245: DECREASING PRESSURE INJURY FROM MEDICAL DEVICES: A NEW NASAL ENDOTRACHEAL TUBE SECUREMENT METHOD

2016 ◽  
Vol 44 (12) ◽  
pp. 138-138
Author(s):  
Elizabeth Jasper ◽  
Greg Robinson ◽  
Jacquelyn Fuller ◽  
Catherine Bull
Keyword(s):  
Endotracheal Tube ◽  
Medical Devices ◽  
Pressure Injury

Endotracheal and Enteric Tubes

Chest Imaging ◽  
2019 ◽  
pp. 35-39
Author(s):  
Tyler H. Ternes
Keyword(s):  
Mechanical Ventilation ◽  
Gas Exchange ◽  
Endotracheal Tube ◽  
Medical Devices ◽  
Esophageal Intubation ◽  
Ideal Position ◽  
Tracheostomy Tubes ◽  
Tube Malposition ◽  
The Ideal

The Endotracheal and Enteric Tubes chapter addresses these frequently used medical devices. An endotracheal tube (ETT) is a catheter placed into the airway for mechanical ventilation. It serves to protect the airway and provide adequate gas exchange. The ideal position of the endotracheal tube tip is approximately 5 cm above the carina. Complications of ETT placement include inadequate ventilation if placed too high or too low, esophageal intubation and tracheal injury. Tracheostomy tubes are used in patients who require long-term intubation. Enteric tubes are thin flexible hollow catheters that course into the stomach and beyond. They may be placed via nasal (nasogastic) or oral (orogastric) approach. When used for suctioning, the ideal position of the tube tip is within the stomach. When used for administration of drugs or nutrition, the tube tip is ideally advanced beyond the pylorus. Enteric tube malposition may be due to coiling within the esophagus or inadvertent malposition within the airway. Malpositioning could result in aspiration, lung injury, and pneumothorax.

scholarly journals Real time monitoring of biofilm formation on coated medical devices for the reduction and interception of bacterial infections

2020 ◽  
Vol 8 (5) ◽  
pp. 1464-1477 ◽  
Author(s):  
Yasin Kurmoo ◽  
Andrew L. Hook ◽  
Daniel Harvey ◽  
Jean-Frédéric Dubern ◽  
Paul Williams ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Real Time ◽  
Optical Fibre ◽  
Medical Devices ◽  
Biofilm Formation ◽  
Bacterial Infections ◽  
Bacterial Attachment ◽  
Real Time Monitoring ◽  
Optical Fibre Sensors

Optical fibre sensors successfully detect and quantify bacterial attachment and biofilm formation on uncoated and coated endotracheal tube surfaces.

scholarly journals Factors Associated with Endotracheal Tube Related Pressure Injury

2018 ◽  
Vol 4 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Constance C Mussa ◽  
Edita Meksraityte ◽  
Jie Li ◽  
Barbara Gulczynski ◽  
Jing Liu and Ana Kuruc
Keyword(s):  
Endotracheal Tube ◽  
Factors Associated ◽  
Pressure Injury

scholarly journals Faktor-Faktor yang Berhubungan dengan Pressure Injury pada Anak

2019 ◽  
Vol 11 (1) ◽  
pp. 13
Author(s):  
Juairiah Juairiah
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Medical Devices ◽  
Medical Condition ◽  
Group Development ◽  
Multiple Organ ◽  
Google Scholar ◽  
Related Factors ◽  
Factors Associated ◽  
Pressure Injury

