Introduction: patients undergoing long surgical procedures are at risk of developing pressure sores. A wound of the subcutaneous tissue, between bony prominences and the operating table, occurring between the first hour and 4-6 hours after the continuous maintenance of the same position. In particular, the risk is present for immobility time more than 2 hours. Factors that increase the risk of injury during surgery are obesity and thinness, age over 70 years, pre-existing conditions such as diabetes, hypertension and immunodeficiency, previous skin wounds or pressure sores and smoking history. Purpose: we implemented the problem concerning pressure sores in the operating room as a possible complication of prolonged immobility on the operating table. Aim of the study is assess the intra-operative onset of pressure sores, evaluating the effectiveness of current protective measures, in order to hypothesize the use of a preventive dressings hydrocolloids in classes of patients previously selected. Materials and methods: in the operating theaters of the Fondazione IRCCS Ca’ Granda Ospedale Maggiore di Milano, between May and September 2012, 90 adult surgical patients undergoing elective surgery lasting more than 2 hours were recruited. For each of the recruited patients, who have been granted the usual nursing, an evaluation form was compiled. Results/ conclusion: the analysis of the data showed that 79% of the subjects investigated has manifested persistent erythema and that prolonged immobility is definitely identified as a risk factor for the occurrence of pressure sores, with a percentage of risk that increases in a directly proportional way to the increase of the hours of surgery and, in particular, each hour of surgery.

L’insorgenza di lesioni da pressione nella fase intraoperatoria / I. Sireno, S. Bonalumi, D. Consonni, D. Laquintana, R. Accardi. - In: SCENARIO. - ISSN 1592-5951. - :3(2013 Oct), pp. 26-30.

L’insorgenza di lesioni da pressione nella fase intraoperatoria

R. Accardi
2013-10

Abstract

Introduction: patients undergoing long surgical procedures are at risk of developing pressure sores. A wound of the subcutaneous tissue, between bony prominences and the operating table, occurring between the first hour and 4-6 hours after the continuous maintenance of the same position. In particular, the risk is present for immobility time more than 2 hours. Factors that increase the risk of injury during surgery are obesity and thinness, age over 70 years, pre-existing conditions such as diabetes, hypertension and immunodeficiency, previous skin wounds or pressure sores and smoking history. Purpose: we implemented the problem concerning pressure sores in the operating room as a possible complication of prolonged immobility on the operating table. Aim of the study is assess the intra-operative onset of pressure sores, evaluating the effectiveness of current protective measures, in order to hypothesize the use of a preventive dressings hydrocolloids in classes of patients previously selected. Materials and methods: in the operating theaters of the Fondazione IRCCS Ca’ Granda Ospedale Maggiore di Milano, between May and September 2012, 90 adult surgical patients undergoing elective surgery lasting more than 2 hours were recruited. For each of the recruited patients, who have been granted the usual nursing, an evaluation form was compiled. Results/ conclusion: the analysis of the data showed that 79% of the subjects investigated has manifested persistent erythema and that prolonged immobility is definitely identified as a risk factor for the occurrence of pressure sores, with a percentage of risk that increases in a directly proportional way to the increase of the hours of surgery and, in particular, each hour of surgery.
pressure sores; intra-operative phase; position of the patient in the operating room; pressure sores in surgical patients
Settore MED/45 - Scienze Infermieristiche Generali, Cliniche e Pediatriche
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/258785
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