Aim: Medical Device-Related Pressure Ulcers are skin breakdowns related to certain medical devices that increase morbidity, lengthen hospital stays, and increase the cost of treatment. Approximately one third of reported pressure ulcers are associated with medical devices. The aim of this study is to examine the impact of a suggested nursing intervention protocol on the occurrence of medical device-related pressure ulcers in critically ill patients. Design: A prospective, quasi-experimental research design was used in this study. Methods: 100 patients participated in our study, divided into study and control groups. The researchers selected Endo-tracheal and Nasogastric tubes to examine their association with the development of pressure ulcers. The researchers observed the prevalence of pressure ulcers caused by the selected devices through daily clinical observation. Patients receiving routine care were used as a control group, while the suggested nursing intervention protocol was implemented to the study group of patients. The results of the given protocol on the study subjects were compared to the collected base line data for the control group. Results: The study revealed a highly statistically and clinically significant difference between the study and control groups in relation to incidence of endo-tracheal and nasogastric tube pressure ulcers. The results indicate that the incidence of endo-tracheal tube pressure ulcers decreased from 90% to 32.1% after implementation of the suggested nursing intervention protocol (p = 0.031), whereas the incidence of nasogastric tubes pressure ulcers fell from 77.8% to 13.1% (p = 0.012). Conclusion: the examined evidence based suggested nursing intervention protocol proved highly effective in reducing the occurrence of selected Medical Device-Related Pressure Ulcers in critically ill patients.

Objective. This study aims to evaluate the outcome after the internal fixation of diaphyseal metacarpal fractures by a single intramedullary K-wire. Methods. In this prospective case series study, conducted from July 2017 to June 2019 in 23 adult patients with a single, unstable, diaphyseal metacarpal fracture, outcomes after internal surgical fixation using a single antegrade intramedullary K-wire were evaluated. The outcomes were evaluated by union rate, time to union, handgrip measurements at 6 and 12 months, and the modified Disabilities of the Arm, Shoulder, and Hand (DASH) score at 12 months. Results. The study population consisted of 17 males and 6 females, with a mean patient age of 28.4 ± 8.5 years (range, 16–45 years). The median time to final follow-up was 14 ± 1.8 months (range: 12–24 months). The mean duration of the union was 7.3 ± 1.6 weeks (range: 5–11 weeks), with a union rate of 95.7% (22 cases). The mean handgrip strength was 68% ± 12.8% of the strength of the uninjured hand after 6 months and 92.7% ± 6.9% after 12 months. The mean modified DASH score was 2.6 ± 0.26 after 12 months (range: 0–5.8). There were no cases of malrotation or infection. In conclusion, using a single 1.8–2.0 mm K-wire gives excellent functional outcomes and union rate without significant complications when used to treat an unstable metacarpal shaft fracture.

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