Prevención y tratamiento de las lesiones cutáneas asociadas a la ventilación mecánica no invasiva. Recomendaciones de expertos

Torredà, Marta Raurell; Romero-Collado, Àngel; Rodríguez-Palma, M.; Farrés-Tarafa, M.; Martí, Joan Daniel; Hurtado‐Pardos, Bárbara; Florencio, L. Peñarrubia-San; Saez-Paredes, P.; Esquinas, António M.

doi:10.1016/j.enfi.2016.12.001

Cited by 18 publications

(18 citation statements)

References 50 publications

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“…This finding does not necessarily suggest that we should prioritize the use of oro‐nasal over nasal masks but rather reflects recommended practices with close monitoring and early identification of mask‐related side effects, 2,8 particularly when an oro‐nasal mask is used, which is the case in our programs. Other factors previously reported in the literature such as prematurity, age under 2 years, and craniofacial abnormalities were not found predictive, 17,19 suggesting that the underlying clinical characteristics are less relevant than adequate mask fitting and early interventions to address skin injury. In our program, we provide early interventions to ensure ongoing mask fitting and headgear adaptation as the child grows, monitor appropriate humidity levels and provide ongoing parental education for adequate mask/headgear placement and mask care.…”

Section: Discussionmentioning

confidence: 80%

“…Skin injury, ranging from persistent redness to skin breakdown, is a frequently reported NIV complication in children 1,15 and the most reported complication in our study at both visits. Excessive pressure, friction, temperature and humidity are believed to contribute to skin injury 16–18 . Interestingly, the rate of skin injury dramatically decreased after the initial follow‐up visit, suggesting that appropriate mask fitting and early detection and correction of the cause for skin injury are effective strategies.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of NIV‐related adverse events in children using long‐term noninvasive ventilation

Bedi,

DeHaan,

Ofosu

et al. 2023

Pediatric Pulmonology

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Background and ObjectivesAn increasing number of children with diverse medical conditions are using long‐term noninvasive ventilation (NIV). This study examined the impact of demographic, clinical, and technology‐related factors on long‐term NIV adverse events in a large cohort of children using long‐term NIV.MethodsThis was a multicenter retrospective review of all children who initiated long‐term NIV in the province of Alberta, Canada, from January 2005 to September 2014, and followed until December 2015. Inclusion criteria were children who had used NIV for 3 months or more and had at least one follow‐up visit with the NIV programs.ResultsWe identified 507 children who initiated NIV at a median age of 7.5 (interquartile range: 8.6) years and 93% of them reported at least one NIV‐related adverse event during the initial follow‐up visit. Skin injury (20%) and unintentional air leaks (19%) were reported more frequently at the initial visit. Gastrointestinal symptoms, midface hypoplasia, increased drooling, aspiration and pneumothorax were rarely reported (<5%). Younger age and underlying conditions such as Down syndrome, achondroplasia, and Duchenne muscular dystrophy were early predictors of unintentional air leak. Younger age also predicted child sleep disruption in the short term and ongoing parental sleep disruption. Obesity was a risk factor for persistent nasal symptoms. Mask type was not a significant predictor for NIV‐related short‐ or long‐term complications.ConclusionsThis study demonstrates that NIV‐related complications are frequent. Appropriate mask‐fitting and headgear adaptation, and a proactive approach to early detection may help to reduce adverse events.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Predictors of NIV‐related adverse events in children using long‐term noninvasive ventilation

Bedi,

DeHaan,

Ofosu

et al. 2023

Pediatric Pulmonology

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“…La infección por COVID-19, puso de manifiesto el uso de diferentes estrategias para el manejo del paciente como el uso de la posición prono para mejorar la oxigenación y junto con ella la aparición de ulceras por presión en áreas de apoyo vinculadas a esta posición, (18) asimismo el uso de dispositivos de oxígeno y el uso de ventilación mecánica no invasiva se ha masificado en estas épocas para manejo de la insuficiencia respiratoria predispone al desarrollo de lesiones cutáneas siendo su incidencia antes de la pandemia entre 2 y el 50 %, sin embargo se incrementa al 100% en pacientes con requerimientos de oxigeno mayor a 48 horas, (19) siendo necesario implementar protocolos para la prevención de UPP en pacientes COVID-19.…”

