Medical Device-Related Pressure Injuries: an integrative literature review

AUTOR(ES)

Galetto, Sabrina Guterres da Silva

FONTE

Rev. Bras. Enferm.

DATA DE PUBLICAÇÃO

18/04/2019

RESUMO

RESUMO Objetivo: Identificar e analisar as evidências científicas quanto à ocorrência de Lesões por Pressão Relacionadas a Dispositivos Médicos, considerando os locais de desenvolvimento; e descrever os dispositivos de risco e as medidas de prevenção e tratamento. Método: Revisão integrativa, com busca nas bases: CINAHL, PubMed, Wiley InterScience, Scopus e Web Of Science. Utilizou-se os termos “pressure ulcer” e “medical devices”, sendo incluídos artigos originais e estudos de caso, publicados entre 2010 e 2015. Foram selecionados nove estudos. Resultados: Região cervical posterior e o nariz obtiveram as frequências mais elevadas de lesões, respectivamente, 66,0% e 40,0%. Identificaram-se onze dispositivos de risco, destacando-se as máscaras de Ventilação Não Invasiva e o tubo orotraqueal. Para prevenção e tratamento emergiram recomendações específicas ao dispositivo empregado e medidas gerais. Conclusão: As Lesões por Pressão Relacionadas a Dispositivos Médicos são problemas frequentes, todavia, podem ser prevenidas e tratadas com base nas recomendações dos artigos levantados nesta revisão.ABSTRACT Objetives: To identify and analyze the scientific evidence regarding the occurrence of Medical Device-Related Pressure Injuries, considering the development sites; and to describe the devices of risk and the measures of prevention and treatment. Method: Integrative, search-based review: CINAHL, PubMed, Wiley InterScience, Scopus, and Web Of Science. The terms “pressure ulcer” and “medical devices” were used, including original articles and case studies published between 2010 and 2015. Nine studies were selected. Results: Posterior cervical region and nose had the highest injury frequencies, respectively, 66.0% and 40.0%. Eleven risk devices were identified, with emphasis on Non-Invasive Ventilation masks and orotracheal tube. For prevention and treatment emerged recommendations specific to the device employed and general measures. Conclusion: Medical Device-Related Pressure Injuries are frequent problems, however, they can be prevented and treated based on the recommendations of the articles raised in this review.

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