The practicing physicians' guide to pressure ulcers in 2008.

Let us now revisit the patient MS. The clinician performed sharp debridement of the devitalized tissue with a scalpel. The remaining slough was removed using enzyme therapy--Santyl Collagenase, for example. The debridement revealed a stage III ulcer. The wound was irrigated daily with normal saline and lightly packed with a hydrogel-impregnated dressing (to provide moisture). The macerated skin surrounding the wound was protected from excessive moisture using a topical material, Skin Prep, for example. A nutritionist was consulted, who advised a multivitamin and a protein supplement. Wound closure was achieved in a timely fashion.