Casas Martin, A. I. Fernández Gaute, Nieves Fernandez Jimenez, A. Fernandez Miralles, M. J. Frade Mera, María Jesús Montejo González, Juan Carlos Montes Gil, Diego Vergara Díez, Laura
Profundizando en el conocimiento sobre el manejo del dispositivo para control de la eliminación fecal en el paciente crítico. [artículo] - Enfermeria intensiva, 2013 - 24(1):23-35.
Formato Vancouver:
Frade Mera MJ, Vergara Díez L, Fernández Gaute N, Casas Martín AI, Montes Gil D, Fernández Miralles MJ et al. Profundizando en el conocimiento sobre el manejo del dispositivo para control de la eliminación fecal en el paciente crítico. Enferm Intensiva. 2013 Jan-Mar;24(1):23-35.
PMID: 23347729
Contiene 84 referencias
OBJECTIVE: To describe the general characteristics of the patient and device use. To know retention balloon pressure (RBP) and related factors. To identify rate of leakage incidence, relocation and perineal damage due to the device (PSD) and related risk factors. MATERIAL AND METHODS: An analytical observational, cross-sectional study conducted in a polyvalent ICU from June-December 2010 was performed. The sample included Flexi-Seal carriers. Variables evaluated were patient and device use characteristics, RBP, leakage and quantity, relocation and reason, PSD, sedoanalgesia infusion, neuromuscular block, patient position, Flexi-Seal type catheter, ventilatory mode (VM), intra-abdominal pressure (IAP), mean intrathoracic pressure (MITP), PEEP, Glasgow, color-aspect, fecal consistency and volume. Significance P<.05. RESULTS: Twenty-one patients were included, 52% male, aged 5417 with 30 insertion episodes, Flexi-Seal-Signal 33%, 108 days permanency, main indication 33% diarrhea and injured skin," 30% device removal intolerance and/or spontaneous expulsion. Median (Me) PGR =40; RI (61-19) cmH2O. Factors associated to higher PGR: SCI absence, prone-decubitus position, leakage, relocation, conventional Flexi-Seal, MV, lower PEEP and IMP, Color-aspect, higher MITP. Leakage, relocation and PSD incidence density 43, 30 and 2 cases/100 days of catheter, respectively. Leakage and relocation risk factors: higher PGR, Glasgow and fecal volume, lower MITP, MV, assisted-spontaneous mode OR 2.5 CI (1.6-3.8) and OR 1.7(1.1-2.7), absence SCI OR 3.3 (2.2-5.1) and OR 2.4(1.5-3.8), absence neuromuscular block OR 2.4 (1.4-3.9) and OR 1.8 (1.1-3.1), Flexi-Seal conventional
Profundizando en el conocimiento sobre el manejo del dispositivo para control de la eliminación fecal en el paciente crítico. [artículo] - Enfermeria intensiva, 2013 - 24(1):23-35.
Formato Vancouver:
Frade Mera MJ, Vergara Díez L, Fernández Gaute N, Casas Martín AI, Montes Gil D, Fernández Miralles MJ et al. Profundizando en el conocimiento sobre el manejo del dispositivo para control de la eliminación fecal en el paciente crítico. Enferm Intensiva. 2013 Jan-Mar;24(1):23-35.
PMID: 23347729
Contiene 84 referencias
OBJECTIVE: To describe the general characteristics of the patient and device use. To know retention balloon pressure (RBP) and related factors. To identify rate of leakage incidence, relocation and perineal damage due to the device (PSD) and related risk factors. MATERIAL AND METHODS: An analytical observational, cross-sectional study conducted in a polyvalent ICU from June-December 2010 was performed. The sample included Flexi-Seal carriers. Variables evaluated were patient and device use characteristics, RBP, leakage and quantity, relocation and reason, PSD, sedoanalgesia infusion, neuromuscular block, patient position, Flexi-Seal type catheter, ventilatory mode (VM), intra-abdominal pressure (IAP), mean intrathoracic pressure (MITP), PEEP, Glasgow, color-aspect, fecal consistency and volume. Significance P<.05. RESULTS: Twenty-one patients were included, 52% male, aged 5417 with 30 insertion episodes, Flexi-Seal-Signal 33%, 108 days permanency, main indication 33% diarrhea and injured skin," 30% device removal intolerance and/or spontaneous expulsion. Median (Me) PGR =40; RI (61-19) cmH2O. Factors associated to higher PGR: SCI absence, prone-decubitus position, leakage, relocation, conventional Flexi-Seal, MV, lower PEEP and IMP, Color-aspect, higher MITP. Leakage, relocation and PSD incidence density 43, 30 and 2 cases/100 days of catheter, respectively. Leakage and relocation risk factors: higher PGR, Glasgow and fecal volume, lower MITP, MV, assisted-spontaneous mode OR 2.5 CI (1.6-3.8) and OR 1.7(1.1-2.7), absence SCI OR 3.3 (2.2-5.1) and OR 2.4(1.5-3.8), absence neuromuscular block OR 2.4 (1.4-3.9) and OR 1.8 (1.1-3.1), Flexi-Seal conventional
