手术室的压力:在医院获得的压力损伤的潜在原因之一
Thomas Milazzo1, Hannah Loo1, Alan Rogers1
1Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, and the University of Toronto, Temerty Faculty of Medicine, Toronto, ON, Canada.
概括
在烧伤手术期间的手术桌压力可能会导致医院获得的压力损伤 (HAPI). 腿部升高和患者的体重显著增加了对部和部区域的压力,导致HAPI风险.
科学领域:
- 手术患者的安全.
- 烧伤护理并发症 烧伤护理并发症
- 压力伤害预防 压力伤害预防
背景情况:
- 烧伤患者面临高风险的医院获得的压力损伤 (HAPI).
- 手术期间的手术桌压力是HAPI发展的一个研究不足的因素.
研究的目的:
- 在全身麻醉下 (GA) 烧伤手术期间量化部和圣座压力.
- 研究患者的位置和体重对手术压力的影响.
主要方法:
- 对成人烧伤患者进行前性研究,这些患者在GA下接受卧底手术.
- 使用传感器对部和圣骨进行界面压力测量.
- 随着时间的推移,分析平均和峰值压力,考虑腿部的高度和患者的体重.
主要成果:
- 随着腿部更高的位置,压力显著增加 (p < .001).
- 在两条腿都升高 (2LU) 的时期,峰值压力超过100 mmHg.
- 平均压力与患者的体重正相关,无论腿部的位置如何.
结论:
- 在烧伤手术期间,持续适度至高压力应用于圣骨和部区域.
- 腿部的升高和患者的体重是加剧手术压力的关键因素.
- 手术台压力是烧伤患者HAPI发展的潜在因素.
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