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      Efectos del Sevoflurano tópico en úlceras vasculares. A propósito de un caso Translated title: Efects of topical Sevoflurane in the treatment of vascular ulcers. Report of a clinical case

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          Abstract

          Resumen El sevoflurano es un líquido volátil no inflamable, derivado halogenado del éter que se utiliza para inducción y mantenimiento de la anestesia general, por vía inhalatoria. Se han descrito sus propiedades analgésicas, antimicrobianas y vasodilatadoras en el tratamiento de las úlceras venosas crónicas. En el presente artículo reportamos un caso clínico de utilización de sevoflurano tópico en nuestra unidad, en una paciente que presentaba úlceras venosas sin mejoría tras cuidados estándar. Se inician instilaciones del fármaco, registrando una mejoría del dolor basal y del estado de las úlceras.

          Translated abstract

          Abstract Sevoflurane is a volatile non-flammable liquid, halogenated derivative of ether and used inhaled for induction and maintenance of general anesthesia. Its analgesic, antimicrobial and vasodilator properties have been described in the treatment of chronic venous ulcers. In this article we report a clinical case of the use of topical sevoflurane in our unit, in a patient who presented with venous ulcers without improvement after standard care. Drug instillations were initiated, recording an improvement in basal pain and the state of ulcers.

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          Most cited references7

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          Irrigation with Liquid Sevoflurane and Healing of a Postoperative, Recurrent Epidural Infection: A Potential Cost-Saving Alternative

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            Pain reduction of topical sevoflurane vs intravenous opioids in pressure ulcers.

            Recently, it has been reported that topical irrigations of liquid sevoflurane on the bed of painful wounds produce a rapid, intense, and lasting analgesic effect. In this paper, A cohort of 112 patients with painful pressure ulcers who were refractory to opioids (or who exhibited undesirable adverse events to them) was treated with topical sevoflurane as per local institutional policy. These patients were recruited from an intensive care unit for a period of 3 years. The main aim was to determine the effectiveness of topical sevoflurane in reducing the pain of PUs and reducing the ulcer area. Study findings are reported and discussed herein and suggest that sevoflurane is a viable and promising treatment option for PUs.
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              Sevoflurano tópico: una nueva opción terapéutica paliativa en las úlceras cutáneas

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                Author and article information

                Journal
                had
                Hospital a Domicilio
                Hosp. domic.
                Centro Internacional Virtual de Investigación en Nutrición (CIVIN) (Alicante, Alicante, Spain )
                2530-5115
                June 2020
                : 4
                : 2
                : 95-100
                Affiliations
                [1] orgnameHospital Universitario de San Juan orgdiv1Unidad de Hospitalización a Domicilio España
                Article
                S2530-51152020000200006 S2530-5115(20)00400200006
                10.22585/hospdomic.v4i2.101
                004f5f85-fb2d-448f-b57f-92ed3d10427a

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 23 March 2020
                : 23 February 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 10, Pages: 6
                Product

                SciELO Spain

                Categories
                Notas clínicas

                Sevoflurane,Skin Ulcer,Úlcera Cutánea,Palliative Care,Sevoflurano,Cuidados Paliativos

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