Neonatal Skin Structure: Pressure Injury Staging Challenges

Nie, Ann Marie; Johnson, Deanna E; Reed, Robyn C.

doi:10.1097/01.asw.0000818580.47852.68

Cited by 9 publications

(4 citation statements)

References 12 publications

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“…Risk factors for HAPI development include exposure to various diagnostic and therapeutic medical devices, inactivity or immobility, friction and shear, hypoxia and poor skin perfusion, fluid retention, and nutrition deficiencies; critically ill neonates may be exposed to all of these factors 23,24 . Visscher and Taylor 25 found a 6.4% rate of medical device-related PIs in neonates.…”

Section: Discussionmentioning

confidence: 99%

Neonatal Electroencephalogram Electrode-Related Pressure Injury Prevention Quality Improvement Study

Blazier

Boyle

Cooper

et al. 2023

Adv Skin Wound Care

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OBJECTIVETo lengthen the days between electroencephalogram electrode-related pressure injury (EERPI) to 100 EERPI-free days in 6 months of study implementation with a goal to maintain 200 EERPI-free days thereafter (≤1 EERPI event/year).METHODSThis quality improvement study took place in a level IV neonatal ICU over three epochs spanning 2 years: epoch 1 or baseline (January-June 2019), epoch 2 or implementation of intervention (July-December 2019), and epoch 3 or sustainment (January-December 2020). A daily electroencephalogram (EEG) skin assessment tool, introduction in practice of a flexible hydrogel EEG electrode, and successive rapid-cycle staff-education sessions were key interventions of the study.RESULTSSeventy-six infants were monitored for 214 continuous EEG (cEEG) days, of which six (13.2%) developed EERPI in epoch 1. Eighty infants were monitored for 193 cEEG days, of which two (2.5%) developed EERPI in epoch 2. One hundred thirty-nine infants were monitored for 338 cEEG days, and none developed EERPI in epoch 3. There was no statistical difference with respect to the median cEEG days among study epochs. A G-chart of EERPI-free days showed an increase in EERPI-free days from an average of 34 days in epoch 1 to 182 days in epoch 2 and 365 days (or zero harm) in epoch 3. Skin erythema from EEG electrodes was noted during the study.CONCLUSIONSThe structured study interventions eliminated EERPI events in infants monitored with cEEG. Preventive intervention at the cEEG-electrode level coupled with skin assessment successfully reduced EERPIs in neonates.

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Section: Discussionmentioning

confidence: 99%

Neonatal Electroencephalogram Electrode-Related Pressure Injury Prevention Quality Improvement Study

Blazier

Boyle

Cooper

et al. 2023

Adv Skin Wound Care

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“…More often these methods are used in the case of stage 2 diagnosis of bedsores [27]. These therapy methods include ozone, oxygenation, exposure to electricity, magnetic therapy, and the method of photodynamics [28]. A combination of phonophoresis and antiseptics, the effect of ultraviolet light on the areas adjacent to the erythema, and a combination of electrophoresis and antimicrobial drugs are also used.…”

Section: Therapy Methodsmentioning

confidence: 99%

Bedsores: prevention and treatment (theoretical review)

2022

UMJ

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The incidence of bedsores varies from 3 to 40%, with a maximum of 80% in patients in critical condition for a long time. Purpose: analysis of effective methods of therapy and prevention of bedsores. Object and methods of research. Thirty-one scientific publications from PubMed, Scopus databases since 2020 were analyzed. The analyzed methods included vacuum therapy, ultrasound methods, hydrosurgery, plasma flow method, laser application, electrostimulation, and a complex combination of methods. Results. Many involved methods give the choice in therapy strategy. The most expedient and effective is the complex combination of methods. Conclusion. Currently, a decrease in the incidence of bedsores is not expected; therefore, the analysis of the effectiveness of methods of therapy and prevention of bedsores remains relevant.

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“…4,8,9 Because preterm infants' skin is thin, permeable, and sensitive, their skin integrity is easily disrupted by shear. 8,10,11 Underdevelopment of the nasal tissue further increases the risk of developing medical device-related pressure injuries (MDRPIs) even with short-term NIV. 9,[11][12][13][14][15] It has been reported that 20% to 60% of nasal pressure injuries (PIs) in preterm infants treated in neonatal ICUs (NICUs) are a result of shear from medical devices and equipment.…”

Section: Introductionmentioning

confidence: 99%

“…Nasal injury is the most common preventable complication of NIV 4,8,9 . Because preterm infants’ skin is thin, permeable, and sensitive, their skin integrity is easily disrupted by shear 8,10,11 . Underdevelopment of the nasal tissue further increases the risk of developing medical device-related pressure injuries (MDRPIs) even with short-term NIV 9,11–15 .…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Effectiveness of Brief Training for Neonatal Intensive Care Nurses on the Prevention of Medical Device-Related Nasal Pressure Injury

Ergün,

Aktaş

2024

Adv Skin Wound Care

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OBJECTIVE To evaluate the effectiveness of a brief training in medical device-related pressure injury (MDRPI) prevention for neonatal intensive care nurses. METHODS This single-group, pretest-posttest quasi-experimental study was conducted between April and October 2021 with 81 nurses working in the neonatal ICU of a city hospital. The participants completed a training program consisting of two 40-minute sessions that used a small-group problem-based learning approach developed in accordance with evidence-based research. Data were collected using a neonatal nurse information form, knowledge of MDRPI in preterm infants form, and training evaluation form, all of which were prepared for this study based on the literature. Data collection was performed before the training and repeated at 1 week and 1 month after the training. Data analysis was performed using the Number Cruncher Statistical System. Descriptive statistics, the Shapiro-Wilk test, Mann-Whitney U test, and Spearman correlation analysis were used. RESULTS The participants’ mean score on the knowledge of MDRPI in premature infants form was 82.44 ± 7.26 before training and increased significantly to 94.57 ± 5.03 at 1 week and 94.67 ± 3.11 at 1 month after training (P = .001 and P = .001, respectively). No significant relationship was detected between the participants’ descriptive characteristics and their knowledge scores before or after the training (P > .05). CONCLUSIONS Brief training on the prevention of nasal pressure injury caused by noninvasive ventilation increased nurses’ knowledge level.

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Neonatal Skin Structure: Pressure Injury Staging Challenges

Cited by 9 publications

References 12 publications

Neonatal Electroencephalogram Electrode-Related Pressure Injury Prevention Quality Improvement Study

Neonatal Electroencephalogram Electrode-Related Pressure Injury Prevention Quality Improvement Study

Bedsores: prevention and treatment (theoretical review)

Evaluating the Effectiveness of Brief Training for Neonatal Intensive Care Nurses on the Prevention of Medical Device-Related Nasal Pressure Injury

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