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[Characteristics Influencing the Occurrence of Respiratory Medical Device-related Pressure Ulcers in the Pediatric

Hae-Kyung Kim, Younghae Kim, Hyun-Mi Son

    Child Health Nursing Research
    |January 10, 2022
    PubMed

    Insights

    Medical device-related pressure ulcers (MDRPU) affect nearly 12% of pediatric intensive care unit patients. Proper fixation and skin care are crucial for preventing these respiratory MDRPU.

    Area of Science:

    • Pediatric critical care medicine
    • Nursing research
    • Wound prevention

    Context:

    • Pediatric intensive care units (PICUs) are high-risk environments for healthcare-associated complications.
    • Respiratory medical devices are essential for patient care but can cause adverse events.
    • Medical device-related pressure ulcers (MDRPU) are a significant concern in vulnerable pediatric populations.

    Purpose:

    • To determine the incidence of respiratory MDRPU in children admitted to a PICU.
    • To identify characteristics associated with the development of respiratory MDRPU.
    • To inform preventative strategies for respiratory MDRPU in pediatric patients.

    Summary:

    • A prospective study of 184 children in a PICU found an 11.9% incidence of respiratory MDRPU.
    • Endotracheal tubes and high-flow nasal cannulas were the most common devices associated with MDRPU.
    • Factors such as fixation method, skin condition, and immobility significantly influenced MDRPU development.

    Impact:

    • Findings highlight the importance of meticulous nursing care in preventing respiratory MDRPU.
    • Recommendations include careful attention to device fixation, skin hydration, and edema management.
    • This research can guide clinical practice to improve patient safety and reduce the incidence of pressure ulcers in pediatric ICUs.
    Abstract

    Keywords:
    Intensive care units, pediatricsMedical device-related pressure ulcerPressure ulcer

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