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Tae-Yeong Yang, KangBuk and Sung Hee Shin
Samsung Medical certer, South Korea
Kyung Hee University, South Korea
ScientificTracks Abstracts: Surg Case Rep
The use of prophylactic dressings to help prevent intraoperatively acquired pressure injuries (IAPIs) merits further study. Purpose: To examine how the use of a soft silicone foam dressing affects the development of IAPIs in patients undergoing spinal surgery to obtain baseline data supporting evidence-based nursing care. Methods: Using a self-controlled study design, 64 patients requiring thoracic or lumbar surgery on a Wilson frame at a hospital in Seoul, South Korea, were recruited between February 12 and September 1, 2018; 50 patients were eligible. Basic demographic, health, and surgical data were obtained. Before surgery, the left or right-side chest and iliac crest area were randomly assigned to be covered with a soft silicone foam dressing. The areas were assessed at 2 time points: immediately after and 30 minutes after surgery. Result: The majority of participants were male (26, 52%). Average patient age was 62.54 (± 13.83) years. Average length of surgery was 218.4 (± 137 minutes). Immediately after surgery, 26 IAPIs were observed and there was a significant difference between dressed and non-dressed chest areas for number of IAPIs (4% vs. 28%; P = .002). After 30 minutes, the total number of IAPIs was 20 and the difference between IAPIs in the iliac crest area was significant between dressed and non-dressed areas (0% vs. 14%; P= 0.012). After 1 week, there were no chest or iliac crest IAPIs in the areas that had been covered by a dressing; 8(61.5%) chest and 4(30.8%) iliac crest area IAPIs remained when no dressing had been applied. The majority of IAPIs were stage 1 at all assessment times. Conclusions: The results of this study show that many stage 1 IAPIs do resolve over time and that use of soft silicone foam dressings during spinal surgery can significantly reduce IAPI rates.
Tae-Yeong Yang is a nurse who cares for neurosurgery patients at Kangbuk Samsung Medical Center in Seoul, Korea. As a nursing clinician, he is currently pursuing a doctoral course at Kyung Hee University's College of Nursing Science for in-depth nursing research. He is interested in preventive care and methods to reduce secondary complications that patients experience in hospitals.
