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Review
. 2018 May;39(5):443-452.
doi: 10.15537/smj.2018.5.22058.

Evidence based synthesis for prevention of noninvasive ventilation related facial pressure ulcers

Jaber S Alqahtani  1 , Mohammed D AlAhmari
Affiliations
Review

Evidence based synthesis for prevention of noninvasive ventilation related facial pressure ulcers

Jaber S Alqahtani et al. Saudi Med J. 2018 May.

Abstract

The last 2 decades have seen a growing trend towards the use of noninvasive ventilation (NIV) therapy in the management of many conditions that cause acute respiratory failure. However, there is a serious side effect that results in using these devices; the development of facial skin pressure damage, specifically pressure ulcers. This skin damage has a considerable effect on patients' quality of life, treatment adherence and patients' comfort in addition to the therapy challenges of wound care. The aim of this clinical review is to discuss the different characteristics of NIV interfaces and to provide evidence based recommendations to facilitate the selection and application of such interfaces to reduce NIV interfaces related pressure ulcers.

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Figures

Figure 1
Figure 1
Audit trial of the screening and selecting the eligible papers.
Figure 2
Figure 2
Proposed algorithm for how health care providers should approach patients on NIV in order to reduce facial pressure ulcers.
See this image and copyright information in PMC

References

    1. Cabrini L, Idone C, Colombo S, Monti G, Bergonzi PC, Landoni G, et al. Medical emergency team and non-invasive ventilation outside ICU for acute respiratory failure. Intensive Care Med. 2009;35:339–343. - PubMed
    1. Nava S, Hill N. Non-invasive ventilation in acute respiratory failure. Lancet Lond Engl. 2009;374:250–259. - PMC - PubMed
    1. Jois-Bilowich P, Diercks D. Emergency department stabilization of heart failure. Heart Fail Clin. 2009;5:37–42. - PubMed
    1. Plant PK, Owen JL, Elliott MW. Early use of non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease on general respiratory wards: a multicentre randomised controlled trial. Lancet Lond Engl. 2000;355:1931–1935. - PubMed
    1. Weitz G, Struck J, Zonak A, Balnus S, Perras B, Dodt C. Prehospital noninvasive pressure support ventilation for acute cardiogenic pulmonary edema. Eur J Emerg Med Off J Eur Soc Emerg Med. 2007;14:276–279. - PubMed