooked up to wall suction.
Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers — Prudent or Problematic: A Case Report
- Thu, 6/10/10 - 11:54am
- 0 Comments
- 4948 reads
Start Page:
32
End Page:
35 Abstract
Hyperbaric oxygen (HBO) therapy is increasingly used in the management of problem wounds, notably diabetic foot ulcers. However, concerns about unnecessary, inappropriate, and prolonged use of this adjunctive treatment exist. A case report of a 52-year-old patient with diabetes mellitus, Charcot foot, and a nonhealing plantar ulcer who had received HBO treatments only illustrates these concerns. He presented with normal pedal pulses, adequate transcutaneous partial oxygen pressure levels, no offloading footwear, and a heavily contaminated ulcer (Pseudomonas spp.). Following a course of oral antibiotics, appropriate topical wound care, and offloading instructions, the wound healed within 3 months. Advanced wound therapy modalities are only indicated for use in patients when accepted standards of wound care, including identification and correction of underlying disorders and comorbidities, have failed. To prevent misuse/overuse of HBO therapy, stand-alone HBO centers should include a multidisciplinary wound care team.
Key Words: case study, diabetic foot ulcer, hyperbaric oxygen therapy, quality of healthcare, multidisciplinary care
Index: Ostomy Wound Management 2010;56(6):32–35
Potential Conflicts of Interest: none disclosed
Post new comment