Preventing iatrogenic facial pressure ulcers during spinal surgery: Prospective trial using a novel method and review of literature.
facial pressure ulcers
iatrogenic pressure ulcers
prone position
spinal surgery
Journal
International wound journal
ISSN: 1742-481X
Titre abrégé: Int Wound J
Pays: England
ID NLM: 101230907
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
25
03
2020
revised:
28
04
2020
accepted:
01
05
2020
pubmed:
2
6
2020
medline:
19
8
2021
entrez:
2
6
2020
Statut:
ppublish
Résumé
To assess the outcome of a novel method of preventing facial pressure ulcers in spinal surgery and a review of literature. A prospective trial using a novel method of facial protection using paraffin tulle gras dressing to cover bony prominences during spinal surgical procedures was performed. Patients were reviewed at 24 hours and 6 weeks. A telephone survey was also conducted post discharge. Over an 8-month period, 12 patients (7F:5M, age 9-72 years) underwent spine surgery for tumour stabilisation (n = 7), deformity correction (n = 4), and degenerative presentation (n = 1) with mean operative time of 472 minutes (range 150-785 minutes) in prone position. All patients were managed by the same team using an agreed protocol. No pressure ulcers were noted in our study. One patient sustained minimal erythema, which resolved after 24 hours. All patients were satisfied with the care received. Facial pressure ulcers though much reduced are still common in spinal surgery. The common factors are the long duration of surgery, shear, friction, moisture, and intrinsic factors. Our strategy of an appropriate facial support and constant vigilance helped eliminate the incidence of iatrogenic facial ulcers in spinal surgery.
Identifiants
pubmed: 32476293
doi: 10.1111/iwj.13402
pmc: PMC7948691
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1391-1395Informations de copyright
© 2020 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
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