A Study to Assess the Effectiveness of Protective Techniques of Facial Pressure Ulcer Among Patients on Non-invasive Mechanical Ventilation in PCCM Department at Pt. B.D. Sharma PGIMS Rohtak

Year : 2025 | Volume : 03 | Issue : 01 | Page : 10 30
    By

    Sahil Nandal,

  • Hemwati,

  • Pawan Kumar Singh,

  1. Nurse Practitioner, Department of Nursing Critical Care, Pt. Bhagwat Dayal Sharma University of Health Sciences, Haryana, India
  2. Lecturer (Sr.), College of Nursing, Pt. Bhagwat Dayal Sharma University of Health Sciences, Haryana, India
  3. Associate Professor, Department of Post-Critical Care Management, Pt. Bhagwat Dayal Sharma University of Health Sciences, Haryana, India

Abstract

The study aimed to assess the effectiveness of protective techniques in preventing facial pressure ulcers among patients on non-invasive mechanical ventilation in the Post-Critical Care Management (PCCM) department at Pt. B.D. Sharma PGIMS, Rohtak. Facial pressure ulcers are a common complication in patients undergoing non-invasive mechanical ventilation, often resulting from prolonged pressure on facial tissues due to mask contact. This descriptive study involved a sample of 60 patients receiving non-invasive mechanical ventilation. Protective techniques such as repositioning the patient, the use of cushioning materials, and frequent skin assessments were implemented as interventions. Data were collected through observational checklists, which included factors like mask fit, frequency of repositioning, and incidence of facial pressure ulcers. The results demonstrated a significant reduction in the occurrence of facial pressure ulcers among patients who received these protective measures compared to those who did not. This study highlights the importance of preventive strategies in the PCCM department and emphasizes the role of nursing staff in implementing such techniques to enhance patient care. The findings suggest that systematic use of protective techniques can significantly reduce the risk of facial pressure ulcers, improving patient comfort and reducing treatment costs. Further research is recommended to explore the long-term effects of these protective interventions and their application in other critical care settings.

Keywords: Protective techniques, facial pressure ulcers, non-invasive mechanical ventilation, PCCM department, patient care

[This article belongs to International Journal of Emergency and Trauma Nursing and Practices ]

How to cite this article:
Sahil Nandal, Hemwati, Pawan Kumar Singh. A Study to Assess the Effectiveness of Protective Techniques of Facial Pressure Ulcer Among Patients on Non-invasive Mechanical Ventilation in PCCM Department at Pt. B.D. Sharma PGIMS Rohtak. International Journal of Emergency and Trauma Nursing and Practices. 2025; 03(01):10-30.
How to cite this URL:
Sahil Nandal, Hemwati, Pawan Kumar Singh. A Study to Assess the Effectiveness of Protective Techniques of Facial Pressure Ulcer Among Patients on Non-invasive Mechanical Ventilation in PCCM Department at Pt. B.D. Sharma PGIMS Rohtak. International Journal of Emergency and Trauma Nursing and Practices. 2025; 03(01):10-30. Available from: https://journals.stmjournals.com/ijetnp/article=2025/view=222143