Children are vulnerable group to pressure injuries and has unique characteristics as associated factor. Factors related to pressure injury must be slightly different from adult. The intervention action considering the injury to the child must be specifically related to the factors associated with pressure in the child. The purpose of this study is to identify factors associated with PI in children. This study was carried out using systematic literature review studies. Articles for this study was obtained from Google scholar, Science-direct, PubMed, and Ebsco. Articles was published in 2009-2019 that discuss factors related to PI in children. The results of the study was factors related to PI in pediatric patients were divided into 3 categories, they were medical conditions, medical devices, and length of stay. Medical devices were direct trigger factors that causing PI in children. The most common medical devices identified in the study that causing PI were respiration aids such as ventilator. The medical condition was unpreventable factors of PI in children especially Multiple Organ Dysfunction (MODS) and comorbidities, as well as cardiovascular and respiratory disease. Long days of stay increase the risk of PI in children, importantly in the 7th day or more of stay. Prevention of PI in children must be done intensively and should be carried out according to the unique factors of the children group. Development of prevention bundles of PI in children must be done according to pediatric’s PI related factors. Keywords: child; medical devices; related factors; pressure injuries; pediatric ABSTRAK Anak merupakan kelompok yang rentan terhadap pressure injury dan memiliki karakteristik unik yang perlu diperhatikan. Tindakan intervensi pencegahan pressure injury pada anak harus spesifik terkait dengan faktor yang berhubungan dengan pressure injury pada anak. Tujuan dari studi ini adalah mengidentifikasi faktor yang berhubungan dengan PI pada anak. Studi ini merupakan studi Systematic Literature Review Artikel diperoleh dari Google scholar, Science-direct, PubMed, dan Ebsco. Artikel merupakan artikel yang terbit pada tahun 2009-2019 yang membahas faktor yang berhubungan dengan PI pada anak. Hasil studi mengidentifikasi faktor yang berhubungan dengan PI pasien anak adalah kondisi medis, alat medis, dan lama masa perawatan. Alat medis merupakan faktor pencetus terjadinya PI pada anak. Alat medis yang paling umum menyebabkan PI adalah alat bantuan respirasi seperti ventilator. Kondisi medis menjadi faktor yang tidak dapat dihindari menyebabkan PI pada anak teruatama kondisi medis multiple organ dysfunctions (MODS), kormobiditas, penyakit kardiovaskuler dan respirasi. Lama hari perawatan lebih dari 7 hari meningkatkan risiko PI pada anak. Pencegahan PI pada anak harus dilakukan secara intensif dan memperhatikan faktor unik dari kelompok anak. Pengembangan bundle pencegahan PI khusus untuk anak harus dilakukan agar intervensi dapat dilakukan sesuai dengan kelompok usia. Kata kunci: anak; alat medis; faktor yang berhubungan; pressure injury; pediatric

Medical Device-Related Pressure Injury in an Intensive Care Unit: A Cross-Sectional Study

2021 ◽  
Vol 67 (11) ◽  
pp. 26-32
Author(s):  
Itaricely de Assis ◽  
Jonathan Estevam dos Santos ◽  
Maria Valadares Sinicio Abib ◽  
Luana Furtado Bueno ◽  
Manuela de Mendonça Figueirêdo Coelho ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Medical Device ◽  
Medical Devices ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Independent Variables ◽  
Pressure Injury ◽  
Stage 1

BACKGROUND: Medical devices can cause pressure injuries. PURPOSE: This study was conducted to determine the prevalence of and factors associated with medical device-related pressure injury (MDRPI) in an intensive care unit (ICU). METHODS: A cross-sectional study was performed among adult patients (at least 18 years of age) admitted to an ICU in a referral hospital in Brazil between December 2019 and February 2020. The skin of patients who consented to participate was assessed for the presence of an MDRPI, and the use of all medical devices was noted. Other independent variables (sociodemographic variables, medical history, pressure injury risk factors, medications, and length of hospitalization) were abstracted from the medical records. Bivariate data analysis included Pearson’s chi-square test or Fisher’s exact test; odds ratio and a confidence interval of 95% also were established. Correlation among independent variables and MDRPI was determined using the ρ Spearman correlation test, and a hierarchical binary logistic regression analysis was performed using statistically significant variables from the bivariate analysis. P < .05 was considered statistically significant. RESULTS: The 125 study participants ranged in age from 15 to 97 years (mean, 63.02 ± 19.2), 76 (60.8%) were men, and 76 (60.8%) were White. Of the 125 participants, 43 (34%) experienced MDRPI; the total number of MDRPIs was 58 (3 patients had 3 injuries, and 7 patients had 2 injuries). Of those 58 MDRPIs, 46 were stage 1, and 12 were stage 2. Polypharmacy (> 4 medications) was a significant risk factor for MDRPI. Use of a nasal catheter, cord for orotracheal tube fixation, oximeter, intra-abdominal pressure equipment, and indwelling urinary catheter was significantly associated with the presence of MDRPI. Renal and respiratory diseases and the presence of infection were positively related to the presence of MDRPI. CONCLUSION: Medical device-related pressure injury was prevalent in this patient population. Most of these injuries were stage 1, which suggests that frequent monitoring and device repositioning (when possible) may help prevent more serious injuries. Additional research involving other hospitals in Brazil is needed to increase the understanding of the prevalence and risk factors of MDRPIs in patients in the ICU.

