BIOMEDICAL JOURNAL OF PIROGOV RNRMU (MOSCOW, RUSSIA)
Complex decubitus ulcer therapy in a patient in chronic critical condition: a case report
76.72% of patients admitted to the ICU of the Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology (FRCC ICMR) in a chronic critical condition (CCC) associated with various types of damage to the brain were diagnosed with decubitus ulcers (DU), or bedsores, of 3rd and/or 4th stage. 33.41% of them were planned to undergo invasive rehabilitation procedures (neurosurgical intervention) that cannot be done while the patient has DU. This report describes a complex technique used to treat a 4th-stage sacrum DU in a CCC patient that needed ventriculoperitoneal shunting. We have covered contraindications to the exclusively surgical DU closing and the successful and rapid healing of the 4th-stage sacrum DU after application of the treatment technique.
Keywords: decubitalis ulcer, pressure ulcer, surgical treatment of pressure ulcers, a complex treatment of pressure ulcers, scale of Bates-Jensen