Topical Sevoflurane: A Novel Treatment for Chronic Pain Caused by Venous Stasis Ulcers

AuthorMayank Arankeen
AuthorCynthia T Phamen
AuthorMelis Yilmazen
AuthorJason K Wangen
AuthorVwaire Orhurhuen
AuthorDaniel Anen
AuthorElyse M. Cornetten
AuthorAlan David Kayeen
AuthorAnh L Ngoen
AuthorFarnad Imanien
AuthorReza Farahmand Raden
AuthorGiustino Varrassien
AuthorOmar Viswanathen
AuthorIvan Uritsen
OrcidElyse M. Cornett [0000-0001-7961-3931]en
OrcidAlan David Kaye [0000-0003-2464-0187]en
OrcidFarnad Imani [0000-0003-0814-0772]en
OrcidReza Farahmand Rad [0000-0003-2783-6652]en
OrcidGiustino Varrassi [0000-0002-3822-2923]en
OrcidOmar Viswanath [0000-0002-6124-7037]en
OrcidIvan Urits [0000-0002-3652-6085]en
Issued Date2021-02-28en
AbstractIn the US, an estimated 1 - 2% of chronic venous insufficiency (CVI) patients (of 6 - 7 million nationwide) develop at least one venous stasis ulcer (VSU) during their illness. Of these, approximately 40% develop subsequent ulcers, making VSU prognostically poor. Current management of VSU is costly, with poor prognosis, high recurrence rate, inadequate pain management, and significantly reduced quality of life (QoL). Topical volatile anesthetic agents, such as sevoflurane, offer improved pain relief and symptom control in patients suffering from chronic VSU. The immediate impact of topical sevoflurane in reducing pain associated with ulcer bed debridement has several implications in improving the quality of life in patients with CVI induced ulcers and in the prognosis and healing of the ulcers. This review summarizes a topical formulation of a volatile anesthetic and its implications for the management of VSUs.en
DOIhttps://doi.org/10.5812/aapm.112832en
KeywordSevofluraneen
KeywordVenous Stasis Ulceren
KeywordPainen
KeywordVenous Insufficiencyen
KeywordAnalgesiaen
KeywordWound Managementen
PublisherBrieflandsen
TitleTopical Sevoflurane: A Novel Treatment for Chronic Pain Caused by Venous Stasis Ulcersen
TypeReview Articleen

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