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KMID : 0352120210360010015
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Journal of Kyung Hee University
2021 Volume.36 No. 1 p.15 ~ p.20
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Intraoperative Pressure Injury during Prolonged Neurovascular Surgery
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Kim Mi-Hyeon
Choi Jeong-Hyun
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Abstract
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Incidence of intraoperative pressure injury is higher than incidence of pressure ulcer in patients who don’t have surgery. Efforts should be made to reduce the incidence of pressure injury as the number of prolonged operations increases and various surgical positions are applied.
In this report, intraoperative pressure blister formation occurred to a 49-year old man who had 30 hours long neurovascular surgery. The causes of pressure induced blister in this case are expected to prolonged surgery time, low Hb concentration, park bench position, low albumin concentration below 3.0g/dL and hypertension. It is necessary to judge whether or not the patients are vulnerable to pressure injury and to perform early correction of risk factors before surgery. If the risk of pressure injury is high, more active prevention, for example, padding and protection tools such as gel pad or air mattress should be used.
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KEYWORD
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Pressure ulcer, Intraoperative damage, Blister, General anesthesia
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Listed journal information
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