Document Detail


The relationship among pressure ulcers, oxygenation, and perfusion in mechanically ventilated patients in an intensive care unit.
MedLine Citation:
PMID:  19752659     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: We examined the relationships among oxygenation, tissue perfusion, and other comorbid conditions not incorporated into the Norton Scale, and pressure ulcer (PU) development in subjects receiving mechanical ventilation. DESIGN: Descriptive, observational study. SETTING AND SUBJECTS: The setting was our university hospital's surgical/emergency intensive care unit in Istanbul province, Turkey. The sample comprised 30 patients who were older than 18 years, did not have a PU on admission, and had been mechanically ventilated for more than 24 hours when data collection began. METHODS: Skin integrity and a PU risk, using the Norton Scale, were administered twice daily. In addition, serum blood testing, vital signs, and data regarding ventilation and oxygenation status were obtained from the patient's electronic medical records. RESULTS: Slightly less than half of subjects were women (n = 14, 46.7%). Their mean age was 54.36 years (SD = 20.68). Pressure ulcers developed in 5 patients (16.7%); all PUs were located on the heel. All ulcers were initially observed as stage I lesions; 1 progressed to a stage II ulcer and 1 progressed to a stage III ulcer. Patients who developed pressure ulcers have higher serum glucose levels (z = -2.198; P = .028), higher serum pH levels (z = -2.031; P = .028), and lower diastolic blood pressures (z = 0.055; P = .057) than those who remained ulcer free. CONCLUSION: Our results demonstrate that mechanically ventilated patients who develop PUs were more likely to have significantly higher blood glucose levels, significantly lower diastolic blood pressure values, and significantly higher serum pH values than were patients who remained free of PUs. Nurses who care for mechanically ventilated patients should recognize these factors and initiate preventive interventions as indicated.
Authors:
Leman Senturan; Ukke Karabacak; Sebahat Ozdilek; Sule Ecevit Alpar; Song??l Bayrak; Song??l Y??ceer; Nebahat Yildiz
Related Documents :
18595789 - Management of recurrent ischial pressure sore with gracilis muscle flap and v-y profund...
6541549 - A simplified evaluation of vital capillary microscopy for predicting skin viability in ...
17355409 - Appraising and comparing pressure ulcer guidelines.
14987699 - Measurement of the residual radioactivity induced in the front foil of a target assembl...
17946739 - Which techniques to improve the early detection and prevention of pressure ulcers?
10671839 - Risk factors for pressure sores in the critically ill.
3962019 - Simultaneous measurement of pressure profile and pull-through force in the urethra of 2...
15990609 - Comparison of dynamic contour tonometry with goldman applanation tonometry over a wide ...
9631809 - Respiratory mechanics after prosthetic reconstruction of the chest wall in normal rats.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN     Volume:  36     ISSN:  1528-3976     ISO Abbreviation:  J Wound Ostomy Continence Nurs     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-09-15     Completed Date:  2009-12-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9435679     Medline TA:  J Wound Ostomy Continence Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  503-8     Citation Subset:  N    
Affiliation:
Hali?? University School for Health Sciences, Istanbul, Turkey. lemansenturan@halic.edu.tr
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anoxia / blood,  complications*
Blood Gas Analysis
Disease Progression
Female
Humans
Hyperglycemia / blood,  complications
Hypotension / complications
Intensive Care / methods
Male
Middle Aged
Nursing Assessment
Pressure Ulcer / epidemiology,  etiology*,  prevention & control
Respiration, Artificial / adverse effects*,  methods,  nursing
Risk Assessment
Risk Factors
Severity of Illness Index
Statistics, Nonparametric
Time Factors
Turkey / epidemiology

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


Previous Document:  Comparison of bodily pain: persons with and without venous ulcers in an indigent care clinic.
Next Document:  Topical treatment protocol for stevens-johnson syndrome and toxic epidermal necrolysis: a brief repo...