Prise en charge de l’ulcère de jambe à prédominance veineuse hors pansement - Managing venous leg ulcers - Quick reference guide

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Posted on Nov 30 2006 Treat with high-pressure compression if PAOD1 is not present Use multilayered compression if possible Ensure that patients comply with compression Adapt treatment if there is associated PAOD Perform superficial venous surgery and/or prescribe long-term compression to prevent recurrence Posted on Nov 30 2006

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Économie de la santé Médecine

QUICK REFERENCE GUIDE

Managing venous leg ulcers (excluding dressings)

June 2006

AIM How to diagnose and treat ulcers of predominantly venous origin

Treat with high-pressure compression if PAOD1is not present  if possibleUse multilayered co pression m Ensure that patients comply with compression Adapt treatment if there is associated PAOD Perform superficial venous surgery and/or prescribe long-term compression to

prevent recurrence DIA GNOSING VENOUS ULCERS OF VENOUS ORIGIN Look for previous venous disorders and clinical signs of chronic venous insufficiency Look for associated PAOD (risk factors, clinical signs) Measure ABI2(see limitations in Box 1)   If ABI between 0.9 and 1.3|pure venous ulcer (no PAOD)  If ABI between 0.7 and 0.9|mixed ulcer of predominantly venous origin (PAOD did not cause the ulcer) Prescribe venous Doppler ultrasound Prescribe Doppler ultrasound of the arteries if:  palpable peripheral pulses are absent  symptoms or other clinical signs of PAOD are present  ABI <0.9 or >1.3 (arterial stiffening).