In this review, we discuss the treatment strategies for lower leg ulcers and vascular pathologies during pandemic and provide an algorithm for triage which may be a useful guide for vascular surgeons.
📌 3 Maddede Bu Makale
🎯
Amaç & Hipotez:The COVID-19 pandemic has presented a great challenge for the healthcare systems and healthcare workers worldwide.
📊
Temel Bulgular & Veri:Treatment of lower extremity ulcers may be misclassified as non-essential during this pandemic; however, without regular best wound care, these ulcers are at a great risk of becoming quickly infected, which may lead to an increased rate of septicemia, amputations, and even deaths in this fragile patient population.
💡
Sonuç & Katkı:In this review, we discuss the treatment strategies for lower leg ulcers and vascular pathologies during pandemic and provide an algorithm for triage which may be a useful guide for vascular surgeons.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri
Özet
The COVID-19 pandemic has presented a great challenge for the healthcare systems and healthcare workers worldwide. The resources and the infrastructure of the healthcare systems are reorganized to provide care for abundant number of pandemic patients. All elective procedures and treatments have either cancelled or postponed. Treatment of lower extremity ulcers may be misclassified as non-essential during this pandemic; however, without regular best wound care, these ulcers are at a great risk of becoming quickly infected, which may lead to an increased rate of septicemia, amputations, and even deaths in this fragile patient population. In this review, we discuss the treatment strategies for lower leg ulcers and vascular pathologies during pandemic and provide an algorithm for triage which may be a useful guide for vascular surgeons.
🔖
Bu Makaleye Atıf Yap
ÖZKER, E., ERKİN, A., ARSLAN, H. M., KURTOĞLU, T., ÇAYIR, M. Ç., AKAY, T., AYDIN, Ü., ERDİL, N., YÜREKLİ, İ., DEMİRKILIÇ, U. (2021). Wound treatment strategies during COVID-19 pandemic: An expert opinion. Turkish journal of vascular surgery, Cilt: 30 - Sayı: 2, 167–173. https://ajindex.com/articles/402984
Rogers LC, Lavery LA, Joseph WS, Armstrong DG. All Feet On Deck-The Role of Podiatry During the COVID-19 Pandemic: Preventing hospitalizations in an overburdened healthcare system, reducing amputation and death in people with diabetes. J Am Podiatr Med Assoc. 2020. [Epub ahead of print] 2. Bates M, Edmonds M, Kavarthapu V, Manu C, Rashid H, Vas P. Diabetes Foot Care in the COVID-19 Pandemic. Diabetic Foot Clinic, King’s College Hospital, London, UK 2020. 3. Spentzouris G, Labropoulos N. The evaluation of lowerextremity ulcers. Semin Intervent Radiol 2009
Rogers LC, Lavery LA, Joseph WS, Armstrong DG. All Feet On Deck-The Role of Podiatry During the COVID-19 Pandemic: Preventing hospitalizations in an overburdened healthcare system, reducing amputation and death in people with diabetes. J Am Podiatr Med Assoc 2020. [Epub ahead of print] 5. Wang R, Peng Y, Jiang Y, Gu J. Managing chronic wounds during novel coronavirus pneumonia outbreak. Burns Trauma 2020. 6. Jones H. Considerations and recommendations regarding the COVID-19 virus for wound centers. Today’s Wound Clinic 2020
Mills JL Sr, Conte MS, Armstrong DG, Pomposelli FB, Schanzer A, Sidawy AN, et al. The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI). J Vasc Surg 2014
e1-2. 8. Ennis WJ, Borhani M, Meneses P. Management and diagnosis of vascular ulcers. In: Sussman C, Bates-Jensen BM, editors. Wound Care A Collaborative Practice Manual for Health Care Professional. 4th ed. Baltimore & Philadelphia: Wolters Kluwer Health and Lippincott Williams & Wilkins
p. 309-24. 9. Sussman G. Management of the wound environment with dressing and topical agents. In: Sussman C, Bates- Jensen BM, editors. Wound Care A Collaborative Practice Manual for Health Care Professional. 4th ed. Baltimore & Philadelphia: Wolters Kluwer Health and Lippincott Williams & Wilkins
p. 502-21. 10. Nelson EA. Compression therapy, dressings and topical agents for venous ulcer healing. Phlebology 2010
25 Suppl 1:28-34. 11. O’Donnell TF Jr, Passman MA, Marston WA, Ennis WJ, Dalsing M, Kistner RL, et al. Management of venous leg ulcers: clinical practice guidelines of the Society for Vascular Surgery ® and the American Venous Forum. J Vasc Surg 2014
3S-59S. 12. Partsch H. Understanding the pathophysiological effects of compression. In: European Wound Management Association (EWMA).