Edwards Jane L, Pandit Hemant, Popat Mansukh T
University of Oxford, UK.
Br J Nurs. 2006;15(6):S20-5. doi: 10.12968/bjon.2006.15.Sup1.20688.
This article presents the incidence of heel pressure ulcers after an elective hip or a knee replacement. The majority of patients in the authors' institute receive either a neuraxial block (epidural and/or spinal) or peripheral nerve blocks (femoral and sciatic), depending on the anaesthetist's and surgeon's preference, and the patient's physical status. The past few years have seen increasing use of peripheral nerve blocks for knee replacement surgery. Patients with either the central or peripheral nerve blockade are at an increased risk of developing heel pressure ulcers. This article describes the experience at a tertiary referral centre and, in particular, highlights the risk of developing heel ulcers in patients receiving peripheral nerve blocks. Medical and nursing staff looking after these patients should be made aware of this complication and appropriate measures should be taken to prevent this avoidable complication.
本文介绍了择期髋关节或膝关节置换术后足跟压疮的发生率。作者所在机构的大多数患者根据麻醉师和外科医生的偏好以及患者的身体状况，接受神经轴阻滞（硬膜外和/或脊髓阻滞）或周围神经阻滞（股神经和坐骨神经阻滞）。在过去几年中，周围神经阻滞在膝关节置换手术中的应用越来越多。接受中枢或周围神经阻滞的患者发生足跟压疮的风险增加。本文描述了一家三级转诊中心的经验，尤其强调了接受周围神经阻滞的患者发生足跟溃疡的风险。照顾这些患者的医护人员应了解这种并发症，并应采取适当措施预防这种可避免的并发症。
