Document Detail

Heel damage and epidural analgesia: is there a connection?
MedLine Citation:
PMID:  21278638     Owner:  NLM     Status:  In-Data-Review    
l O bjective: To determine heel pressure injury prevalence in surgical patients prescribed epidural analgesia and identify intrinsic and extrinsic factors associated with heel damage in this patient cohort. l Method: A descriptive study was used to investigate intrinsic and extrinsic variables associated with recorded heel observations at a private hospital in Victoria, Australia. We recruited a sample of 29 consecutive non-emergency participants undergoing general anaesthesia for major surgery, who were prescribed epidural analgesia postoperatively. A total of 58 heel observations were made. l R esults: Heel damage prevalence in the study sample was 13.8% (n=8). l C onclusion: Intrinsic factors associated with this complication included intra- and postoperative hypotension, vascular disease, smoking, chronic obstructive pulmonary disease, and multiple disease burdens. Extrinsic factors associated with heel damage included thromboembolic deterrent stockings and the postoperative ward use of heel protectors designed for use in operating theatres. It is hoped that the study findings will assist improvements in the assessment of heel damage risk and promote the pressure prevention strategies required by this patient cohort. l C onflict of interest: Four pairs of each type of heel protector were donated by the manufacturing companies. One year after the study's conclusion, financial assistance was provided by Action Products Inc. and Edwards Medical to present the research findings at the AORN conference in Denver, Colorado.
C M Loorham-Battersby; W McGuiness
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of wound care     Volume:  20     ISSN:  0969-0700     ISO Abbreviation:  J Wound Care     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9417080     Medline TA:  J Wound Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  28-34     Citation Subset:  N    
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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