使用 3D 打印的防护模板降低新生儿重症监护病房中与呼吸设备相关的压力性损伤。
Decreasing respiratory device-related pressure injuries in the NICU using 3D printed barrier templates.
机构信息
St Louis Children's Hospital, Department of Pediatrics/Newborn Medicine, St. Louis, MO, USA.
Washington University School of Medicine, Department of Pediatrics, Division of Newborn Medicine, St. Louis, MO, USA.
出版信息
J Perinatol. 2024 Dec;44(12):1848-1853. doi: 10.1038/s41372-024-01878-7. Epub 2024 Jan 24.
OBJECTIVE
Use of non-invasive ventilation (NIV) in very low birthweight infants to decrease the incidence of bronchopulmonary dysplasia can also lead to pressure injuries (PI) caused by the respiratory device interface. We aimed to decrease our incidence of PIs related to the mask/prongs interface used for NIV (PI-NIV).
STUDY DESIGN
We identified correct use of barriers and appropriate interface fit as key targets for intervention. Over several PDSA cycles, we developed custom 3D printed barrier templates to allow for barriers to be cut at the bedside and created concise educational documents to assist with interface fitting and troubleshooting.
RESULTS
The incidence of all PI-NIV decreased from 5.64 to 2.27 per 1000 NIV patient-days and the incidence of reportable (stage 3-4 and unstageable) PI-NIV decreased from 1.13 to 0 per 1000 NIV patient-days during the study period.
CONCLUSIONS
With appropriate barrier usage and targeted education, the risk of PI-NIV can be minimized.
目的
使用无创通气（NIV）治疗极低出生体重儿可降低支气管肺发育不良的发生率，但也可能导致与呼吸设备接口相关的压力性损伤（PI）。我们旨在降低与 NIV 面罩/鼻塞接口相关的 PI 发生率（PI-NIV）。
研究设计
我们确定了正确使用屏障和适当的接口适配作为干预的关键目标。在多次 PDSA 循环中，我们开发了定制的 3D 打印屏障模板，以便在床边切割屏障，并创建简明的教育文件，以协助接口适配和故障排除。
结果
所有 PI-NIV 的发生率从每 1000 次 NIV 治疗患者日的 5.64 例降至 2.27 例，报告的（3-4 期和无法分期）PI-NIV 的发生率从每 1000 次 NIV 治疗患者日的 1.13 例降至 0 例。
结论
通过正确使用屏障和有针对性的教育，可将 PI-NIV 的风险降至最低。
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