scholarly journals Pressure Injury Prevention in COVID-19 Patients With Acute Respiratory Distress Syndrome

2021 ◽  
Vol 7 ◽  
Author(s):  
Victoria Team ◽  
Lydia Team ◽  
Angela Jones ◽  
Helena Teede ◽  
Carolina D. Weller
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Endotracheal Tube ◽  
Prone Position ◽  
Distress Syndrome ◽  
Prone Positioning ◽  
Hospital Infection Control ◽  
Short Period ◽  
Pressure Injury

Coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was identified in China in December 2019 and became a pandemic in a short period of time. While most infected people might have mild symptoms, older people and people with chronic illnesses may develop acute respiratory distress syndrome (ARDS). Patients with ARDS with worsening hypoxemia require prone positioning to improve the respiratory mechanics and oxygenation. Intubated patients may stay in a prone position up to 12–16 h, increasing the risk of pressure injury (PI). Frequent skin inspections and PI risk assessment in COVID-19 patients will be challenging due to hospital infection control measures aimed to reduce the risk for health professionals. In this perspective article, we summarize the best practice recommendations for prevention of PI in SARS-CoV-2-infected ARDS patients in prone positioning. Prior to positioning patients in prone position, the main recommendations are to (1) conduct a skin assessment, (2) use pressure redistribution devices, (3) select an appropriate mattress or an overlay, (4) ensure that the endotracheal tube securing device is removed and the endotracheal tube is secured with tapes, (5) use a liquid film-forming protective dressing, and (6) lubricate the eyes and tape them closed. Once a patient is in prone position, it is recommended to (1) use the swimmer's position, (2) reposition the patient every 2 h, and (3) keep the skin clean. When the patient is repositioned to supine position, healthcare professionals are advised to (1) assess the pressure points and (2) promote early mobilization.

scholarly journals Faktor-Faktor yang Berhubungan dengan Pressure Injury pada Anak

2019 ◽  
Vol 11 (1) ◽  
pp. 13
Author(s):  
Juairiah Juairiah
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Medical Devices ◽  
Medical Condition ◽  
Group Development ◽  
Multiple Organ ◽  
Google Scholar ◽  
Related Factors ◽  
Factors Associated ◽  
Pressure Injury

