Cent Eur J Nurs Midw 2024, 15(1):1042-1049 | DOI: 10.15452/cejnm.2023.14.0021

Breathing safely: eliminating facial injuries related to noninvasive positive pressure ventilation devices

Othman A. Alfuqaha1, Hadeel S. Yaghi2, Laila A. Alrawashdeh2, Nour B. Rezqallah2
1 Counseling and Mental Health Department, Faculty of Educational Sciences, The World Islamic Sciences & Education University W.I.S.E, Amman, Jordan
2 Department of Nursing, Jordan University Hospital, The University of Jordan, Amman, Jordan

Aim: To evaluate the efficacy of hydrocolloid dressing in preventing stage two or higher facial pressure injuries associated with the use of noninvasive positive pressure ventilation (NIPPV) devices among critically ill patients.

Design: A randomized control trial.

Methods: The study included 56 adult patients in intensive care units. The study participants were categorized into two groups consisting of 28 patients in each group. The control group received skincare using a fine mist of water and repositioning of the device every two to four hours, while the intervention group received a hydrocolloid dressing and repositioning of the device every two to four hours.

Results: A total of 33.9% of all participants in the study had facial pressure injury. None of the patients in the intervention group who received hydrocolloid dressing developed stage two or higher facial pressure injuries. A total of 32.2% of the control group developed stage two or higher facial pressure injuries. Results indicated that the use of hydrocolloid dressing can significantly prevent the formation of stage two or higher facial pressure injuries (p < 0.001).

Conclusion: The study’s findings support the use of hydrocolloid dressing as a preventative measure for facial pressure injuries related to NIPPV devices.

Klíčová slova: critically ill patients, facial injuries, hydrocolloid, positive-pressure ventilation, pressure ulcer

Vloženo: 13. květen 2023; Revidováno: 10. prosinec 2023; Přijato: 10. prosinec 2023; Zveřejněno: 6. březen 2024  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Alfuqaha OA, Yaghi HS, Alrawashdeh LA, Rezqallah NB. Breathing safely: eliminating facial injuries related to noninvasive positive pressure ventilation devices. Central European Journal of Nursing and Midwifery. 2024;15(1):1042-1049. doi: 10.15452/cejnm.2023.14.0021.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Reference

