Face Masks for Noninvasive Ventilation: Fit, Excess Skin Hydration, and Pressure Ulcers.

摘要: BACKGROUND: Pressure ulcers (stages III and IV) are serious safety events (ie, never events). Healthcare institutions no longer reimbursed for costs to care affected patients. Medical devices the leading cause of pediatric pressure ulcers. Face masks noninvasive ventilation were associated with a high percentage at our institution. METHODS: A prospective cohort study investigated factors contributing ulcer development in 50 subjects using face ventilation. Color imaging, 3-dimensional surface skin hydration measurements used identify early compromise evaluate 3 interventions reduce trauma: (1) silicone foam dressing, (2) water/polyethylene oxide hydrogel (3) flexible cloth mask. novel mask fit technique was examine impact on potential compromise. RESULTS: Fifty age 10.4 ± 9.1 y participated color images 22, 34, analysis 16. Of these, 69% had diagnoses craniofacial anomalies. Stage I most common injury. Skin difference 317 29 sites erythema versus 75 28 without ( P < .05) smallest .05). Fit distance metrics differed nasal, oronasal, shield interfaces, threshold distances being higher oronasal than others Areas contact ulcers. CONCLUSIONS: This method is currently utilized select best-fit from available options, areas increased tissue pressure, prevent injuries their complications. Improvement an important priority improving respiratory outcomes. Strategies maintain normal protecting integrity.