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Airways and Injuries: Protecting Our Pediatric Patients from Respiratory Device-Related Pressure Injuries

Laura J Miske1, Molly Stetzer2, Melissa Garcia3

  • 1Department of Nursing, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Main 8S41, Philadelphia, PA 19104, USA.

Critical Care Nursing Clinics of North America
|May 3, 2017
PubMed

Insights

Preventing pressure injuries is crucial in healthcare. This study discusses methods to reduce hospital-acquired pressure injuries from respiratory support devices like tracheostomy tubes and noninvasive ventilation interfaces.

Area of Science:

  • Medical Technology
  • Patient Safety
  • Respiratory Care

Background:

  • Pressure injuries are a significant concern in healthcare settings.
  • Respiratory support devices, including tracheostomy tubes and noninvasive positive pressure ventilation (NIPPV), can cause pressure injuries.
  • These injuries can arise from device securement, interfaces, or headgear.

Purpose of the Study:

  • To review and discuss methods for preventing pressure injuries.
  • To focus on hospital-acquired pressure injuries related to respiratory technology.
  • To address prevention strategies for NIPPV interfaces and tracheostomy securement devices.

Main Methods:

  • Literature review of pressure injury prevention strategies.
  • Analysis of common pressure injury sites associated with respiratory devices.
  • Discussion of established and emerging prevention techniques.

Main Results:

  • Identified specific risks associated with tracheostomy securement and NIPPV interfaces.
  • Highlighted the importance of proper device management and interface selection.
  • Emphasized the need for proactive prevention protocols.

Conclusions:

  • Effective pressure injury prevention requires a multi-faceted approach.
  • Implementing targeted strategies can significantly reduce device-related pressure injuries.
  • Continuous evaluation and adaptation of prevention methods are essential for patient safety.

Keywords:
Hospital-acquired pressure injury (HAPI)Incidence trackingNoninvasive ventilation (NIPPV)Pressure injury preventionPressure ulcer medical deviceTracheostomy securement devicesTracheostomy ties

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