    1. Al Aboud, A. M., & Manna, B. (2023, April, 19). Wound Pressure Injury Management. StatPearls. Retrieved April 19, 2023 from https://www.ncbi.nlm.nih.gov/books/NBK532897/
    2. Alqahtani, J. S., & AlAhmari, M. D. (2018). Evidence-based synthesis for prevention of noninvasive ventilation related facial pressure ulcers. Saudi Medical Journal, 39(5), 443-452. https://doi.org/10.15537/smj.2018.5.22058 Přejít k původnímu zdroji... Přejít na PubMed...
    3. Benisco, V., Schmidt, R., & Dame, M. (2019). Device related facial pressure injuries (DRFPIs) in respiratory care: a challenge to tackle heads on. Journal of Business and Behavioral Sciences, 31(2), 163-174.
    4. Bhattacharya, S., & Mishra, R. K. (2015). Pressure ulcers: current understanding and newer modalities of treatment. Indian Journal of Plastic Surgery, 48(1), 4-16. https://doi.org/10.4103/0970-0358.155260 Přejít k původnímu zdroji... Přejít na PubMed...
    5. Boyar, V. (2020). Pressure injuries of the nose and columella in preterm neonates receiving noninvasive ventilation via a specialized nasal cannula: a retrospective comparison cohort study. Journal of Wound, Ostomy and Continence Nursing, 47(2), 111-116. https://doi.org/10.1097/WON.0000000000000616 Přejít k původnímu zdroji... Přejít na PubMed...
    6. Deshpande, S., Joosten, S., Turton, A., Edwards, B. A., Landry, S., Mansfield, D. R., & Hamilton, G. S. (2016). Oronasal masks require a higher pressure than nasal and nasal pillow masks for the treatment of obstructive sleep apnea. Journal of Clinical Sleep Medicine, 12(9), 1263-1268. https://doi.org/10.5664/jcsm.6128 Přejít k původnímu zdroji... Přejít na PubMed...
    7. Edsberg, L. E., Black, J. M., Goldberg, M., McNichol, L., Moore, L., & Sieggreen, M. (2016). Revised national pressure ulcer advisory panel pressure injury staging system: revised pressure injury staging system. Journal of Wound Ostomy and Continence Nursing, 43(6), 585-597. https://doi.org/10.1097/won.0000000000000281 Přejít k původnímu zdroji... Přejít na PubMed...
    8. Etafa, W., Argaw, Z., Gemechu, E., & Melese, B. (2018). Nurses' attitude and perceived barriers to pressure ulcer prevention. BMC Nursing, 17, 14. https://doi.org/10.1186/s12912-018-0282-2 Přejít k původnímu zdroji... Přejít na PubMed...
    9. Feng, L., Zhang, Q., Ruth, N., Wu, Y., Saliou, C., & Yu, M. (2023). Compromised skin barrier induced by prolonged face mask usage during the Covid-19 pandemic and its remedy with proper moisturization. Skin Research & Technology, 29(1), e13214. https://doi.org/10.1111/srt.13214 Přejít k původnímu zdroji... Přejít na PubMed...
    10. Fumarola, S., Allaway, R., Callaghan, R., Collier, M., Downie, F., Geraghty, J., Kiernan, S., Spratt, F., Bianchi, J., Bethell, E., Downe, A., Griffin, J., Hughes, M., King, B., LeBlanc, K., Savine, L., Stubbs, N, & Voegeli, D. (2020). Overlooked and underestimated: medical adhesive-related skin injuries. Journal of Wound Care, 29(S3c), S1-S24. https://doi.org/10.12968/jowc.2020.29.Sup3c.S1 Přejít k původnímu zdroji... Přejít na PubMed...
    11. Galetto, S. G. d. S., Nascimento, E. R. P. d., Hermida, P. M. V., & Malfussi, L. B. H. d. (2019). Medical device-related pressure injuries: an integrative literature review. Revista Brasileira de Enfermagem, 72(2), 505-512. https://doi.org/10.1590/0034-7167-2018-0530 Přejít k původnímu zdroji... Přejít na PubMed...
    12. Gasparino, R. C., Lima, M. H. M., de Souza Oliveira-Kumakura, A. R., da Silva, V. A., Meszaros, M. d. J., & Antunes, I. R. (2021). Prophylactic dressings in the prevention of pressure ulcer related to the use of personal protective equipment by health professionals facing the Covid-19 pandemic: a randomized clinical trial. Wound Repair and Regeneration, 29(1), 183-188. https://doi.org/10.1111/wrr.12877 Přejít k původnímu zdroji... Přejít na PubMed...
    13. Haesler, R. (Ed.). (2014). Prevention and treatment of pressure ulcers: quick reference guide (3rd ed.). Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Cambridge Media.
    14. Jackson, D., Sarki, A. M., Betteridge, R., & Brooke, J. (2019). Medical device-related pressure ulcers: a systematic review and meta-analysis. International Journal of Nursing Studies, 92, 109-120. https://doi.org/10.1016/j.ijnurstu.2019.02.006 Přejít k původnímu zdroji... Přejít na PubMed...
    15. Lechner, A., Lahmann, N., Neumann, K., Blume-Peytavi, U., & Kottner, J. (2017). Dry skin and pressure ulcer risk: a multi-center cross-sectional prevalence study in German hospitals and nursing homes. International Journal of Nursing Studies, 73, 63-69. https://doi.org/10.1016/j.ijnurstu.2017.05.011 Přejít k původnímu zdroji... Přejít na PubMed...