Children are vulnerable group to pressure injuries and has unique characteristics as associated factor. Factors related to pressure injury must be slightly different from adult. The intervention action considering the injury to the child must be specifically related to the factors associated with pressure in the child. The purpose of this study is to identify factors associated with PI in children. This study was carried out using systematic literature review studies. Articles for this study was obtained from Google scholar, Science-direct, PubMed, and Ebsco. Articles was published in 2009-2019 that discuss factors related to PI in children. The results of the study was factors related to PI in pediatric patients were divided into 3 categories, they were medical conditions, medical devices, and length of stay. Medical devices were direct trigger factors that causing PI in children. The most common medical devices identified in the study that causing PI were respiration aids such as ventilator. The medical condition was unpreventable factors of PI in children especially Multiple Organ Dysfunction (MODS) and comorbidities, as well as cardiovascular and respiratory disease. Long days of stay increase the risk of PI in children, importantly in the 7th day or more of stay. Prevention of PI in children must be done intensively and should be carried out according to the unique factors of the children group. Development of prevention bundles of PI in children must be done according to pediatric’s PI related factors. Keywords: child; medical devices; related factors; pressure injuries; pediatric ABSTRAK Anak merupakan kelompok yang rentan terhadap pressure injury dan memiliki karakteristik unik yang perlu diperhatikan. Tindakan intervensi pencegahan pressure injury pada anak harus spesifik terkait dengan faktor yang berhubungan dengan pressure injury pada anak. Tujuan dari studi ini adalah mengidentifikasi faktor yang berhubungan dengan PI pada anak. Studi ini merupakan studi Systematic Literature Review Artikel diperoleh dari Google scholar, Science-direct, PubMed, dan Ebsco. Artikel merupakan artikel yang terbit pada tahun 2009-2019 yang membahas faktor yang berhubungan dengan PI pada anak. Hasil studi mengidentifikasi faktor yang berhubungan dengan PI pasien anak adalah kondisi medis, alat medis, dan lama masa perawatan. Alat medis merupakan faktor pencetus terjadinya PI pada anak. Alat medis yang paling umum menyebabkan PI adalah alat bantuan respirasi seperti ventilator. Kondisi medis menjadi faktor yang tidak dapat dihindari menyebabkan PI pada anak teruatama kondisi medis multiple organ dysfunctions (MODS), kormobiditas, penyakit kardiovaskuler dan respirasi. Lama hari perawatan lebih dari 7 hari meningkatkan risiko PI pada anak. Pencegahan PI pada anak harus dilakukan secara intensif dan memperhatikan faktor unik dari kelompok anak. Pengembangan bundle pencegahan PI khusus untuk anak harus dilakukan agar intervensi dapat dilakukan sesuai dengan kelompok usia. Kata kunci: anak; alat medis; faktor yang berhubungan; pressure injury; pediatric

Ultrastructural changes in murine lymphoma cells exposed to ultraviolet-A radiation

1991 ◽  
Vol 49 ◽  
pp. 104-105
Author(s):  
Delma P. Thomas ◽  
Dianne E. Godar
Keyword(s):  
Medical Devices ◽  
Blood Cells ◽  
White Blood Cells ◽  
Consumer Products ◽  
Ultrastructural Changes ◽  
Ultraviolet A ◽  
Uv Spectrum ◽  
Lymphoma Cells ◽  
Murine Lymphoma ◽  
Transmission Electron

Ultraviolet radiation (UVR) from all three waveband regions of the UV spectrum, UVA (320-400 nm), UVB (290-320 nm), and UVC (200-290 nm), can be emitted by some medical devices and consumer products. Sunlamps can expose the blood to a considerable amount of UVR, particularly UVA and/or UVB. The percent transmission of each waveband through the epidermis to the dermis, which contains blood, increases in the order of increasing wavelength: UVC (10%) < UVB (20%) < UVA (30%). To investigate the effects of UVR on white blood cells, we chose transmission electron microscopy to examine the ultrastructure changes in L5178Y-R murine lymphoma cells.

Bacterial biofilm behavior in water-supply lines of dental units

1992 ◽  
Vol 50 (1) ◽  
pp. 882-883
Author(s):  
B.D. Tall ◽  
K.S. George ◽  
R. T. Gray ◽  
H.N. Williams
Keyword(s):  
Water Supply ◽  
Medical Devices ◽  
Biofilm Formation ◽  
Bacterial Biofilm

Studies of bacterial behavior in many environments have shown that most organisms attach to surfaces, forming communities of microcolonies called biofilms. In contaminated medical devices, biofilms may serve both as reservoirs and as inocula for the initiation of infections. Recently, there has been much concern about the potential of dental units to transmit infections. Because the mechanisms of biofilm formation are ill-defined, we investigated the behavior and formation of a biofilm associated with tubing leading to the water syringe of a dental unit over a period of 1 month.

Sign in / Sign up

Export Citation Format

Share Document