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Chronic (5 months) Pressure Ulcer, Stage IV - Clinical Case

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Post Care

A 74 year old male with non healing stage IV sacral decubitus ulcer with osteomyelitis. Patient was admitted to the hospital for esophageal cancer surgery. Multisystemic organ failure occurred post surgery. During his hospital stay, he developed a sacral ulcer which required four surgical debridements as well as active wound management including VAC therapy. Despite extensive therapy, the Stage IV pressure ulcer located on the sacrum had been present for approximately 5 months at the time of presentation to the wound care center.  It has decreased in size from its original measurement of 6 cm x 9.2 cm x 4 cm.  Patient healed with use of Silvaklenz and Silvion, off loading, adequate nutrition and HBOT. Case courtesy of Dr. Belinda Marcus, M.D., FACEP, CWS - she is currently in practice as the Medical Director for North Fulton Hospital’s Hyperbaric and Wound Care Center.

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Post Care

Chronic (5 months) Stage IV Ulcer - Clinical Case

68-year-old male presented with a chronic (5 months) non healing Stage 4 sacral ulcer with osteomyelitis. Patient had back surgery followed by a fall and fracture of the left hip requiring surgical repair. He was subsequently diagnosed with DVTs, was found unresponsive, emergency transported to CCU where he was ventilated and subsequently contracted pneumonia/sepsis. He was then transferred to a rehab facility where he developed a sacral ulcer. The chronic unresponsive Stage IV pressure ulcer located on the sacrum is thought to be related to osteomyelitis.  The ulcer decreased in size from its original measurement of 3.5 cm x 3.5 cm x 2.8 cm.  Patient managed with HBOT, Silvaklenz and Silvion, off loading, adequate nutrition and control of BS. Case courtesy of Dr. Belinda Marcus, M.D., FACEP, CWS - she is currently in practice as the Medical Director for North Fulton Hospital’s Hyperbaric and Wound Care Center.

75-year-old female with diabetes mellitus presented for a Stage IV pressure ulcer of the buttock that had not healed after 9 months of traditional care. Patient was successfully managed with Silvaklenz and Silvion. Case courtesy of Dr. Belinda Marcus, M.D., FACEP, CWS - she is currently in practice as the Medical Director for North Fulton Hospital’s Hyperbaric and Wound Care Center.

Chronic (9 months) Non-Healing Pressure Ulcer, Stage IV - Clinical Case

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Post Care

Non-Healing (2 months) Stage 4 Sacral Ulcer Wound - Clinical Case

80-year-old male presented with non-healing (approximately 2 month) stage 4 sacral ulcer with underlying osteomyelitis following hospitalization for surgery. Silvaklenz and Silvion were used for wound management prior to wound closure with a graph. Case courtesy of Belinda Marcus, MD – Medical Director, HyperbaRXs at Northside Hospital, Forsyth