Lack of Association of High Backrest With Sacral Tissue Changes in Adults Receiving Mechanical Ventilation

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
M J GrapValentina Lucas

Abstract

Although higher backrest elevation may be a theoretical risk for integrity of sacral tissues, few data support use of high backrest elevation. To describe the effect of backrest elevation on the integrity of sacral tissue in critically ill adults receiving mechanical ventilation. Patients from 3 critical care units (surgical trauma, medical respiratory, and neuroscience) who were expected to have mechanical ventilation for at least 24 hours were intubated and mechanical ventilation was started. Participants were enrolled in the study within 24 hours of intubation. Backrest elevation was continuously measured by using mechanical system- based accelerometers. Integrity of sacral tissue was evaluated by using high-frequency sonography. Data for 84 patients who had measurements of both backrest elevation and skin integrity were available for analysis. General linear models indicated no significant difference among the proportions of time spent at less than 20° (Pvalues: .57 the first 24 hours, .17 the first 48 hours, .81 the first 72 hours), 20° to 30° (Pvalues: .25 the first 24 hours, .08 the first 48 hours, .25 the first 72 hours), or greater than 30° (Pvalues: .62 the first 24 hours, .28 the first 48 hours, .68 the first 72 hour...Continue Reading

Citations

May 26, 2018·The American Journal of Nursing·Karen Rosenberg
May 24, 2021·Journal of Tissue Viability·Yoshiko TakahashiZenzo Isogai

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
M J GrapValentina Lucas
Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
M J GrapValentina Lucas
American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
Amy DillonM J Grap
Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
M J GrapC L Munro
American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
Laura L FeiderElizabeth Bridges
© 2022 Meta ULC. All rights reserved