Interface pressure redistribution on skin during continuous lateral rotation therapy: A feasibility study.
Heart Lung 2016;
45:237-43. [PMID:
26992481 DOI:
10.1016/j.hrtlng.2016.02.003]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 12/26/2015] [Accepted: 02/05/2016] [Indexed: 11/23/2022]
Abstract
BACKGROUND
Continuous Lateral Rotation Therapy (CLRT) is a therapy used in ICUs for early mobilization of ventilated patients. CLRT is believed by some in health care to not be sufficient to allow for capillary re-perfusion, and may lead to tissue damage.
OBJECTIVES
To determine if there are differences in skin interface pressures, skin integrity, or perceived discomfort across three positioning scenarios.
METHODS
A Hill-Rom Total Care SpOrt(®) bed was equipped with a pressure mapping device. Ten healthy volunteers were placed in each positioning scenario for 30 minutes; interface pressures were recorded.
RESULTS
CLRT alone demonstrated statistically lower interface pressures on ischial tuberosities (p < 0.05) as compared to the scenarios with static wedge. Higher pressures were noted on the heels in CLRT alone (p < 0.05). One subject noted pain with CLRT. No erythema or breakdown noted.
CONCLUSIONS
This feasibility study supports the use of CLRT to decrease pressure on capillary beds and decrease patient discomfort.
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