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Pressure ulcer treatment

The challenge to manage pressure ulcers

We all want to avoid pressure ulcers. Considerable progress has been made in this area the past few years. Nevertheless, pressure ulcers remain a challenge. B. Braun offers different solutions including products for skin care, wound bed preparation and infection management, as well as exudate management. Taking action right from the start helps you to prevent the aggravation of existing pressure ulcers and to support the healing process.

Management of stage 1 pressure ulcers

Management of stage 2 pressure ulcers

Management of stage 3 pressure ulcers

Management of stage 4 pressure ulcers

“One to four out of 10 hospitalized patients may develop pressure ulcers.”

Defloor T, De Bacquer D, Grypdonck MH 'The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers.' (13)

Clinical case presentation: pressure ulcer managment
Back to life after four months of healing of his pressure ulcer

“Pressure ulcers can occur quickly – between the first hour and 4 to 6 hours after sustained loading.”

Gefen A. 'How much time does it take to get a pressure ulcer?' (14)

Our product portfolio

Wound bed preparation and biofilm management

Wound infection and odor management

Exudate management

Skin resistance improvement and skin protection

1) Graves N, Birrell F, Whitby M. Effect of pressure ulcers on length of hospital stay. Infect Control Hosp Epidemiol. 2005 Mar;26(3):293-7. doi: 10.1086/502542. PMID: 15796283.

2) Sebba Tosta de Souza DM, Veiga DF, Santos ID, Abla LE, Juliano Y, Ferreira LM. Health-Related Quality of Life in Elderly Patients With Pressure Ulcers in Different Care Settings. J Wound Ostomy Continence Nurs. 2015 Jul-Aug;42(4):352-9. doi: 10.1097/WON.0000000000000142. PMID: 26135820.

3) Labeau SO, Afonso E, Benbenishty J, Blackwood B, Boulanger C, Brett SJ, Calvino-Gunther S, Chaboyer W, Coyer F, Deschepper M, François G, Honore PM, Jankovic R, Khanna AK, Llaurado-Serra M, Lin F, Rose L, Rubulotta F, Saager L, Williams G, Blot SI; DecubICUs Study Team; European Society of Intensive Care Medicine (ESICM) Trials Group Collaborators. Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study. Intensive Care Med. 2021 Feb;47(2):160-169. doi: 10.1007/s00134-020-06234-9. Epub 2020 Oct 9. Erratum in: Intensive Care Med. 2021 Apr;47(4):503-520.PMID: 33034686.

4) Munoz N, Posthauer ME, Cereda E, Schols JMGA, Haesler E. The Role of Nutrition for Pressure Injury Prevention and Healing: The 2019 International Clinical Practice Guideline Recommendations. Adv Skin Wound Care.

2020 Mar;33(3):123-136. doi: 10.1097/01.ASW.0000653144.90739.ad. PMID: 32058438.

5) Jimenez Torres J. Acidos Grasos Hiperoxigenados (AGHO) en el tratamiento y prevencion de las ulceras por presion, ulceras vasculares y pie diabetico. Panorama actual del medicamento 2010; 34(336):695-701

6) Declair V. The usefulness of topical application of essential fatty acids (EFA) to prevent pressure ulcers. Ostomy Wound Manage1997; 43(5):48-52, 54.

7) Colin D, Chomard D, Bois C, Saumet JL, Desvaux B, Marie M. An evaluation of hyper-oxygenated fatty acid esters in pressure sore management. J Wound Care1998; 7(2):71-2.

8) Andriessen AE, Eberlein T. Assessment of a wound cleansing solution in the treatment of problem wounds. Wounds. 2008 Jun;20(6):171-5. PMID: 25942522.

9) Ortega-Peña S, Hidalgo-González C, Robson MC, Krötzsch E. In vitro microbicidal, anti-biofilm and cytotoxic effects of different commercial antiseptics. Int Wound J. 2017 Jun;14(3):470-479. doi: 10.1111/iwj.12625. Epub 2016 Jun 10. PMID: 27282307; PMCID: PMC7949997.

10) Bellingeri A, Falciani F, Traspedini P, Moscatelli A, Russo A, Tino G, Chiari P, Peghetti A. Effect of a wound cleansing solution on wound bed preparation and inflammation in chronic wounds: a single-blind RCT. J Wound Care. 2016 Mar;25(3); 160: 162-6, 168. doi: 10.12968/jowc.2016.25.3.160. PMID: 26947697.

11) Ciprandi G, Ramsay S, Budkevich L, Strack A, van Capellen P, Marathovouniotis N. A retrospective systematic data review on the use of a polihexanide-containing product on burns in children. J Tissue Viability.2018 Nov;27(4):244-248. doi: 10.1016/j.jtv.2018.08.001. Epub 2018 Aug 9. PMID: 30170891.

12) Dissemond J, Steinmann J, Münter KC, Brill H, Böttrich JG, Braunwarth H, Schümmelfeder F, Wilken P. Risk and clinical impact of bacterial resistance/susceptibility to silver-based wound dressings: a systematic review. J Wound Care. 2020 Apr 2;29(4):221-234. doi: 10.12968/jowc.2020.29.4.221. PMID: 32281507.

13) Defloor T, De Bacquer D, Grypdonck MH. The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers. Int J Nurs Stud. 2005 Jan;42(1):37-46. doi: 10.1016/j.ijnurstu.2004.05.013. PMID: 15582638.

14) Gefen A. How much time does it take to get a pressure ulcer? Integrated evidence from human, animal, and in vitro studies. Ostomy Wound Manage. 2008 Oct;54(10):26-8, 30-5. PMID:18927481.

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