title: Patient Positioning and Skin Sequelae: Ischemic Epidermal Necrosis from Tight Padding During Cardiac Surgery.
abstract: Careful positioning and padding of pressure points during surgery are recommended to prevent pressure ulcers, vascular injury, and nerve damage in an immobilized patient. However, overpadding may have unintended consequences. We report a case of ischemia-induced full-thickness epidermal necrosis secondary to tight foam padding during a cardiac surgery.
authors.affiliation: From the *Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and †Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York City, New York.
authors.forename: Mona
authors.initials: M
authors.lastname: Sadeghpour
authors.forename: Jeremiah
authors.initials: J
authors.lastname: Au
authors.forename: Jonhan
authors.initials: J
authors.lastname: Ho
authors.forename: Jaime
authors.initials: J
authors.lastname: Hyman
authors.forename: Timothy
authors.initials: T
authors.lastname: Patton
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000175:diagnosis / Q000209:etiology; D056888:Patient Positioning / Q000009:adverse effects*; D003668:Pressure Ulcer / Q000175:diagnosis* / Q000209:etiology*; D012867:Skin / Q000473:pathology