    16. Martins, M. D. d. S., Ribas, P. S. C., Sousa, J. R. A., Silva, N. A. P. d., Preto, L. S. R., & Correia, T. I. G. (2016). Facial pressure ulcers in inpatients undergoing non-invasive ventilation in intermediate care units. Revista De Enfermagem Referência, 4(10), 103-111. Přejít k původnímu zdroji...
    17. Mehta, C., Ali, M., Mehta, Y., George, J. V., & Singh, M. K. (2019). MDRPU - an uncommonly recognized common problem in ICU: a point prevalence study. Journal of Tissue Viability, 28(1), 35-39. https://doi.org/10.1016/j.jtv.2018.12.002 Přejít k původnímu zdroji... Přejít na PubMed...
    18. Otero, D. P., Domínguez, D. V., Fernández, L. H., Magariño, A. S., González, V. J., Klepzing, J. V. G., & Montesinos, J. V. B. (2017). Preventing facial pressure ulcers in patients under non-invasive mechanical ventilation: a randomised control trial. Journal of Wound Care, 26(3), 128-136. https://doi.org/10.12968/jowc.2017.26.3.128 Přejít k původnímu zdroji... Přejít na PubMed...
    19. Padula, W. V., & Delarmente, B. A. (2019). The national cost of hospital acquired pressure injuries in the United States. International Wound Journal, 16(3), 634-640. https://doi.org/10.1111/iwj.13071 Přejít k původnímu zdroji... Přejít na PubMed...
    20. Raurell-Torredà, M., Romero-Collado, A., Rodríguez-Palma, M., Farrés-Tarafa, M., Martí, J. D., Hurtado-Pardos, B., Florencio, L. P-S., Saez-Paredes, P., & Esquinas, A. M. (2017). Prevention and treatment of skin lesions associated with non-invasive mechanical ventilation. Recommendations of experts. Enfermería Intensiva, 28(1), 31-41. https://doi.org/10.1016/j.enfi.2016.12.001 Přejít k původnímu zdroji... Přejít na PubMed...
    21. Schallom, M., Cracchiolo, L., Falker, A., Foster, J., Hager, J., Morehouse, T., Watts, P., Weems, L., & Kollef, M. (2015). Pressure ulcer incidence in patients wearing nasal-oral versus full-face noninvasive ventilation masks. American Journal of Critical Care, 24(4), 349-356. https://doi.org/10.4037/ajcc2015386 Přejít k původnímu zdroji... Přejít na PubMed...
    22. Siotos, C., Bonett, A. M., Damoulakis, G., Becerra, A. Z., Kokosis, G., Hood, K., Dorafshar, A. H., & Shenaq, D. S. (2022). Burden of pressure injuries: findings from the global burden of disease study. Eplasty, 22, e19.
    23. Strickland, S. L. (2019). The patient experience during noninvasive respiratory support. Respiratory Care, 64(6), 689-700. https://doi.org/10.4187/respcare.06642 Přejít k původnímu zdroji... Přejít na PubMed...
    24. Tai, C. H., & Hsu, M. Y. (2016). Preventing facial pressure injuries in patients who use noninvasive positive pressure ventilators: the efficiency of dressings. The Journal of Nursing, 63(5), 86-94. https://doi.org/10.6224/JN.63.5.86 Přejít k původnímu zdroji... Přejít na PubMed...
    25. Tang, J., Zhang, S., Chen, Q., Li, W., & Yang, J. (2020). Risk factors for facial pressure sore of healthcare workers during the outbreak of Covid-19. International Wound Journal, 17(6), 2028-2030. https://doi.org/10.1111/iwj.13434 Přejít k původnímu zdroji... Přejít na PubMed...
    26. Wei, Y., Pei, J., Yang, Q., Zhang, H., Cui, Y., Guo, J., Guo, X., Ma, Y., & Han, L. (2023). The prevalence and risk factors of facial pressure injuries related to adult non-invasive ventilation equipment: a systematic review and meta-analysis. International Wound Journal, 20(3), 621-632. https://doi.org/10.1111/iwj.13903 Přejít k původnímu zdroji... Přejít na PubMed...
    27. Winck, J. C., & Gonçalves, M. R. (2011). The evolution of practice of noninvasive ventilation: epidemiologic outcomes and patient's preference. Journal of Personalized Medicine, 9, 1-5. https://doi.org/10.1007/s12682-011-0075-9 Přejít k původnímu zdroji...
    28. Worsley, P. R. Prudden, G., Gower, G., & Bader, D. L. (2016). Investigating the effects of strap tension during non-invasive ventilation mask application: a combined biomechanical and biomarker approach. Medical Devices: Evidence and Research, 9, 409-417. https://doi.org/10.2147/MDER.S121712 Přejít k původnímu zdroji... Přejít na PubMed...

    Tento článek je publikován v režimu tzv. otevřeného přístupu k vědeckým informacím (Open Access), který je distribuován pod licencí Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), která umožňuje nekomerční distribuci, reprodukci a změny, pokud je původní dílo řádně ocitováno. Není povolena distribuce, reprodukce nebo změna, která není v souladu s podmínkami této licence.


    Zpět na obsah