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Advisor(s)
Abstract(s)
Background
The use of Non-Invasive Ventilation (NIV) has been increasing in clinical
practice, however, the evidence has shown that its implementation
may lead to development of ulcers of the face. Objective: to
determine the prevalence of face ulcers on the face of patients admitted
in an Intermediate Care Unit (ICU) submitted to NIV and to
identify the factors associated to its development.
Methods
A prospective study conducted in a ICU between September and
December 2015. Inclusion criteria of: age ≥ 18 years, patients admitted
to the ICU, submitted to NIV and without ulcers of the face at
the time of admission, lead us to a sample of 30 participants. Data
were collected through a questionnaire, the Braden and Glasgow
scale.The prevalence of ulcers on the face was of 26.7 % with a mean onset
time of 3.3 ± 1.1 days. Participants were mostly males (70 %), with
a mean age of 74.2 ± 10.3 years. Those who have developed an ulcer
showed an older average age of 76.5 years, 16.7 % were changing
sensitivity, 16.7 % had the facial skin intact and dry, 26.7 % used
reused masks and 16.7 % had an ulcer Grade II. There was a statistically
significant positive correlation between the development of an
ulcer with the number of hours of daily NIV, the number of days of
NIV, days of hospitalization, and a negative correlation with the level of consciousness.
Conclusions
We observed a high prevalence of ulcers. Thus, this emphasizes the
need for further research to increase knowledge to subsidize ulcer
prevention interventions in patients with NIV.
Description
Keywords
Non-invasive ventilation Nose ulcers Pressure ulcers Facial ulcers
Citation
Ribas, Patrícia; Sousa, Joana; Brandão, Frederico; Sousa, Cesar; Martins, Matilde (2016). Development of pressure ulcers on the face in patients undergoing non-invasive ventilation. In The 3rd IPLeiria’s International Health Congress. Leiria. p. 98-99
Publisher
Unidade de Investigação em Saúde (UIS) da Escola Superior de Saúde do IPLeiria