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

Sabrina Guterres Da Silva Galetto,Eliane Regina Pereira Do Nascimento,Patrícia Madalena Vieira Hermida,Luciana Bihain Hagemann De Malfussi,Josefine Busanello,Daniele Delacanal Lazzari

doi:10.1590/0034-7167-2020-0062

Abstract

to know the care implemented by the nursing team to prevent medical device-related pressure injuries in critically ill patients. 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. 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. 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.

Highlights

METHODSPressure injuries (PI), formerly known as bedsores, decubitus ulcers or pressure ulcers, are defined as changes in skin integrity that affect regions with bony prominences, especially caused by skin pressure, shear, and microclimate
Injuries resulting from device use, applied for diagnostic and therapeutic purposes, receive the nomenclature of medical device-related pressure injuries (MDR PI)
All individuals using medical devices are susceptible to these injuries, critical patients admitted to Intensive Care Units (ICU) typify those at high risk, as they are exposed to a range of devices for treatment and monitoring[2]

Summary

Introduction

METHODSPressure injuries (PI), formerly known as bedsores, decubitus ulcers or pressure ulcers, are defined as changes in skin integrity that affect regions with bony prominences, especially caused by skin pressure, shear, and microclimate. All individuals using medical devices are susceptible to these injuries, critical patients admitted to Intensive Care Units (ICU) typify those at high risk, as they are exposed to a range of devices for treatment and monitoring[2]. They may present impaired sensory perception through sedative use, as well as edema, immobility, capillary fragility and longer hospital stay, which can potentially culminate the development of injuries[3,4,5]. A study conducted by Australian nurses revealed a hospital incidence of MDR PI of 27.9%, 68% of which in ICU patients[6]

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Results

Conclusion