How different helmet fixing options could affect patients' pain experience during helmet-continuous positive airway pressure.
Autor: | Lucchini A; General Intensive Care Unit, Emergency Department, ASST Monza - San Gerardo Hospital, University of Milano-Bicocca, Monza, MB, Italy., Elli S; General Intensive Care Unit, Emergency Department, ASST Monza - San Gerardo Hospital, University of Milano-Bicocca, Monza, MB, Italy., Bambi S; Emergency, ECMO and Trauma Intensive Care Unit, Azienda Ospedaliero Careggi University Hospital, Florence, Italy., De Felippis C; General Intensive Care Unit, Emergency Department, ASST Monza - San Gerardo Hospital, University of Milano-Bicocca, Monza, MB, Italy., Vimercati S; General Intensive Care Unit, Emergency Department, ASST Monza - San Gerardo Hospital, University of Milano-Bicocca, Monza, MB, Italy., Minotti D; General Intensive Care Unit, Emergency Department, ASST Monza - San Gerardo Hospital, University of Milano-Bicocca, Monza, MB, Italy., Pasquali S; General Intensive Care Unit, Emergency Department, ASST Monza - San Gerardo Hospital, University of Milano-Bicocca, Monza, MB, Italy., Cannizzo L; General Intensive Care Unit, Emergency Department, ASST Monza - San Gerardo Hospital, University of Milano-Bicocca, Monza, MB, Italy., Fumagalli R; Department of Anesthesia and Intensive Care Medicine, Niguarda Ca' Granda, University Hospital of Milano-Bicocca, Milan, Italy., Foti G; General Intensive Care Unit, Emergency Department, ASST Monza - San Gerardo Hospital, University of Milano-Bicocca, Monza, MB, Italy. |
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Jazyk: | angličtina |
Zdroj: | Nursing in critical care [Nurs Crit Care] 2019 Nov; Vol. 24 (6), pp. 369-374. Date of Electronic Publication: 2018 Nov 20. |
DOI: | 10.1111/nicc.12399 |
Abstrakt: | Background: Prolonged application time of helmet continuous positive airway pressure (CPAP) leads to better outcomes, but its timing can be influenced by the patient's tolerance. Aims and Objectives: To investigate patients' pain and tolerance experience related to different options of helmet fixing system: 'armpits strap' versus 'counterweights system'. Design: This was a non-randomized crossover study performed in a 10-bed intensive care unit and referral extra corporeal membrane oxigenation (ECMO) centre of an Italian university hospital. Results: Twenty patients were enrolled. For helmet-CPAP cycles performed with the armpit straps option, the mean pain numerical rate on a 0-10 scale was: 0·5 ± 1·4 at T Conclusions: The fixing system options in use to anchor the helmet during CPAP could worsen the pain experience level and cause device-related pressure ulcers. When compared with the armpit straps option, the counterweights system appears to be a suitable approach to minimize the risks of pressure sores and pain during the treatment. Relevance to Practice: The helmet CPAP is a reliable therapy to manage acute respiratory failure. Major improvements regarding pulmonary alveolar recruitment and oxygen levels are strictly related to a prolonged time of helmet CPAP cycles. Using a counterweight fixing system, where the armpits straps are not necessary, could be helpful in reducing patients' pain experience. (© 2018 British Association of Critical Care Nurses.) |
Databáze: | MEDLINE |
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