Saudi Journal of Anaesthesia

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 16  |  Issue : 1  |  Page : 17--23

Prophylactic use of donut-shaped cushion to reduce sacral pressure injuries during open heart surgery


Min Hee Heo, Ji Yeon Kim, Beom Il Park, Sang Il Lee, Kyung-Tae Kim, Jang Su Park, Won Joo Choe, Jun Hyun Kim 
 Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Gyeonggi-do, South Korea

Correspondence Address:
Jun Hyun Kim
10380, 170 Juhwa-ro, Ilsanseo-gu, Goyang, Gyeonggi-do
South Korea

Background: Pressure injuries are likely to develop in the operating room due to the high temperature and humidity underneath the patients. This study was designed to reduce sacral pressure injuries using donut-shaped cushions on patients undergoing open heart surgery in a supine position for more than three hours. Materials and Methods: Patients undergoing open heart surgery for more than three hours were randomly allocated. Depending on the allocation, either the donut-shaped cushion (donut group) or hydrophilic foam dressing (control group) was applied before draping. Patients were evaluated for the development of pressure injuries, National Pressure Ulcer Advisory Panel (NPUAP) stage, and injury size immediately after surgery, 48 hours, and seven days after surgery. Results: Forty-five patients were enrolled in this study. Twenty-two were assigned to the donut group and 23 were assigned to the control group. Three patients developed pressure injuries of NPUAP stage I or higher. All injuries occurred in the control group, but there was no statistically significant difference (P = 0.083). Conclusions: Patients who underwent cardiac surgery for more than three hours and used a donut-shaped cushion did not develop pressure injuries, although no statistical difference was noted. Specific preventative measures in the operating room may play a crucial role in preventing pressure injuries, and further research should be pursued.


How to cite this article:
Heo MH, Kim JY, Park BI, Lee SI, Kim KT, Park JS, Choe WJ, Kim JH. Prophylactic use of donut-shaped cushion to reduce sacral pressure injuries during open heart surgery.Saudi J Anaesth 2022;16:17-23


How to cite this URL:
Heo MH, Kim JY, Park BI, Lee SI, Kim KT, Park JS, Choe WJ, Kim JH. Prophylactic use of donut-shaped cushion to reduce sacral pressure injuries during open heart surgery. Saudi J Anaesth [serial online] 2022 [cited 2023 Jan 29 ];16:17-23
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=1;spage=17;epage=23;aulast=Heo;type=0