Peterson Lisa
Children's Surgery Center, UC Davis Health- ATTN, 4301 X Street, Sacramento, CA 95817, USA.
Nurs Clin North Am. 2025 Mar;60(1):99-108. doi: 10.1016/j.cnur.2024.07.004. Epub 2024 Sep 26.
Pressure injury (PI) prevention in the operating room (OR) has unique considerations based on the patient, procedure, position for the surgical procedure, and available positioning devices. Patient-specific factors contribute to their risk of incurring an intraoperative PI from the American Society of Anesthesiologists classification, sex, body mass index, comorbidities, age, and nutritional status. Additionally, there are surgery-specific risk factors such as length of procedure, intraoperative hypotension, lack of normothermia, and intraoperative blood loss. Knowledge of intraoperative PIs and prevention is developing and continues to have room for growth due to the complexity of the OR environment.
基于患者、手术、手术体位以及可用的体位固定装置，手术室压力性损伤（PI）的预防有其独特的考量因素。患者特异性因素会增加其术中发生PI的风险，这些因素包括美国麻醉医师协会分级、性别、体重指数、合并症、年龄和营养状况。此外，还有手术特异性风险因素，如手术时长、术中低血压、体温未达标以及术中失血。由于手术室环境的复杂性，关于术中PI及其预防的知识正在不断发展，仍有增长空间。
