Dressings cut to shape alleviate facial tissue loads while using an oxygen mask
Autor: | Amit Gefen, Oshrit Hoffer, Lea Peko Cohen, Zehava Ovadia-Blechman |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Adolescent medicine.medical_treatment Oxygen mask Dermatology law.invention 030207 dermatology & venereal diseases 03 medical and health sciences Young Adult 0302 clinical medicine law medicine Intubation Humans 030212 general & internal medicine Sweden Noninvasive Ventilation business.industry Masks Cushioning Equipment Design Original Articles Bandages Respiration Artificial Chin Sample group medicine.anatomical_structure Ventilation (architecture) Facial tissue Thermography Surgery Female business Biomedical engineering |
Zdroj: | Int Wound J |
ISSN: | 1742-481X |
Popis: | Non-invasive ventilation (NIV) masks are commonly used for respiratory support where intubation or a surgical procedure can be avoided. However, prolonged use of NIV masks involves risk to facial tissues, which are subjected to sustained deformations caused by tightening of the mask and microclimate conditions. The risk of developing such medical device-related pressure ulcers can be reduced by providing additional cushioning at the mask-face interface. In this work, we determined differences in facial tissue stresses while using an NIV mask with versus without using dressing cuts (Mepilex Lite; Molnlycke Health Care, Gothenburg, Sweden). First, we developed a force measurement system that was used to experimentally determine local forces applied to skin at the bridge of the nose, cheeks, and chin in a healthy sample group while using a NIV mask. We further demonstrated facial temperature distributions after use of the mask using infrared thermography. Next, using the finite element method, we delivered the measured compressive forces per site of the face in the model and compared maximal effective stresses in facial tissues with versus without the dressing cuts. The dressings have shown substantial biomechanical effectiveness in alleviating facial tissues deformations and stresses by providing localised cushioning to the tissues at risk. |
Databáze: | OpenAIRE |
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