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Management of Pressure Injuries in Neurosurgical Patients 

Management of Pressure Injuries in Neurosurgical Patients
Chapter:
Management of Pressure Injuries in Neurosurgical Patients
Author(s):

Rene Daniel

and Babak Abai

DOI:
10.1093/med/9780190913779.003.0011
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date: 05 April 2020

Wound management is an important component of the care for neurosurgical patients. Improper wound management can lead to patient suffering, morbidity, increased length of stay, readmission, increased cost of care, and, in some cases, infection, sepsis, and mortality. The neurosurgeons manage the neurosurgical wounds. In contrast, pressure wounds are usually managed by a team led by the hospitalist. In this chapter, the authors outline the standards of care for management of pressure injuries prior to, during, and after neurosurgery procedures. The focus will be on the role of the hospitalist in this process. The crucial role of the collaboration among hospitalists, nursing staff, neurosurgeons, wound specialists, and general surgeons will be highlighted. The authors emphasize the role of evidence-based management in this process and propose an algorithm for the care of these wounds based on current understanding. Finally, the areas of needed research to achieve the best level of care are explored.

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