Use of Alternatives to Air-Fluidized Support Surfaces in the Care of Complex Wounds in Postflap and Postgraft Patients

Abstract

Air-fluidized support surface therapy has many drawbacks, such as dehydration, in an already difficult recovery for those wound patients who have undergone flap and graft surgery. In addition, patient care and handling are also problematic. Patients complain of discomfort, and the instability of the surface interferes with patient stability in side lying and semi-Fowler's positions. Alternative support surfaces can be considered for postflap or postgraft patients. Such technologies as alternating pressure, low-air-loss, and therapeutic nonpowered, advanced, and lateral rotation surfaces are widely used for pressure management in high-risk patients and those with existing pressure ulcers. These surfaces must be used within a total pressure ulcer management program that includes frequent turning and repositioning, skin and ulcer care according to evidence-based protocols, patient and caregiver instruction, nutrition, and offloading and positioning. The proposed recommendations require more research on the relative effectiveness of less expensive and more user-friendly support surfaces such as low-air-loss and nonpowered advanced support surfaces and is necessary in order to conclusively recommend one type of surface over another. However, at this time the available clinical studies and opinions remain positive.

Microgravity, Levitation and Plastic Surgery

“…A few patients complain of discomfort, and the instability of the surface interferes with their movements in side lying and semi-Fowler's positions. 14 The perfect levitation bed has yet to be invented.…”

“…Although air-fluidized support surface therapy is now widely used in most plastic surgery wards, it has also several drawbacks such as dehydration, and problematic patient care and handling. A few patients complain of discomfort, and the instability of the surface interferes with their movements in side lying and semi-Fowler's positions 14 . The perfect levitation bed has yet to be invented.…”