Article: Rare presentation of restraint injury over the bilateral axillae: a case report
| creativeworkseries.issn | Online ISSN: 2676-1424; Print ISSN: 2676-1319 | |
| dc.contributor.author | Giri, Piyush | |
| dc.contributor.author | Rayamajhi, Bhuwan | |
| dc.contributor.author | Gurung, Narendra Vikram | |
| dc.creator.affiliation | Department of Plastic Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara | |
| dc.creator.affiliation | Department of Plastic Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara | |
| dc.creator.affiliation | Department of Plastic Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara | |
| dc.date.accessioned | 2026-09-28T03:47:04Z | |
| dc.date.available | 2026-09-28T03:47:04Z | |
| dc.date.issued | 2026 | |
| dc.description.abstract | Physical restraints are frequently used in intensive care units to prevent treatment interference in agitated patients. Although restraint-related complications are well documented, pressure ulcers occurring at unusual anatomical site are rarely reported. We report a 52-years-old male who developed bilateral axillary pressure ulcers following prolonged physical restraint during an intensive care unit stay after decompressive craniectomy for traumatic intracranial hemorrhage. Restraints were applied to the wrists and ankles with straps passing through the axillae. This case highlights a rare but preventable complication of physical restraint use. Proper application, vigilant monitoring, and early identification of complications are essential. | |
| dc.identifier.doi | https://doi.org/10.3126/nmcj.v28i2.97788 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/7873 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical College Pvt. Ltd. | |
| dc.subject | Restraint injury | |
| dc.subject | Bilateral axillae | |
| dc.subject | Latissimus dorsi musculocutaneous flap | |
| dc.title | Rare presentation of restraint injury over the bilateral axillae: a case report | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Case Report | |
| oaire.citation.endPage | 177 | |
| oaire.citation.startPage | 174 | |
| relation.isJournalIssueOfPublication | 7343f6a1-de6b-4f54-9249-346798b158af | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 7343f6a1-de6b-4f54-9249-346798b158af | |
| relation.isJournalOfPublication | 865934c8-5e95-468c-8ca6-7bb2529e4064 |
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