45 - Effect of Pressure-relieving Dressings as Ulcer Prevention Interventions During Cardiothoracic Surgery
Introduction: Pressure ulcers present a significant risk in healthcare settings. Prevention of pressure ulcer formation, especially those that occur after surgery, has become a critical topic as their development has become a “never event” by Medicare and reflects an indicator of poor quality care.
Methods: Data collected from electronic medical records from the study institution for a retrospective chart review of patients undergoing cardiothoracic surgeries over one year. Data collected after removal of any patient and nurse-identifying information included skin assessments, procedure type and length of time on the operating room table, development of postoperative pressure ulceration, and whether or not a pressure-relieving dressing was used. Descriptive statistics were used to examine the effects of the dressings on post-operative ulcer prevention.
Results: Of the 300 cardiothoracic surgical patients meeting inclusion criteria. A high percentage of patients undergoing cardiothoracic surgery underwent the intervention of a prophylactic pressure-relieving dressing. This study investigated the number of patients experiencing a pressure ulcer post-operatively and whether the intervention of a prophylactic dressing significant for clinical practice.
Conclusion: The use of a pressure ulcer prevention dressing showed that the incidence of pressure ulcers in those using dressings was near zero percent. These findings strengthen the body of research in which the literature review supports the use of dressings as an ulcer prevention intervention. Continued research is needed to determine if pressure-relieving dressings work to prevent ulcer prevention post-operatively in a larger population. This research could positively impact perioperative nursing interventions in preventing more postoperative complications of pressure ulcerations in vulnerable patients in the intraoperative setting.