<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2020000500268</article-id>
<article-id pub-id-type="doi">s1134-928x2020000500013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sevoflurano tópico como tratamiento alternativo fuera de indicación para una úlcera por presión en paciente frágil]]></article-title>
<article-title xml:lang="en"><![CDATA[Off-label topical sevoflurane as an alternative treatment for a pressure ulcer in a frail patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo Carrión]]></surname>
<given-names><![CDATA[Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Liria Sánchez]]></surname>
<given-names><![CDATA[Pedro Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gerónimo-Pardo]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Hospitalario Universitario de Albacete Hospital Nuestra Señora del Perpetuo Socorro ]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Complejo Hospitalario Universitario de Albacete Servicio de Cirugía Plástica y Reparadora ]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Complejo Hospitalario Universitario de Albacete Servicio de Anestesiología, Reanimación y Terapéutica del Dolor ]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>31</volume>
<numero>4</numero>
<fpage>268</fpage>
<lpage>270</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2020000500268&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2020000500268&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2020000500268&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Una paciente frágil tetraparética presentaba una úlcera por presión sacra que se había mostrado resistente al tratamiento conservador tópico, consistente en higiene postural y curas con sulfadiazina de plata. Fue programada para cirugía de cobertura con colgajo glúteo, pero ante el elevado riesgo anestésico se le ofertó intentar curar la herida con sevoflurano tópico, lo cual fue aceptado. El sevoflurano fue aplicado diariamente en domicilio, y la herida evolucionó satisfactoriamente, con reducción progresiva de la superficie y la profundidad hasta cerrar por completo en pocas semanas, evitándose así una intervención quirúrgica. El empleo fuera de indicación de sevoflurano irrigado tópicamente sobre el lecho de heridas complejas aparece como una herramienta muy ventajosa, pues supone una alternativa a medidas más invasivas y es de fácil aplicación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT A frail tetraparetic patient suffered from a sacral pressure ulcer which had been refractory to conservative topical treatment, consisting in postural hygiene and application of silver sulfadiazine cream. A gluteal flap surgery had been scheduled but, due to the high anesthetic risk, the patient was offered to try to heal the ulcer with topical sevoflurane, which was accepted. Sevoflurane was daily applied at home, and the wound condition successfully improved, showing a progressive reduction in its size and deepness until it was considered fully healed after few weeks; as a consequence, the scheduled surgery was avoided. Off-label use of topical sevoflurane on complicated wounds seems to be valuable, since it represents a noninvasive alternative and it is very easy to perform.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sevoflurano]]></kwd>
<kwd lng="es"><![CDATA[administración tópica]]></kwd>
<kwd lng="es"><![CDATA[úlcera por presión]]></kwd>
<kwd lng="es"><![CDATA[antiinfecciosos locales]]></kwd>
<kwd lng="es"><![CDATA[cicatrización de heridas]]></kwd>
<kwd lng="es"><![CDATA[paraplejía]]></kwd>
<kwd lng="en"><![CDATA[Sevoflurane]]></kwd>
<kwd lng="en"><![CDATA[topical administration]]></kwd>
<kwd lng="en"><![CDATA[pressure ulcer]]></kwd>
<kwd lng="en"><![CDATA[local anti-infective agents]]></kwd>
<kwd lng="en"><![CDATA[wound healing]]></kwd>
<kwd lng="en"><![CDATA[paraplegia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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