References

  1. Paus-Jenssen ES, Reid JK, Cockcroft DW, Laframboise K, Ward HA. The use of noninvasive ventilation in acute respiratory failure at a tertiary care center. Chest. 2004 Jul; 126(1): 165– doi: 10.1378/chest.126.1.165. PMID: 15249458.
  2. Otero DP, Domínguez DV, Fernández LH, Magariño AS, González VJ, Klepzing JV, Montesinos JV. Preventing facial pressure ulcers in patients under non-invasive mechanical ventilation: a randomised control trial. J Wound Care. 2017 Mar 2;26(3): 128– doi: 10.12968/jowc.2017.
    26.3.128. PMID: 28277990.
  3. Lloys A, Madrid C, Solà M, Segura M, Tarrés E, Mas A. Efecto del sellado con agua de la máscara facial para ventilación no invasiva en la aparición de úlceras faciales por presión [The use of water to seal facial mask for non invasive ventilation reduces the incidence of pressure ulcers]. Enferm Intensiva. 2003 Jan–Mar; 14(1): 3– Spanish. doi: 10.1016/s1130-2399(03)78090-0. PMID: 12681111.
  4. Schallom M, Cracchiolo L, Falker A, Foster J, Hager J, Morehouse T, Watts P, Weems L, Kollef M. Pressure Ulcer Incidence in Patients Wearing Nasal-Oral Versus Full-Face Noninvasive Ventilation Masks. Am J Crit Care. 2015 Jul; 24(4): 349–56; quiz 357. doi: 10.4037/ajcc2015386. PMID: 26134336.
  5. Raurell-Torredà M, Argilaga-Molero E, Colomer-Plana M, Ródenas-Fransico A, Ruiz-Garcia MT, Uya Muntaña J. Optimising non-invasive mechanical ventilation: Which unit should care for these patients? A cohort study. Aust Crit Care. 2017 Jul;30(4): 225– doi: 10.1016/j.aucc.2016.08.005. Epub 2016 Sep 6. PMID: 27613253.
  6. Black JM, Cuddigan JE, Walko MA, Didier LA, Lander MJ, Kelpe MR. Medical device related pressure ulcers in hospitalized patients. Int Wound J. 2010 Oct; 7(5): 358– doi: 10.1111/j.1742-481X.2010.00699.x. PMID: 20561094; PMCID: PMC7951307.
  7. Gefen A, Weihs D. Mechanical cytoprotection: A review of cytoskeleton-protection approaches for cells. J Biomech. 2016;49: 1321–9. https://doi.org/10.1016/j.jbiomech.2015.10.030.
  8. Dellweg D, Hochrainer D, Klauke M, et al. Determinants of skin contact pressure formation during non-invasive ventilation. J Biomech 2010; 43: 652–7. https://doi.org/10.1016/j.jbiomech.2009.
    029.
  9. Gefen A, Alves P, Ciprandi G, Coyer F, Milne CT, Ousey K, Ohura N, Waters N, Worsley P, Black J, Barakat-Johnson M, Beeckman D, Fletcher J, Kirkland-Kyhn H, Lahmann NA, Moore Z, Payan Y, Schlüer AB. Device-related pressure ulcers: SECURE prevention. Second edition. J Wound Care. 2022 Mar 1; 31(Sup3a): S1– doi: 10.12968/jowc.2022.31.Sup3a.S1. PMID: 35616340.
  10. Weng MH. The effect of protective treatment in reducing pressure ulcers for non-invasive ventilation patients. Intensive Crit Care Nurs. 2008 Oct; 24(5): 295– doi: 10.1016/j.iccn.2007.
    11.005. Epub 2008 Feb 1. PMID: 18242994.
  11. Acorda DE. Nursing and Respiratory Collaboration Prevents BiPAP-Related Pressure Ulcers. J Pediatr Nurs. 2015 Jul–Aug;30(4): 620– doi: 10.1016/j.pedn.2015.04.001. Epub 2015 Apr 25. PMID: 25921961.
  12. Navalesi P, Fanfulla F, Frigerio P, Gregoretti C, Nava S. Physiologic evaluation of noninvasive mechanical ventilation delivered with three types of masks in patients with chronic hypercapnic respiratory failure. Crit Care Med. 2000 Jun; 28(6):1785– doi: 10.1097/00003246-200006000-00015. PMID: 10890620.
  13. Chai CL, Pathinathan A, Smith B. Continuous positive airway pressure delivery interfaces for obstructive sleep apnoea. Cochrane Database Syst Rev. 2006 Oct 18; 2006(4): doi: 10.1002/14651858.CD005308.pub2. PMID: 17054251; PMCID: PMC8883876.
Regular Issue Subscription Original Research
Volume 03
Issue 01
Received 26/12/2024
Accepted 10/02/2025
Published 05/08/2025
Publication Time 222 Days
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