| Theme | Working in Cooperation with Other Departments for Dialysis Treatment -- Centered Mainly on Easily Overlooked Conditions | |
|---|---|---|
| Title | Wound management of dialyzed patient | |
| Publish Date | 2011/02 | |
| Author | Junko Yasuda | Department of Plastic and Reconstructive Surgery, University of Occupational and Environmental Health Hospital |
| Author | Hiroshi Yasuda | Department of Plastic and Reconstructive Surgery, University of Occupational and Environmental Health Hospital |
| Author | Tadahiro Miyake | Department of Plastic and Reconstructive Surgery, University of Occupational and Environmental Health Hospital |
| Author | Yusuke Kimura | Department of Plastic and Reconstructive Surgery, University of Occupational and Environmental Health Hospital |
| [ Summary ] | Dialysis patients experience delayed healing of chronic ulcers. Tinea infections due to ulcers may cause rapid deterioration of patients' conditions. It is necessary we evaluate blood flow in lower extremities to detect peripheral arterial disease (PAD). Measurement of skin perfusion pressure (SPP) is a useful and non-traumatic method to evaluate blood flow. SPP is not affected by arterial calcification. When SPP is below 30 mmHg, patients require vascular intervention to predict the likelihood of limb salvage. Topical ointments, negative-pressure wound therapy (NPWT) and growth factors are effective wound care treatments. Because wounds around catheters sites require regeneration of the epithelium, mechanical stimulation and infections positively affects healing. Disinfection of unaffected skin is an effective way to prevent infection. However, disinfection of wound damage regions is a factor in wound repair and regeneration. Therefore, physiological saline or tap water should be used to irrigate ulcers. | |