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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.

Type

Journal article

Journal

British journal of nursing (Mark Allen Publishing)

Publication Date

03/2006

Volume

15

Pages

S20 - S25

Addresses

University of Oxford, UK.

Keywords

Heel, Humans, Pain, Postoperative, Perioperative Care, Analgesia, Epidural, Nerve Block, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Severity of Illness Index, Incidence, Prevalence, Risk Factors, Orthopedics, Wound Healing, Aged, Aged, 80 and over, Middle Aged, Nurse Clinicians, Hospitals, Special, Risk Management, Nursing Assessment, England, Pressure Ulcer, Female, Male