Nursing and Respiratory Collaboration Prevents BiPAP-Related Pressure Ulcers

Acorda, Darlene E.

doi:10.1016/j.pedn.2015.04.001

Cited by 14 publications

(10 citation statements)

References 7 publications

(7 reference statements)

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“…Complications from the interface are common and may be related to an inappropriate fitting (skin injury, leaks, mucosal drying or excessive skin hydration, conjunctivitis, corneal ulcers) [157,[160][161][162] or the pressure exerted by the interface (skin erythema or ulcer, facial deformity, maxillary retrusion) [96,160,161,163] (Table 2).…”

Section: And 42)mentioning

confidence: 99%

ERS statement on paediatric long-term noninvasive respiratory support

et al. 2021

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Long term noninvasive respiratory support, comprising continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV), in children is expanding worldwide, with increasing complexities of children being considered for this type of ventilator support and expanding indications such as palliative care. There have been improvements in equipment and interfaces. Despite growing experience, there are still gaps in a significant number of areas: there is a lack of validated criteria for CPAP/NIV initiation, optimal follow-up and monitoring; weaning and long term benefits have not been evaluated. Therapeutic education of the caregivers and the patient is of paramount importance, as well as continuous support and assistance, in order to achieve optimal adherence. The preservation or improvement of the quality of life of the patient and caregivers should be a concern for all children treated with long term CPAP/NIV. As NIV is a highly specialised treatment, patients are usually managed by an experienced pediatric multidisciplinary team. This Statement written by experts in the field of pediatric long term CPAP/NIV aims to emphasize on the most recent scientific input and should open up to new perspectives and research areas.

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Section: And 42)mentioning

confidence: 99%

ERS statement on paediatric long-term noninvasive respiratory support

et al. 2021

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“…23 A study by Weng 24 showed the potential protective effect of hydrocolloid and polyurethane dressings on NIV-R FPUs. However, Acorda 25 described that foam dressings, even if not strongly adhesive, redistributed pressure better than hydrocolloid dressings. Our literature review on the subject found different studies showing large variability on the preventive measures, as well as highly dispersed results about the incidence of NIV-R FPUs.…”

Section: External Pressure and Medical Device-related Pusmentioning

confidence: 99%

“…The authors recognised some possible limitations related to the population size and the randomisation of patients. In the paper by Acorda 25 the use of foam dressings to prevent PUs is recommended; however, the effect of foam dressings was not compared with the effect of alternative therapies.…”

Section: Efficacy In Preventing Niv-related Fpusmentioning

confidence: 99%

Preventing facial pressure ulcers in patients under non-invasive mechanical ventilation: a randomised control trial

et al. 2017

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“…9,10 Therefore, facial pressure injuries is a common complication during the use of non-invasive ventilation equipment. 11 It will cause severe pain, ulcers, or bleeding, 12 at the same time, damage to the local skin may further induce infection or even aggravate the condition, which is not conducive to disease recovery, 13 even lead to ventilation equipment intolerance, increased patient suffering and medical costs. 14 At present, due to the different sample sizes and the fact that there are few large-scale epidemiological investigations on facial pressure injury related to adult noninvasive ventilation equipment at home and abroad, most of them are limited to a single city or country, reporting the current situation of facial pressure injury in a single institution.…”

Section: Introductionmentioning

confidence: 99%

The prevalence and risk factors of facial pressure injuries related to adult non‐invasive ventilation equipment: A systematic review and meta‐analysis

Wei

Pei

Yang

et al. 2022

International Wound Journal

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To systematically assess the prevalence of facial pressure injuries related to adult non-invasive ventilation equipment, and risk factors of facial pressure injuries. PubMed, Cochrane Library, Web of Science, Embase, China Knowledge Resource Integrated Database, Wanfang Database, Chinese Biomedical Database and Weipu Database were comprehensively searched for observational studies investigating the prevalence and risk factors of facial pressure injuries related to adult non-invasive ventilation equipment from inception to May 16th, 2022. Filter articles based on inclusion and exclusion criteria. The quality of the included studies was evaluated independently by two investigators. Meta-analysis was conducted using Stata 16.0 software package. In total, 2835 articles were screened and data from 12 studies were used in meta-analysis. The prevalence of facial pressure injuries related to adult non-invasive ventilation equipment was 25% (95% confidence interval, CI:15% to 37%, I 2 = 97.34%, P < 0.0001). After controlling for confounding variables, the following risk factors of facial pressure injuries: use equipment form, with diabetes, fever, cumulative time of using equipment, facial skin oedema and Glasgow score. Understanding the risk factors of facial pressure injuries can provide the healthcare personnel with the theoretical basis for the management and treatment of the patients.

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Nursing and Respiratory Collaboration Prevents BiPAP-Related Pressure Ulcers

Cited by 14 publications

References 7 publications

ERS statement on paediatric long-term noninvasive respiratory support

ERS statement on paediatric long-term noninvasive respiratory support

Preventing facial pressure ulcers in patients under non-invasive mechanical ventilation: a randomised control trial

The prevalence and risk factors of facial pressure injuries related to adult non‐invasive ventilation equipment: A systematic review and meta‐analysis

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