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Skin damage prevention in the prone ventilated critically ill patient: A comprehensive review and gap analysis (PRONEtect study)
- Source :
- Journal of Tissue Viability, Fourie, A, Ahtiala, M, Black, J, Hevia, H, Coyer, F, Gefen, A, LeBlanc, K, Smet, S, Vollman, K, Walsh, Y & Beeckman, D 2021, ' Skin damage prevention in the prone ventilated critically ill patient : A comprehensive review and gap analysis (PRONEtect study) ', Journal of Tissue Viability, vol. 30, no. 4, pp. 466-477 . https://doi.org/10.1016/j.jtv.2021.09.005
- Publication Year :
- 2021
- Publisher :
- Tissue Viability Society. Published by Elsevier Ltd., 2021.
-
Abstract
- Background Ventilating critically ill patients with acute respiratory distress syndrome in the prone position is a life-saving strategy, but it is associated with adverse consequences such as skin damage. Aim To identify, review and evaluate international proning and skin care guidelines and make an inventory of commonly used equipment and training resources. Design A gap analysis methodology was applied. Methods 1) Comprehensive search and evaluation of proning and skin care guidelines, 2) extensive search and listing equipment and educational resources, and 3) international consultation with 11 experts (8 countries). Data sources A variety of sources researched through July 2021 were used to identify relevant literature: (1) scientific literature databases and clinical trials registries, (2) intensive care and wound care associations, (3) healthcare organisations, (4) guideline development organisations, and (5) the Google search engine. Eleven international experts reviewed the literature and provided insights in two, 2-h online sessions. Findings The search yielded 24 guidelines. One clinical practice guideline had high methodological quality. Twenty-five devices/equipment and sixteen teaching materials were identified and discussed with the expert panel. The gap analysis identified a lack of concise, accessible, evidence-based guidelines and educational materials of short duration. Conclusion This analysis forms the basis for designing a competency-based education and training intervention for an interdisciplinary team caring for the skin of critically ill patients in the prone position. Impact The results can assist the multidisciplinary team to review their current protocol for prone positioning. This is a first step in developing a training package for clinicians.
- Subjects :
- Respiratory distress syndrome
Critical Care
Critical Illness
education
Dermatology
Scientific literature
Gap analysis
Pressure ulcer
Article
Patient Positioning
Pathology and Forensic Medicine
Wound care
Prone position
Intensive care
Health care
Medicine
Humans
Protocol (science)
Respiratory Distress Syndrome
business.industry
COVID-19
Guideline
medicine.disease
Respiration, Artificial
Clinical trial
Critical care
Intensive Care Units
Medical emergency
business
Respiratory Insufficiency
Skin damage
Subjects
Details
- Language :
- English
- ISSN :
- 0965206X
- Database :
- OpenAIRE
- Journal :
- Journal of Tissue Viability
- Accession number :
- edsair.doi.dedup.....afbb938f07c418cb5f1bdd0218c0178b