University of California Davis Health System, Sacramento, California.
Wound Manag Prev. 2024 Sep;70(3). doi: 10.25270/wmp.23005.
Hospital-acquired occipital pressure injuries are a preventable cause of morbidity and mortality in the perioperative setting.
To find the occipital cushion/pillow with the lowest measured peak pressures and the highest measured surface area using pressure mapping technology.
A quality improvement project involving 3 operating room staff volunteers was conducted using pressure mapping. Five different pillows were tested based on what the study location commonly used and had available. The pillows included: standard pillow with pillowcase, non-powered fluidized positioner, medium-sized (17 × 17 × 1.5 inches) static seat cushion placed under the shoulders and head, pediatric-sized (13 × 13 × 2 inches) static air cushion placed under the head, and foam donut.
The non-powered fluidized positioner had the highest average pressure and peak pressure for all 3 volunteers. The medium static air seat cushion had the lowest average and peak pressures for 2 out of 3 volunteers. None of the head cushions consistently demonstrated a larger surface area of pressure distribution.
The medium-sized static air seat cushion, placed under the shoulders and head, demonstrated the most favorable pressure redistribution properties. The non-powered fluidized positioner demonstrated the least favorable pressure redistribution properties.
医院获得性枕部压力性损伤是围手术期发病率和死亡率的可预防原因。
使用压力测绘技术找到测量峰值压力最低和测量表面积最高的枕垫/枕头。
使用压力测绘技术进行了一项涉及 3 名手术室工作人员志愿者的质量改进项目。根据研究地点常用和可用的情况，测试了 5 种不同的枕头。这些枕头包括：标准枕头和枕套、非动力流体定位器、置于肩部和头部下方的中型（17×17×1.5 英寸）静态座椅垫、置于头部下方的小儿尺寸（13×13×2 英寸）静态空气垫和泡沫甜甜圈。
对于所有 3 名志愿者，非动力流体定位器的平均压力和峰值压力最高。对于 3 名志愿者中的 2 名，中型静态空气座垫的平均压力和峰值压力最低。没有一种头垫始终显示出更大的压力分布表面积。
置于肩部和头部下方的中型静态空气座垫显示出最有利的压力重新分布特性。非动力流体定位器显示出最不利的压力重新分布特性。
