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AI-Generated response:

Which respiratory devices are most likely to cause a pressure ulcer?

Answer generated on June 4, 2024

The AI-generated responses are for illustration purposes only and should not be used for medical purposes.

The respiratory devices most likely to cause a pressure ulcer are nasal oxygen tubes, oxygen face masks, and endotracheal tubes.[1]

  • Nasal oxygen tubes were reported to cause pressure ulcers in 31 cases in a study.[1]

  • Oxygen face masks followed closely, being responsible for pressure ulcers in 23 cases.[1]

  • Endotracheal tubes were also significant, causing pressure ulcers in 17 cases.[1]

  • The study highlighted that the presence of these devices significantly increased the risk of developing medical device-related pressure ulcers (MDRPUs).[1]

  • Factors such as older age, male gender, and longer hospital stays were also associated with an increased risk of MDRPUs.[1]

Additional info

It's important to monitor the condition of the skin where these devices contact, especially in vulnerable populations such as the elderly or those with prolonged hospital stays. Regular assessment and adjustment of these devices can help minimize the risk of pressure ulcers. Awareness and preventive measures are crucial in managing the risks associated with the use of these respiratory devices in clinical settings.

References

Reference 1

1.

Rashvand F, Shamekhi L, Rafiei H, Nosrataghaei M. International Wound Journal. 2020;17(2):436-442. doi:10.1111/iwj.13290.

Publish date: April 3, 2020.

Few studies, especially among developing countries such as Iran, have been conducted on the incidence and risk factors for medical device-related pressure ulcers (MDRPUs). Given the importance of this issue and the lack of previous studies, the present study aimed to investigate the incidence and risk factors for MDRPUs in Iran. The present descriptive-analytical study was conducted at three hospitals in Qazvin, Iran, from June 1, 2019, to September 1, 2019. Data collection took approximately 3 months from July to September 2019. Sampling was carried out through a convenience sampling method, and the samples consisted of 404 patients. For data collection, a checklist for demographic variables, a checklist for patient-connected medical devices, Braden Scale, Glasgow Coma Scale, National Pressure Ulcer Advisory Panel Pressure Grading Scale, and Nutrition Risk Screening 2002 were used. Of the 404 patients studied, 20.54% (n = 83) developed some degree of MDRPUs. From those, 61 (70.11%) were in stage I, 17 (19.5%) were in stage II, and 9 (10.34%) were in stage III. Among the nine medical devices that caused pressure ulcers, the most commonly reported ones were nasal oxygen tubes (31 cases), oxygen face masks (23 cases), and endotracheal tubes (17 cases). The mean score of Braden Scale (P = .004), the mean score of NRS 2002 (P = .037), older age (P = .007), male gender (P = .002), the average length of stay in hospitals (P = .001), and having pressure ulcers in body (P = .025) significantly increased the possibility of occurring MDRPUs.

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