Here - EWMA 2013

E-POSTER: PRESSURE ULCER
E-Poster: Pressure Ulcer
EP 534
PREVENTION OF PRESSURE ULCERS IN CARDIAC SURGERY PATIENTS
Anaeli Peruzzo 1 , Silvana Prazeres 2 , Sandra Simon 1
1 Conceição Group Hospital (Porto Alegre, Brazil);
2 MaximedSul And Unisinos (Porto Alegre, Brazil).
Objective: The unsettling concern the care team with the formation of pressure ulcers
(PU) in patients admitted to the cardiac surgery unit, especially in the postoperative
period, generated several discussions on methods for prevention and treatment. With
the intention of assisting on improving process, committee members risk management,
working in patient safety, have proposed to perform a brief situational diagnosis with the
nurse in charge of sector. The objective is to preserve skin integrity by deploying
methods to prevent the development of PUs in patients after cardiac surgery.
Methods: Cross-sectional, exploratory, observational survey by worksheet designed to
investigate the occurrence of PU on the return of patients from cardiac surgery unit, in
the period June-August 2012. The research was done in the electronic medical record.
Results: In the period were monitored 26 patients of whom 9 developed PU. It was
noted that on the 1st postoperative were unable to view the back in 6 patients because
of instability of oxygenation. Has initiate the use sacred region protection adherent
dressings with soft silicone foam, they were placed in the preoperative period, before the
patient is directed to the operating room. In the period of use of these dressings, the
patients did not develop PU and expressed comfort in using the product.
Conclusions: It was observed in the 1st postoperative that 70% of patients during their
cardiac surgery patients stay, presented impossibility of passive motion and 100%
decreased hemoglobin, showing that extrinsic and intrinsic factors predispose to occur
PU.
EP 535
Pressure sores in children with spina bifida
E-Poster: Pressure Ulcer
Alexey Baindurashvili 1 , Vladimir Kenis 1 , Stanislav Ivanov 1
1 The Turner Scientific and Research Institute for Children’s Orthopedics
(Saint-Petersburg, Russia).
Introduction: Children with Spina bifida may have the most severe orthopedic
problems, neurological and trophic disturbances.
Aim: To research influence of different factors to formation of trophic disturbances.
Material and Method: In the Turner Scientific and Research Institute for Children’s
Orthopedics during the period of 2008-2012 years were examined 274 patients. In all
patients level of neurological lesion by the Sharrard method and level of sensibility were
determined.
Results: Pressure sores in different cases in children with spina bifida were seen in 104
patients in all groups of neurological lesions. We determined the correlation of absents of
sensibility and development of pressure sores. In 32 cases we observed skin damages
on the feet. In 27 of them development of pressure sores were connected with weight
bearing on the different part of feet.
Conclusion: Development of trophic disturbances more common depends on level of
sensibility then on level of neurological lesion. Static and dynamic factors also influence
on pressure sores development.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
303