Prevention of pressure injury in the operating room: Heels operating room pressure injury trial

Abstract

The objective was to evaluate the efficacy of multi‐layered silicone foam (intervention) compared with transparent polyurethane film (control) in preventing heel pressure injuries caused by surgical positioning of individuals undergoing elective surgery. It was designed an intra‐patient, open, parallel, randomised controlled trial was conducted in a university hospital in southern Brazil, from March 2019 to February 2020, with patients undergoing elective surgeries of cardiac and gastrointestinal specialties. The patients who met the selection criteria constituted, simultaneously, a single group receiving the intervention and active control, through paired analysis of the cutaneous sites (right heel and left heel). The outcome was the occurrence of PI, within the follow‐up period was 72 hours. Brazilian Registry of Clinical Trials: RBR‐5GKNG5. There was analysis of 135 patients/270 heels, with an overall incidence of 36.7%. The pressure injury incidence was significantly lower in the intervention group (26.7%), compared with the control group (P = .001); relative risk of 0.57. In the intervention group, the estimated pressure injury‐free time (survival) was 57.5 hours and in the control group, 43.9 hours. It was concluded that Multi‐layered silicone foam (intervention) is more efficacious than transparent polyurethane film (control) in the prevention of pressure injuries caused by surgical positioning of individuals undergoing elective surgery.

Prevention Effects of Chain Management on Pressure Ulcers of Hospitalized Patients

“…If local tissue of the body is under pressure for a long time, the blood circulation in the body will be obstructed, which leads to skin injury. When tissue lacks nutrients, local tissue will be ruptured and necrotic and such a phenomenon is called pressure ulcers [ 16 , 17 ]. The existence of pressure ulcers in the operating room not only affects the quality of the operation but also causes depression of the patient's mood, which is not conducive to the recovery of the patient, increases the patient's hospital stay, and increases the medical burden.…”

“…If local tissue of the body is under pressure for a long time, the blood circulation in the body will be obstructed, which leads to skin injury. When tissue lacks nutrients, local tissue will be ruptured and necrotic and such a phenomenon is called pressure ulcers [16,17].…”

Preventing pressure injury in open‐heart surgical patients: A systematic review

“…The 10 included studies’ characterization are described in Table 1. Regarding the PI preventive interventions, most of the featured studies focused on multilayer silicone foam 16,18,20 . Other studies were about implementation of donut‑shaped cushions, 14 Care bundles including skin protection 17 multiple intervention programs including educating operating room and cardiovascular surgical intensive care unit staff on PIP strategies, 15 alternative inflatable head pads, 19 thermoactive viscoelastic foam pad, 21 foam mattresses and electric bed frames, 22 and low‐air loss bed 23 .…”

Ameli̇yathanede Önlenmesi̇ Gereken Önemli̇ Bi̇r Ri̇sk: Basinç Yaralanmasi

“…( 43) 51 sağlıklı gönüllü ile yapmış oldukları karşılaştırmalı bir çalışmada içi hava ile şişirilmiş statik minder ve içinde sıvı dolaşan bir destek yüzeyde sakral bölgedeki basıncın, jel ve köpük destek yüzeylerine göre daha az olduğunu bildirmişlerdir. Yapılan diğer çalışmalarda topuklara destek yüzey olarak kullanılan silikon köpük örtülerin basınç yaralanma riskini azaltmada poliüretan filmden daha etkili olduğu bildirilmiştir (7,40).…”

“…Eberhardt ve ark. (7) yaptıkları çalışmada basınç yarası gelişiminde birçok faktörün rol aldığını ve ameliyathane kaynaklı basınç yaralanmalarının %1.3-%54.8 arasında görüldüğünü belirtmiştir. Başka bir çalışmada hastane kaynaklı basınç yaralarının %45'inin ameliyathane kaynaklı olduğu bildirilmiştir (5).…”