An international consensus on device-related pressure ulcers: SECURE prevention

Gefen, Amit; Alves, Paulo; Ciprandi, G; Coyer, Fiona; Milne, Catherine T.; Ousey, Karen; Ohura, Norihiko; Waters, Nicola; Worsley, Peter; Black, Joyce; Barakat‐Johnson, Michelle; Beeckman, Dimitri; Fletcher, Jacqui; Kirkland-Kyhn, Holly; Lahmann, Nils; Moore, Zena; Schlüer, Anna Barbara

doi:10.12968/bjon.2020.29.5.s36

Cited by 17 publications

(17 citation statements)

References 78 publications

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“…In the healthcare setting, The World Health Organization recommends the use of a particulate respirator such as the USA health-certified N95 mask, European Union standard FFP2, or equivalent to prevent droplet exposure to COVID-19. 6 These masks should be worn over the nose and mouth as a physical barrier to prevent droplets and splashes from reaching facial mucosa. 7 The pressure that the mask exerts on the skin is key to achieving its protective purpose, but when the masks are worn repetitively and for a long time, this external force can cause a variety of skin injuries.…”

Section: Overview Of Cutaneous Complicationsmentioning

confidence: 99%

The Impact of COVID-19 on the Faces of Frontline Healthcare Workers

Aguilera¹,

Pena²,

Viera³

et al. 2020

JDD

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As the coronavirus epidemic continues, a host of new cutaneous complications is seen on the faces of frontline healthcare workers wearing personal protective equipment on a daily basis. To minimize the risk of COVID-19 infection, healthcare workers wear tightfitting masks that lead to an excessive amount of pressure on the facial skin. Mechanical pressure, mask materials, and perspiration can all lead to various types of cutaneous lesions such as indentations of the face, skin tears, post-inflammatory hyperpigmentation, ulceration, crusting, erythema, and infection. The objective of this article is to provide effective and straightforward recommendations to those health care providers using facial masks in order to prevent skin-related complications.

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Section: Overview Of Cutaneous Complicationsmentioning

confidence: 99%

The Impact of COVID-19 on the Faces of Frontline Healthcare Workers

Aguilera¹,

Pena²,

Viera³

et al. 2020

JDD

View full text Add to dashboard Cite

show abstract

“…In the context of the current pandemic, the demand for high quality FFP2 (N95) and FFP3 (N99) masks, outstrips the worldwide supply, more than ever since lockdown exit strategies require population-wide wearing of face masks [5]. Furthermore, standard masks are not fitted to the individual facial anatomy and could provoke skin pressure ulcers when continuous wearing is obligatory [6]. These reasons necessitate exploring alternative solutions that are efficient, easy to produce and durable.…”

Section: A1111111111 A1111111111 A1111111111 A1111111111 A1111111111mentioning

confidence: 99%

A novel fully automatic design approach of a 3D printed face specific mask: Proof of concept

et al. 2020

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The use of high quality facemasks is indispensable in the light of the current COVID pandemic. This study proposes a fully automatic technique to design a face specific mask. Through the use of stereophotogrammetry, computer-assisted design and three-dimensional (3D) printing, we describe a protocol for manufacturing facemasks perfectly adapted to the individual face characteristics. The face specific mask was compared to a universal design of facemask and different filter container’s designs were merged with the mask body. Subjective assessment of the face specific mask demonstrated tight closure at the nose, mouth and chin area, and permits the normal wearing of glasses. A screw-drive locking system is advised for easy assembly of the filter components. Automation of the process enables high volume production but still allows sufficient designer interaction to answer specific requirements. The suggested protocol can be used to provide more comfortable, effective and sustainable solution compared to a single use, standardized mask. Subsequent research on printing materials, sterilization technique and compliance with international regulations will facilitate the introduction of the face specific mask in clinical practice as well as for general use.

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“…Moreover, the current prevalence of PUs has been reported to be exponentially higher because the breakout of the coronavirus 2019 pandemic 2‐5 . Serious PU cases are typically associated with considerable suffering, loss of quality of life, and sometimes severe pain, risk of infection, osteomyelitis, sepsis, and development of multiple organ failure leading to death 1,6 . Furthermore, the treatment of PUs is typically lengthy and costly, may involve expensive litigation and can negatively impact institutional quality measures 7 .…”

Section: Introductionmentioning

confidence: 99%

“… 2 , 3 , 4 , 5 Serious PU cases are typically associated with considerable suffering, loss of quality of life, and sometimes severe pain, risk of infection, osteomyelitis, sepsis, and development of multiple organ failure leading to death. 1 , 6 Furthermore, the treatment of PUs is typically lengthy and costly, may involve expensive litigation and can negatively impact institutional quality measures 7 . The most common anatomical site for hospital‐acquired PUs is the sacrum, a region at which deep injuries (nearing or reaching bone tissue) account for at least one of four wounds.…”

Section: Introductionmentioning

confidence: 99%

Three‐dimensional shape‐conformation performances of wound dressings tested in a robotic sacral pressure ulcer phantom

Lustig

Gefen

2021

International Wound Journal

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Effective exudate retention by dressings requires close and intimate dressing‐wound contact, immediately and continuously after the dressing application. Any dressing‐wound spaces may allow for build‐up of non‐retained fluids, causing exudate pooling which forms a favourable environment for pathogen growth. Maceration may follow if the pooled exudates spread to peri‐wound skin. Dressings with a claimed 3D‐shape‐conformation technology are commercially available; however, their effectiveness in minimising dressing‐wound gaps has never been scientifically investigated. We present a novel bioengineering methodology for testing the effectiveness of such 3D‐shape‐conformation dressings, using our recently reported robotic phantom system of a sacral pressure ulcer. By means of 3D laser scanning and bespoke software, we reconstructed dressing shapes after simulated use and calculated the goodness‐of‐fit between each dressing (swelled to near‐saturation) and the corresponding wound geometry. Two dressing sizes (10 × 10 cm and 12.5 × 12.5 cm) and two wound depths (2.5 or 2 cm) were considered. All the tested dressings were far from reaching good contact with the (simulated) wounds: Approximately one‐third of the wound volume and nearly half of the wound surface were not in contact with the swelled dressings. Our present findings question whether 3D‐shape‐conformation dressings are effective, by revealing their swelling behaviour which was previously unknown.

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An international consensus on device-related pressure ulcers: SECURE prevention

Abstract: Catherine Milne and colleagues present the findings of their review, ccna2@juno.com

Cited by 17 publications

References 78 publications

The Impact of COVID-19 on the Faces of Frontline Healthcare Workers

The Impact of COVID-19 on the Faces of Frontline Healthcare Workers

A novel fully automatic design approach of a 3D printed face specific mask: Proof of concept

Three‐dimensional shape‐conformation performances of wound dressings tested in a robotic sacral pressure ulcer phantom

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