Incidenza delle lesioni da pressione nei pazienti sottoposti ad ECMO

Yeainshet Winta, Muco Anila, Alberto Lucchini

Abstract

Gent.mo Direttore,
l’utilizzo dell’Extra Corporeal Membrane Oxigenation (ECMO)[1,2] è notevolmente au- mentato negli ultimi 15 anni, sia per le indica- zioni che riguardano il supporto cardiaco, sia per quanto riguarda il supporto respiratorio.Le diverse configurazioni tecniche e le nuove superfici eparinate dei circuiti, hannodiminuito, ma non azzerato il rischio emorragi- co indotto dall’ECMO.

Riferimenti bibliografici

- Abrams D, Garan AR, Abdelbary A, Bacchetta M, Bartlett RH, Beck J, Belohlavek J et al.Position paper for the organization of ECMO programs for cardiac failure in adults. Intensive Care Med. 2018 Jun;44(6):717-729. doi: 10.1007/s00134-018-5064-5. Epub 2018 Feb 15

- Tay CK, Sung K, Cho YH. Clinical Pearls in Venovenous Extracorporeal Life Support for Adult Respiratory Failure. ASAIO J. 2018;64(1):1-9.

- Tam SF, Mobargha A, Tobias J, Schad CA, Okochi S, Middlesworth W, et al. Pressure ulcers in paediatric patients on extracorporeal membrane oxygenation. Int Wound J. 2019;16(2):420-423. doi: 10.1111/iw

- Clements L, Moore M, Tribble T, Blake J. Reducing skin breakdown in patients receiving extracorporeal membranous oxygenation. Nurs Clin North Am. 2014;49(1):61-8

- Girard R, Baboi L, Ayzac L, Richard JC, Guérin C; Proseva trial group. The impact of patient positioning on pressure ulcers in patients with severe ARDS: results from a multicentre randomised controlled trial on prone positioning. Intensive Care Med. 2014;40(3):397-403

- Lucchini A, Elli S, Bianchi F, Birleanu ND, Zucchini S, Ceccarelli S, et al. Incidence and risk factors associated with the development of pressure ulcers in an Italian general intensive care unit. Assist Inferm Ric. 2018:37(4):181-188

Refback

  • Non ci sono refbacks, per ora.