Sacral Ulcer Debridement
Risks, benefits, alternatives discussed with the patient's HCP and informed consent was obtained. The patient was placed on the OR bed in supine position. General anesthesia was induced, and the patient was intubated without issue. The patient was positioned in the right lateral decubitus position. This was secured with a beanbag and all bony prominences padded. Straps were placed to secure the patient. Superficial wound cultures were taken. The wound was prepped with iodine and draped in a sterile fashion.
Necrotic tissue was sharply debrided to the areas of healthy tissue around the wound using electrocautery. The deep tissue was debrided and there was no exposed bone. Debrided tissue was sent for culture and pathology. Hemostasis was achieved with topical lidocaine with epinephrine 10 cc and electrocautery.
Wound measured []
ACell was placed throughout the entire wound bed covered with Xeroform and then sprayed with an additional local anesthetic and allowed to dry. Next bacitracin was placed and saturated with Xeroform. Dry Kerlix placed over this. ABD over this and secured with tape and finally Ioban was placed on top.
The patient was replaced in the supine position liberated from anesthesia uneventfully and transferred to the PACU in stable condition.
Service: GS (white)
Author: Garrett Skinner