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Preventing Facial Pressure Ulcers In Patients Under Non-invasive Mechanical Ventilation: A Randomised Control Trial.

David Otero, Daisy V. Domínguez, L. Fernández, A Santano Magariño, Velda J. Gonzalez, J V García Klepzing, Juan Vicente Benéit Montesinos
Published 2017 · Medicine

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OBJECTIVE To comparatively assess the efficacy of four different therapeutic strategies to prevent the development of facial pressure ulcers (FPUs) related to the use of non-invasive mechanical ventilation (NIV) with oro-nasal masks in critically ill hospitalised patients. METHOD This randomised control trial was performed at the high dependency unit in the University General Hospital Gregorio Marañón in Madrid, Spain. Overall, 152 patients with acute respiratory failure were recruited. All patients were hospitalised and received NIV through oro-nasal masks. The Norton tool was used to evaluate the general risk of developing pressure ulcers (PUs). Subjects were divided into four groups, each of them receiving a different treatment. Tissue assessment and preventive care were performed by a member of the research team. RESULTS The incidence of FPUs was significantly lower in the group receiving a solution of hyperoxygenated fatty acids (HOFA) when compared with each of the other therapeutic strategies: direct mask (p=0.055), adhesive thin dressing (p=0.03) and adhesive foam dressing (p<0.001). CONCLUSION The application of HOFA on the facial skin in contact with the oro-nasal masks showed the highest efficacy in the prevention of NIV-related FPUs.
This paper references
10.1111/j.1742-481X.2010.00699.x
Medical device related pressure ulcers in hospitalized patients.
J. Black (2010)
10.1097/MLR.0b013e31820292b3
Improving the Quality of Pressure Ulcer Care With Prevention: A Cost-Effectiveness Analysis
W. Padula (2011)
10.1016/S1130-2399(03)78090-0
Efecto del sellado con agua de la máscara facial para ventilación no invasiva en la aparición de úlceras faciales por presión
Alba Lloys (2003)
10.1177/1534734609346839
Increased Transcutaneous Oxygen Tension in the Skin Dorsum Over the Foot in Patients With Diabetic Foot Disease in Response to the Topical Use of an Emulsion of Hyperoxygenated Fatty Acids
J. L. Lázaro-Martínez (2009)
J . [ Management of acute respiratory failure with noninvasive ventilation in the emergency department ] [ In Spanish ]
W. P. Yamaguti (2009)
10.1016/j.aucc.2016.08.005
Optimising non-invasive mechanical ventilation: Which unit should care for these patients? A cohort study.
M. Raurell-Torredà (2017)
10.1016/J.OUTLOOK.2004.06.003
Evidence-based resources for nurses: Agency for Healthcare Research and Quality.
Beth A. Collins Sharp (2004)
A new intervention in the Nursing Interventions Classification: “Mechanical Ventilation: Noninvasive”
Joaquín Jesús Blanca Gutiérrez (2008)
10.4321/S1134-928X2008000200005
Valoración del riesgo de desarrollar úlceras por presión: uso clínico en España y metaanálisis de la efectividad de las escalas
Pedro L. Pancorbo-Hidalgo (2008)
ulcers. Wound Repair
J. L. Lazaro Martinez (2001)
[ Evidence on non - invasive ventilation : applied to care ] [ In Spanish ]
J. J. Blanca Gutiérrez (2006)
[ Basic nursing care for NIV ] [ In Spanish ]
A EsquinasRodriguez (2011)
Quality of life in home mechanical ventilation study group. Impact of home
W. Windisch (2011)
10.1016/j.jopan.2015.05.004
Medical Device-Related Pressure Ulcers and Intensive Care Patients.
Mary Beth Flynn Makic (2015)
10.1016/j.jtv.2015.01.001
The biomechanical efficacy of dressings in preventing heel ulcers.
A. Levy (2015)
Noninvasive positive-pressure ventilation and ventilator-associated pneumonia.
D. Hess (2005)
10.1378/CHEST.126.1.165
The use of noninvasive ventilation in acute respiratory failure at a tertiary care center.
Elizabeth S PausJenssen (2004)
mechanical ventilation on health-related quality of life
J. J. Blanca Gutiérrez (2008)
Pressure injury prevention during non - invasive respiratory assist in intensive care patients . Inotropes is a strong risk factor for developing skin lesions from facial masks
J. Valtysson (2009)
10.1016/S0211-3449(07)74734-3
Insuficiencia respiratoria aguda
J. S. Fernández (2007)
[ Management of acute respiratory failure with noninvasive ventilation in the emergency department ] [ In Spanish ]
F. Ayuso Baptista (2012)
Manejo de la insuficiencia respiratoria aguda con ventilación mecánica no invasiva en urgencias y emergencias (Antiguo 458)
F. Baptista (2009)
Pressure ulcers epidemiology in Spain in 2013: results from the 4th National Prevalence Survey] [In Spanish
Bou (2014)
Device related pressure ulcer made easy
J. Fletcher (2012)
10.1016/j.ijnurstu.2015.06.006
The cost of prevention and treatment of pressure ulcers: A systematic review.
