Keywords

heel pressure ulcer, debridement, anesthesia

Authors

1. O'Neill, Daniel K. MD
2. Tsui, Shek-man BS
3. Ayello, Elizabeth A. PhD, RN, ACNS-BC, CWON, MAPWCA, FAAN
4. Cuff, Germaine MPH, BSN, CCRP
5. Brem, Harold MD

Abstract

ABSTRACT: Heel ulcers are clinically challenging. Limited subcutaneous tissue covering the calcaneus bone makes the heel vulnerable to pressure injury. Adequate debridement of fibrotic, infected, and necrotic tissue is essential for healing. The authors report a standardized anesthesia protocol using regional anesthesia with sedation rather than general anesthesia for heel debridement.