Pressure Injury
Conditions
Interventions
Randomization will be done using the REDCap software, where all patients eligible for the study will be registered. Masking will be done by the data evaluator during statistical analysis. The interven
Sponsors
Hospital das Clínicas da Faculdade de Medicina da USP
Hospital das Clínicas da Faculdade de Medicina da USP
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Adult and elderly patients, aged 18. Both genders. Patients at risk of developing Pressure Injury- PI (Braden Scale score less than or equal to 18). Patient under controlled/assisted mechanical ventilation not yet eligible for weaning
Exclusion criteria
Exclusion criteria: Need for norepinephrine > 1mcg/kg/min or mean arterial pressure < 60 mmHg. Cardiac arrhythmias. Neurological diseases or symptoms, such as a history of seizures. Dependence on cardiac pacemaker. Air escape through chest drains, pneumothorax or undrained subcutaneous emphysema. Presence of previous Pressure Injury - PI during admission
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to conclude that Platform-Based Lateral Tilt Therapy is effective in reducing interface pressure between the patient and the support surface, compared to the manual decubitus change performed by the nursing team | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to define the interface pressure and pressure distribution, through peak pressure, absolute number of sensors with pressure readings greater than 32 mmHg x time, pressure gradient and average interface pressure, in order to know what pressure on the bony prominence is necessary for the formation of tissue ischemia;It is expected to find the workload of the nursing professional, with the aim of having an adequate dimensioning of the nursing team to care for this population;It is expected to find the Effort perceived by Nursing professionals with the use of therapy, in which we seek to determine whether changing manual decubitus creates more ergonomic damage for the healthcare team;It is expected to identify the incidence of Ventilator-Associated Pneumonia (VAP) in critically ill patients, since continuous lateral rotation therapy is expected to decrease this incidence;It is expected to understand the hemodynamic status during the use of lateralization therapy, considering that there is still much controversy about changing the position of hemodynamically unstable patients;It is expected to define the incidence of pressure injuries and their respective classifications and staging, since continuous lateral rotation therapy is expected to decrease this incidence;It is expected to define the ideal angulation and time for lateralization of the patient, will serve as support and guide to perform the turn, not only with the intervention in question, but also other turning methods | — |
Countries
Brazil
Contacts
Public ContactAnne de Sousa
Hospital das Clínicas da Faculdade de Medicina da USP
Outcome results
None listed