Pages 29-30

Öz

Development of pressure ulcers in bed-bound patients and complications associated with these wounds are common problem across all health care settings.The most important aspect is that it is always better to prevent the ulcers in the elderly patients, than to cure them. Because if occurs once, it is very difficult to cure it. There may be need for adjunct applications such as ambulatory epidural analgesia as in our case.

Anahtar Kelimeler

• Pressure ulser, epidural analgesia.

Yatak Yarasına Bağlı Gelişen Ülserde Epidural Analjezi Uygulamaları

Öz

Yatağa bağlı hastalarda gelişen yaralar ve komplikasyonları yaygın bir sorundur. En önemlisi özellikle yaşlı hastalarda yara gelişimini önlemeye yönelik tedavidir. Ama eğer bir kez oluşursa tedavisi çok zordur. Bazı yardımcı uygulamalara ihtiyaç vardır. Biz bu vakada Epidural Analjezi uyguladık.

Anahtar Kelimeler

• Yatağa bağlı hastada gelişen yara, epidural aneljezi

Kaynakça

1. Bluestein D, Javaheri A. Pressure Ulcers: Prevention, Evaluation, and Management. American Family Physician. 2008; 78(10): 1186Goldhill DR, Badacsonyi A, Goldhill AA, Waldmann C. A prospective observational study of ICU patient position and frequency of turning. Anaesthesia. 2008; 63(5): 509-15. Pöpping DM, Zahn PK, Van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Effectiveness and safety of postoperative pain management: a survey of 18 925 consecutive patients between 1998 and 2006 (2nd revision): a database analysis of prospectively raised data. Br J Anaesth. 2008; 101(6):832-840.
2. Kazakov I, Belov IV, Khatyov MG, Sitkin SI. Preoperative preparation of patients with critical lower limb ischemia and pronounced painful syndrome. Angiol Sosud Khir. 2004; 10(4): 73
3. Takahashi PY, Kiemele LJ, Chandra A, Cha SS, Targonski PV. A Retrospective Cohort Study of Factors that Affect Healing in Long-term Care Residents with Chronic Wounds. Ostomy Wound Manage. 2009; 55(1): 32-7. Adress: Dr. Selim Colak Department of Anesthesiology, Dicle State Hospital, 21830 Diyarbakır,Turkey. Phone: [phone] Fax: [phone] E-mail: [e-mail]