To prevent intraoperative pressure ulcer development on the heels, what is the best intervention?

Elevating or offloading the heels off the bed is the most effective intervention for preventing intraoperative pressure ulcer development specifically on the heels. This approach minimizes direct pressure on the vulnerable heel area, which is critical since prolonged pressure can compromise blood flow to the tissues, leading to ischemia and ulceration. By positioning the patient in a way that their heels do not rest on the bed surface, the risk of pressure injuries is significantly reduced.

While using specialized foam boots can offer some cushioning and support, they may not fully alleviate pressure from the heels, especially if they are still resting on the bed. Regular repositioning is a valuable practice in preventing pressure ulcers throughout the body, but it may not effectively target the specific heel pressure issue during surgical procedures. Applying lotion may help with skin integrity but does not address the mechanical pressure factors that lead to ulcer formation. Therefore, offloading the heels is the most direct and efficient method to protect that area during surgery.