Effect of hydrocolloid dressing on pressure ulcer in patients with non‐invasive positive pressure ventilation: A meta‐analysis

Abstract

This study systematically evaluated the effect of hydrocolloid dressings on facial pressure ulcers in patients receiving non‐invasive positive pressure ventilation (NIPPV). The Embase, PubMed, Cochrane Library, CNKI, VIP, Chinese Biomedical Literature Database and Wanfang databases were searched for randomised controlled trials on the use of hydrocolloid dressings in patients receiving NIPPV published from the inception of each database to August 2023. The literature was independently screened, data were extracted by two authors based on the inclusion and exclusion criteria, and the quality of the included literature was assessed. The meta‐analysis was performed using Stata 17.0. Thirteen studies including 1248 patients were included, with 639 patients in the intervention group and 609 patients in the control group. Meta‐analysis showed that the hydrocolloid dressing significantly reduced the incidence of facial pressure ulcers in patients with NIPPV (odds ratio = 0.16, 95% confidence intervals: 0.11–0.24, p < 0.001). Hydrocolloid dressings are effective in reducing the incidence of facial pressure ulcers in patients receiving NIPPV. However, because of the small number of included studies, this conclusion needs to be confirmed with larger samples and high‐quality clinical studies.

Role of hydrocolloid dressing in preventing face pressure ulcers from non‐invasive ventilation and facilitating postoperative wound healing in maxillofacial surgery: A meta‐analysis

“… 1 The prolonged pressure from NIV masks can lead to skin breakdown, causing discomfort, increasing the risk of infection and potentially complicating the patient's clinical course. 1 , 2 Traditional methods to mitigate this issue have included regular skin care and the use of barrier dressings, such as gauze. 3 However, recent studies have suggested that hydrocolloid dressings may offer superior protection against pressure ulcers due to their unique properties in maintaining moisture balance and promoting healing.…”

“…Facial pressure ulcers are a significant complication for patients undergoing non‐invasive ventilation (NIV), particularly in critical care settings 1 . The prolonged pressure from NIV masks can lead to skin breakdown, causing discomfort, increasing the risk of infection and potentially complicating the patient's clinical course 1,2 . Traditional methods to mitigate this issue have included regular skin care and the use of barrier dressings, such as gauze 3 .…”