Related Experiment Video
Updated: Jun 23, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
[Endonasal tubes as cause of pressure ulcers in the critical patient]
J A Esperón Güimil1, M Freire Rodríguez, A I Escudero Quiñones
1Unidad de Cuidados Intensivos, Hospital Montecelo, Complejo Hospitalario de Pontevedra, Pontevedra, España. joseantonioes@seeiuc.zzn.com
Introduction:
One of the risks of using endonasal tubes (ET) is the appearance of pressure ulcers (PU).
Objective:
To ascertain the proportion of patients with nasal PU, study the risk factors of appearance, and find predictive variables.
Material And Methods:
A six-month prospective, observational study of intensive care unit patients with ET.
Variables:
Variable response: "the appearance of pu as a result of the use of ET". Explanatory variables: age, duration of stay, length of time with ET, gender, sedation, norepinephrine perfusion, mechanical ventilation, anemia, nutritional state.
Analysis:
multivariate statistical techniques (multiple logistical regression). Statistics program g-stat 2.0. Significance level p < 0.05.
Results:
Sample of 48 patients. Proportion of patients with PU: 29.2%. Those patients with PU had similar ages, duration of stay and longer length of time with ET. Results of the Logistic Regression model: only the variable "time with ET" was statistically significant (p = 0.03; odds ratio: 1.047).
Conclusions:
The length of time the patient is using an ET influences the appearance of nasal PU (risk increases 1.047 for each day with ET). None of the variables dealt with could be used as a predictive factor in the appearance of PU.
Related Concept Videos
Tracheostomy: Procedure and Tubes
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Aneurysm IV: Nursing Management
Endotracheal Intubation II: Nursing Management
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Enteral Nutrition I: Orogastric and Nasogastric Feeding
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Endotracheal Intubation I: Procedure
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Suctioning the Nasopharyngeal Airway
Equipment Required