L. Demarré (2015)
intensive care unit patients
P. Pancorbo-Hidalgo (2009)
[ An approach to the economic impact of the treatment of pressure ulcers in Spain ] [ In Spanish ]
J. J. Soldevilla Agreda (2007)
10.1016/j.ejim.2008.11.001
Risk assessment study of the pressure ulcers in intensive care unit patients.
H. Terekeci (2009)
[ Introduction to non - invasive ventilation in an emergency ward ] [ In Spanish ]
L. Lorenzo Allegue (2010)
Pressure sore assessments.
J. Waterlow (1996)
[The use of water to seal facial mask for non invasive ventilation reduces the incidence of pressure ulcers].
Alba Lloys (2003)
10.1164/AJRCCM.163.1.ATS1000
International Consensus Conferences in Intensive Care Medicine: noninvasive positive pressure ventilation in acute Respiratory failure.
December (2001)
10.1097/00003246-200006000-00015
Physiologic evaluation of noninvasive mechanical ventilation delivered with three types of masks in patients with chronic hypercapnic respiratory failure
P. Navalesi (2000)
10.1016/S0022-3476(75)80945-0
Letter: Prevention of ulceration of neck by CPAP head box.
Michael Kevin Williams (1975)
The evidence for noninvasive positive-pressure ventilation in the care of patients in acute respiratory failure: a systematic review of the literature.
D. Hess (2004)
10.4187/respcare.01474
Noninvasive Ventilation Outside the Intensive Care Unit From the Patient Point of View: A Pilot Study
L. Cabrini (2012)
Wounds UK
J. Black (2012)
10.12968/jowc.2015.24.3.81
Biomechanics of PUs in paediatric care settings.
Amit Gefen (2015)
Epidemiología de las úlceras por presión en España en 2013: 4.º Estudio Nacional de Prevalencia Pressure ulcers epidemiology in Spain in 2013: results from the 4th National Prevalence Survey
Pedro L. Pancorbo-Hidalgo (2014)
10.4037/ajcc2015386
Pressure Ulcer Incidence in Patients Wearing Nasal-Oral Versus Full-Face Noninvasive Ventilation Masks.
Marilyn E Schallom (2015)
Acute respiratory insufficiency (update)] [In Spanish
F. J. Gil López (2007)
10.4187/respcare.02942
Treatment-Related Risk Factors for Development of Skin Breakdown in Subjects With Acute Respiratory Failure Undergoing Noninvasive Ventilation or CPAP
W. P. Yamaguti (2014)
10.1007/s00134-014-3424-3
Comparison of two repositioning schedules for the prevention of pressure ulcers in patients on mechanical ventilation with alternating pressure air mattresses
F. Manzano (2014)
[ Basic nursing care for NIV ] [ In Spanish ]
A EsquinasRodriguez (2011)
crucial for successful noninvasive ventilation
J. A. Sevillano Fernández (2004)
[ Acute respiratory insuf fi ciency ( update ) ] [ In Spanish ]
N. Mondejar García (2007)
[ Non - invasive mechanical ventilation and nursing actions in patients with traumatic wet lung ] [ In Spanish ]
Y. Naranjo Vargas (2011)
Pressure ulcers risk assessment: Clinical practice in Spain and a meta-analysis of scales effectiveness
Pedro L. Pancorbo-Hidalgo (2008)
Ventilación mecánica no invasiva y acciones de enfermería en pacientes con pulmón húmedo traumático
Yaquelín Naranjo Vargas (2011)
ulcers: A systematic review
W. V. Padula (2015)
10.1016/j.pedn.2015.04.001
Nursing and Respiratory Collaboration Prevents BiPAP-Related Pressure Ulcers.
Darlene E Acorda (2015)
10.1016/J.BJOMS.2007.10.003
An unusual pressure sore of the nasal bridge.
F. Sleilati (2008)
10.1046/J.1524-475X.2001.00353.X
Role of neuropathy and plasma nitric oxide in recurrent neuropathic and neuroischemic diabetic foot ulcers.
E. Jude (2001)
unit of an emergency department
M. B. Makic (2009)
patients? A cohort study
J. M. Black (2016)
10.1183/09031936.03.00115903
The interface: crucial for successful noninvasive ventilation
M. Elliott (2004)
10.1016/j.rmed.2008.08.001
Impact of noninvasive ventilation (NIV) trial for various types of acute respiratory failure in the emergency department; decreased mortality and use of the ICU.
K. Tomii (2009)
10.1111/iwj.12111
Use of wound dressings to enhance prevention of pressure ulcers caused by medical devices.
J. Black (2015)
[ Classi fi cation / categorisation of dependence - related lesions ] [ In Spanish ]
L. Pisani
10.1016/j.jbiomech.2009.10.029
Determinants of skin contact pressure formation during non-invasive ventilation.
