Pressure care in the paediatric intensive care unit

Abstract

Nursing staff in paediatric intensive care units (PICUs) regularly face a complex combination of nursing problems when admitting critically ill children. The assessment of skin integrity might not always be a priority during the initial period following admission. This article outlines some of the difficulties facing nurses involved in the care of critically ill children and reviews the literature on pressure ulcer assessment, highlighting the lack of a universal tool for risk assessment in this area. It also shows how a simple audit changed practice and reduced the incidence of pressure ulcer development in the PICU of the Royal Belfast Hospital for Sick Children over a two-year period.

Incidencia de lesiones por presión en unidades de cuidados intensivos pediátricas y neonatales: revisión sistemática (2000-2016)

“…El número de trabajos identificados en la presente revisión es muy superior a los reportados por Baldwin Treinta y tres reportes incluyen solo datos de incidencia acumulada, 14 datos de incidencia acumulada y densidad de incidencia y 3 solo datos de densidad de incidencia. a Se han excluido los dos reportes de Murdoch 43 por incluir sólo a pacientes con LPP de categorías III y IV. b Se ha excluido el reporte de Fujii17 por referirse a "personas por día".…”

Pressure Ulcers in Pediatric Patients With Spinal Cord Injury

“…The lower incidence and prevalence of PrUs in children compared with adults may have fostered the myth that PrUs are not a significant problem in children. 3 The unfortunate result is that evidence-based guidelines for prevention and management of pediatric PrUs have been relatively limited and are largely modifications of adult practice guidelines. 2 At times, PrUs have been rendered a lower priority in the critical care stages of the patient's hospital stay.…”