Document Detail


Backrest position in prevention of pressure ulcers and ventilator-associated pneumonia: conflicting recommendations.
MedLine Citation:
PMID:  22819601     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pressure ulcers and ventilator-associated pneumonia (VAP) are both common in acute and critical care settings and are considerable sources of morbidity, mortality, and health care costs. To prevent pressure ulcers, guidelines limit bed backrest elevation to less than 30 degrees, whereas recommendations to reduce VAP include use of backrest elevations of 30 degrees or more. Although a variety of risk factors beyond patient position have been identified for both pressure ulcers and VAP, this article will focus on summarizing the major evidence for each of these apparently conflicting positioning strategies and discuss implications for practice in managing mechanically ventilated patients with risk factors for both pressure ulcers and VAP.
Authors:
Ruth Srednicki Burk; Mary Jo Grap
Publication Detail:
Type:  Journal Article; Review     Date:  2012-07-21
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  41     ISSN:  1527-3288     ISO Abbreviation:  Heart Lung     Publication Date:    2012 Nov-Dec
Date Detail:
Created Date:  2012-11-05     Completed Date:  2013-05-07     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  United States    
Other Details:
Languages:  eng     Pagination:  536-45     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
School of Nursing, Virginia Commonwealth University, Richmond, Virginia 23294, USA. burkrv@vcu.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Beds
Critical Care / methods*
Humans
Intensive Care Units*
Patient Positioning / methods*
Pneumonia, Ventilator-Associated / prevention & control*
Pressure Ulcer / prevention & control*
Respiration, Artificial / adverse effects
Risk Factors
Supine Position*
Grant Support
ID/Acronym/Agency:
R01 NR010381/NR/NINR NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Protected areas and freshwater conservation: A survey of protected area managers in the Tennessee an...
Next Document:  The Elephant Vanishes: Impact of human-elephant conflict on people's wellbeing.