D. Dellweg (2010)
Impacto de una intervención multifactorial para prevenir úlceras por presión en atención especializada
M. M. Prieto-Guerrero (2011)
Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies.
J. Schuurman (2009)
Clasificación de intervenciones de enfermería (NIC) 6Ed
Joanne Dochterman (2013)
Pressure Ulcers: A Patient Safety Issue
C. Lyder (2008)
10.1016/j.jbiomech.2015.10.030
Mechanical cytoprotection: A review of cytoskeleton-protection approaches for cells.
A. Gefen (2016)
Plan de mejora de los cuidados de prevención y tratamiento de Úlceras Por Presión y heridas crónicas
Escudero Moreno M.-L. (2012)
10.1016/j.iccn.2007.11.005
The effect of protective treatment in reducing pressure ulcers for non-invasive ventilation patients.
Min-Hsueh Weng (2008)
Interfaces for noninvasive mechanical ventilation: technical aspects and efficiency.
Lara Pisani (2012)
10.1002/14651858.CD005308.PUB2
Continuous positive airway pressure delivery interfaces for obstructive sleep apnoea.
C. Chai (2006)
10.1183/09031936.00066407
Impact of home mechanical ventilation on health-related quality of life
W. Windisch (2008)
10.1136/thx.49.8.811
Nasal masks for domiciliary positive pressure ventilation: patient usage and complications.
D. J. Jones (1994)
Impact of a multifactor intervention to prevent pressure ulcers in specialised attention ] [ In Spanish ]
M. M. Prieto Guerrero (2011)
10.4321/S1134-928X2014000400006
Epidemiología de las úlceras por presión en España en 2013: 4.º Estudio Nacional de Prevalencia
Pedro L. Pancorbo-Hidalgo (2014)
10.1097/MEJ.0b013e3283207fab
Patient outcomes after noninvasive mechanical ventilation at a high dependency unit of an emergency department
José M. de Miguel-Yanes (2009)



This paper is referenced by
The Preventative Effect of Hydrocolloid Dressings on Nasal Bridge Pressure Ulceration in Acute Non-Invasive Ventilation
A. Bishopp (2019)
10.1016/J.ENFI.2017.08.001
Carta al director en respuesta a «Prevención de lesiones cutáneas asociadas a ventilación mecánica no invasiva»
Marta Raurell-Torredà (2017)
10.1590/1980-265x-tce-2018-0371
Medical-device-related pressure injury on adults: an integrative review
Euni de Oliveira Cavalcanti (2020)
PREVENTION OF PRESSURE ULCERS IN NASAL BRIDGE DURING NON-INVASIVE MECHANICAL VENTILATION. DISCUSSION OF RESULTS
David Peña-Otero (2019)
10.30934/kusbed.637851
Noninvaziv Mekanik Ventilasyon Desteği Alan Hastalarda Yüz Bölgesindeki Basınç Yarası Gelişme Sıklığı ve Oluşumunu Etkileyen Faktörlerin İncelenmesi
Neslihan Akın (2020)
10.1016/J.ENFI.2017.08.004
Prevención de lesiones cutáneas asociadas a ventilación mecánica no invasiva
David Peña-Otero (2017)
10.1007/978-1-4471-7413-4_17
Innovation in Pressure Ulcer Prevention and Treatment
K Harding (2018)
10.15537/smj.2018.5.22058
Evidence based synthesis for prevention of noninvasive ventilation related facial pressure ulcers
Jaber S. Alqahtani (2018)
Anaphylactic Reaction in a Patient with Asthma . Treatment with Non-Invasive Mechanical Ventilation . About A Case
Peña-Otero (2017)
PREVENTION OF PRESSURE ULCERS IN NASAL BRIDGE DURING NON-INVASIVE MECHANICAL VENTILATION. DISCUSSION OF RESULTS. AUTHORS’ RESPONSE TO PEÑA-OTERO ET AL.
Abigail Bishopp (2019)
10.1007/978-3-030-42998-0_14
Skin Injuries Associated with Noninvasive Mechanical Ventilation: Evidence-Based Synthesis
Ana Luísa Ramos (2020)
10.1111/iwj.12968
Understanding the Hawthorne effect in wound research—A scoping review
Van N B Nguyen (2018)
Texto & Contexto Enfermagem
E. D. O. Cavalcanti (2020)
10.4103/njcp.njcp_673_18
Effect of transparent film on the duration of pressure ulcer formation for noninvasive ventilation patients: A randomized controlled trial
G Ozbudak (2020)
10.5005/jp-journals-10071-g23186
ISCCM Guidelines for the Use of Non-invasive Ventilation in Acute Respiratory Failure in Adult ICUs
R. Chawla (2020)
AN ‘ATYPICAL’ ATYPICAL FEMORAL FRACTURE
Richard Arneill (2019)
10.1002/14651858.CD011947.PUB2
Dressings and topical agents for preventing pressure ulcers
Z. Moore (2017)
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