Document Detail

A prospective, in vivo evaluation of two pressure-redistribution surfaces in healthy volunteers using pressure mapping as a quality control instrument .
MedLine Citation:
PMID:  23388397     Owner:  NLM     Status:  MEDLINE    
Deep tissue injury (DTI) can rapidly evolve into a higher stage pressure ulcer. Use of pressure-redistribution surfaces is a widely accepted practice for the prevention of pressure ulcers in acute care patients, particularly in departments where care processes limit mobility. A 15-year-old patient developed a sacral DTI 24 hours after completion of a lengthy (12- hour) electrophysiology (EP) study and catheter ablation. A root cause analysis (RCA) conducted to investigate the origin of the hospital-acquired suspected DTI prompted a small investigation to evaluate the pressure-distribution properties of the EP lab surface and an OR table pad. Five healthy adult employee volunteers were evaluated in the supine position by placing a sensing mat between the volunteer and the test surface. Interface pressures (on a scale of 0 mm Hg to 100 mm Hg) were captured after a "settling in" time of 4 minutes, and the number of sensors registering very high pressures (above 90 mm Hg) across the surface were recorded. On the OR table pad, zero to six sensors registered >90 mm Hg compared to two to 20 sensors on the EP lab surface. These data, combined with the acquired DTI, initiated a change in EP lab surfaces. Although interface pressure measurements only provide information about one potential support surface characteristic, it can be helpful during an RCA. Studies to compare the effect of support surfaces in all hospital units on patient outcomes are needed.
Stephannie Miller; Michael Parker; Nicole Blasiole; Nancy Beinlich; Judith Fulton
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ostomy/wound management     Volume:  59     ISSN:  1943-2720     ISO Abbreviation:  Ostomy Wound Manage     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-02-07     Completed Date:  2013-06-17     Revised Date:  2013-09-04    
Medline Journal Info:
Nlm Unique ID:  8912029     Medline TA:  Ostomy Wound Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  44-8     Citation Subset:  N    
Akron General Medical Center, Akron, OH 44307, USA.
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MeSH Terms
Beds / adverse effects*,  standards
Body Mass Index
Catheter Ablation / adverse effects
Electrophysiologic Techniques, Cardiac / adverse effects
Equipment Design
Operating Tables / adverse effects*,  standards
Pressure / adverse effects*
Pressure Ulcer / etiology*,  prevention & control*
Prospective Studies
Quality Control*
Reference Values
Risk Factors
Surface Properties
United States
Wolff-Parkinson-White Syndrome / complications,  therapy
Comment In:
Ostomy Wound Manage. 2013 Jul;59(7):8

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

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