Section: Discussionunclassified

“…estrategias para el manejo del paciente COVID-19, como la posición prona para mejorar la oxigenación originó la aparición de ulceras por presión en áreas de apoyo vinculadas a esta posición,(18) asimismo el uso de dispositivos de oxígeno y el uso de ventilación mecánica no invasiva prolongado predispone al desarrollo de lesiones cutáneas al 100% en pacientes con requerimientos de oxigeno mayor a 48 horas (19). Las caídas constituyen otro de los eventos que puede prevenirse, su incidencia oscila entre 1 a 22%, incrementando la estancia hospitalaria y los costos asistenciales (20).…”

unclassified

Prácticas Seguras Para La Gestión Del Cuidado Del Paciente Covid-19 en El Hospital Anexo Villa Essalud Ferreñafe – Perú, Marzo 2021

Corrales

Mendoza²,

Isolina³

et al. 2022

Curae

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Objetivo: Evaluar el nivel de cumplimiento de las prácticas seguras para la gestión del cuidado enfermero del paciente COVID-19 en el Hospital Anexo Villa Essalud Ferreñafe – Perú, durante el mes de marzo 2021. Metodología: Estudio cuantitativo de diseño no experimental descriptivo de corte transversal, la muestra fueron 21 enfermeras del servicio de hospitalización medicina, empleándose la observación participante pasiva y el análisis documental de los registros de enfermería aplicando la lista de verificación: “cumplimiento de prácticas seguras para prevenir eventos adversos” de Essalud con una validez de KR-20 de 0,8. Resultados: El nivel de cumplimiento general de las prácticas en el Hospital Anexo Villa Essalud Ferreñafe se encuentra en un nivel aceptable en un 79%. En las dimensiones prevención de riesgo de caída, y prevención y reducción de las úlceras por presión el nivel de cumplimiento fue aceptable en el 52.4% y 61.0% respectivamente, evidenciándose un nivel óptimo en las dimensiones identificación segura de paciente (91.4%) y administración segura de medicamentos (85.7%). Conclusiones: Los profesionales de enfermería demostraron un nivel aceptable en el cumplimiento de las prácticas seguras, no obstante, deben mejorarse a fin de prevenir eventos adversos, debiendo fortalecer la cultura de seguridad del paciente.

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“…76 Alternate nasal prongs with nasal mask. 21,59,77 endotracheal tube Do not attach with adhesive tape directly to the NB skin. Use adding devices in bridging form.…”

Section: Therapeutic Devices Interventionsmentioning

confidence: 99%

Neonatal pressure ulcers: prevention and treatment

García-Molina¹,

Alfaro-López²,

García-Rodríguez³

et al. 2017

RRN

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Health professionals should be prepared to respond to the needs of hospitalized neonates. The health team must consider multiple situations, where the neonate is at risk of having an adverse effect. One of the main interventions that health professionals must practice when interacting with hospitalized newborns is skin care. Neonates often suffer from diaper rash or intravenous drugs extravasation. Recently, hospitalized neonates and especially those in an unstable clinical situation are also at a risk of developing pressure ulcers. The presence of a pressure ulcer in a neonate can lead to serious problems to survival (eg, sepsis, clinical instability). This is the reason why, with this literature review, we attempt to answer questions from health professionals caring for neonates about the prevention and treatment of pressure ulcers.

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Prevención y tratamiento de las lesiones cutáneas asociadas a la ventilación mecánica no invasiva. Recomendaciones de expertos

Cited by 18 publications

References 50 publications

Predictors of NIV‐related adverse events in children using long‐term noninvasive ventilation

Predictors of NIV‐related adverse events in children using long‐term noninvasive ventilation

Prácticas Seguras Para La Gestión Del Cuidado Del Paciente Covid-19 en El Hospital Anexo Villa Essalud Ferreñafe – Perú, Marzo 2021

Neonatal pressure ulcers: prevention and treatment

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