Prevalence and risk factors of nasal pressure ulcers related to nasogastric intubation: an observational study

Asti, Emanuele; Sironi, Andrea; Milito, Pamela; Bonavina, Luigi; Bonitta, Gianluca; Bonavina, Luigi

doi:10.1007/s10353-017-0476-y

Cited by 7 publications

(9 citation statements)

References 12 publications

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“…Pressure ulcers to the nostrils related to nasogastric use after surgery have seldom been reported in the medical literature. Nevertheless, it is estimated that more than one-third of hospital-acquired pressure ulcers are medical device-related, and that the nasogastric is responsible for significant and permanent lesions in 5–8% of patients 12 . We have not focused on patients postsurgery in our implementation project, we have assessed patients in long-term care, but we assume similar problems related to the nasogastric probe insertion exist with other patient groups.…”

Section: Discussionmentioning

confidence: 99%

“…Setting the proper care and education of the nursing staff is essential for the effective prevention of MDRPI. 12 Another implementation project 15 also focused on the prevention of MDRPI in patients with nasogastric probes, specifically on the fixation and stabilization of the probe, evaluation of the area near the probe, relief of probe pressure, and recording in nursing documentation. The aim was to create guidelines based on the study of professional resources and implementation into clinical practice.…”

Section: Discussionmentioning

confidence: 99%

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Medical device-related pressure injury prevention related to fixation of nutritional and derivative probes: a best practice implementation project

Saibertová

Klugarová

Klugar

et al. 2022

International Journal of Evidence-Based Healthcare

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The main objective was to improve the provision of clinical care in pressure injury prevention related to the use of medical devices focused on nasogastric probes. Introduction:The insertion of nasogastric probes could lead to the formation of medical device-related pressure injuries (MDRPI). The risk increases with the length of the probe insertion and is higher in patients in intensive care. MDRPI prevention is mostly based on appropriate skin and mucosa membrane and tissue monitoring and positioning of the medical devices. Methods:The project has been conducted based on JBI Implementation approach for promoting change in healthcare practice. A baseline audit on MDRPI prevention was undertaken and involved 21 nurses and 12 patients using a questionnaire for nurses and a record sheet for patient's monitoring. The intervention included education, clinical practice training, consultation, and other strategies. A follow-up audit was undertaken, including all original participants. Results data on changes in compliance were measured using descriptive statistics embedded in JBI-PACES in the form of percentage changes from baseline.Results: There were significantly improved outcomes across all best practice criteria. The level of knowledge of nurses increased. Skin barrier creams and mass-supplied fixation are now used to prevent skin injuries on the nose. The new monitoring and documentation is more accurate and in line with evidence-based practice. Conclusion:Overall, the project achieved an improvement in evidence-based practice in the prevention of MDRPI in patients with nasogastric probes based on nurses' increased level of knowledge and usage of appropriate preventative measures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Medical device-related pressure injury prevention related to fixation of nutritional and derivative probes: a best practice implementation project

Saibertová

Klugarová

Klugar

et al. 2022

International Journal of Evidence-Based Healthcare

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“…PIs related to these devices are underestimated in clinical practice and rarely reported in the scientific literature. Inadequate fixation around the nostril quickly induces tissue ischemia, leading to lesion formation (13) . A systematic review (14) on the subject concluded that there is insufficient evidence to suggest a fixation technique or device over another.…”

Section: Discussionmentioning

confidence: 99%

Medical device-related pressure injury prevention in critically ill patients: nursing care

et al. 2021

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Objectives: to know the care implemented by the nursing team to prevent medical device-related pressure injuries in critically ill patients. Methods: this is a qualitative research conducted with 15 nursing professionals from Intensive Care Unit. Sampling was carried out by theoretical saturation. For data analysis, the Discourse of the Collective Subject technique was used. Results: six speeches emerged, whose central ideas were interventions for medical device-related pressure injury prevention: care in fixation; frequent repositioning; protection and padding of body areas in contact; preferences for flexible materials, when available; attention of professionals so that they do not comer under patients; early assessment and removal, when clinically possible. Final Considerations: nursing care was directed mainly to respiratory devices, catheters in general and monitoring equipment, indicating that professionals have the knowledge to provide safe assistance consistent with the literature.

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“…The pressure in the nostril due to the tube and its fixation causes severe tissue damage and evolution to necrosis, especially in patients with prolonged anesthetic duration. 19 A non-randomized descriptive study compared the incidence of MDRPI with the use of conventional fixation (23% of cases) and a new type of more anatomically shaped adhesive (4% of cases) in the nostril. There was a significant decrease in lesions with the use of the anatomical fixator between the conventional fixator.…”

Section: /14mentioning

confidence: 99%

Medical-Device-Related Pressure Injury on Adults: An Integrative Review

Cavalcanti

Kamada

2020

Texto contexto - enferm.

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Objective: to identify factors associated with medical-device-related pressure injury. Method: an integrative review of published articles on the subject related to the adult population in the databases of PUBMED, Scopus, MEDLINE, Latin American and Caribbean Health Sciences Literature (Literatura Latino-Americana e do Caribe em Ciências da Saúde, LILACS), Web of Science and Nursing Database (Banco de Dados em Enfermagem, BDENF), between 2013 and 2018. Results: medical-device-related pressure injuries were common in adults, especially in the elderly, due to capillary fragility, among other changes. Other observed factors were length of stay, critically ill patients or those requiring any type of medical device. Numerous medical devices have been associated with skin lesions; among the most frequent were breathing, feeding, and orthopedic devices, tubes, oximeters, neck collars, patches and nasogastric tubes. Conclusion: the first step towards prevention is exploration in terms of identifying the types of injury-causing devices and evidence-based interventions, and disseminating information to the entire multidisciplinary team.

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Prevalence and risk factors of nasal pressure ulcers related to nasogastric intubation: an observational study

Cited by 7 publications

References 12 publications

Medical device-related pressure injury prevention related to fixation of nutritional and derivative probes: a best practice implementation project

Medical device-related pressure injury prevention related to fixation of nutritional and derivative probes: a best practice implementation project

Medical device-related pressure injury prevention in critically ill patients: nursing care

Medical-Device-Related Pressure Injury on Adults: An Integrative Review

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