INJURIES ASSOCIATED WITH MEDICAL DEVICES IN NEWBORNS AND CHILDREN IN CRITICAL SITUATIONS

• Autor(a) principal: Pinto Machado, Carolane
• Data de Publicação: 2022
• Outros Autores: Jorge Magalhães, Fernanda, Borba Costa, Martha Sthefanie, Pereira Rovere, Giselle, de Paula Pessoa Gurgel, Eloah, Guimarães Veloso , Carmina
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Enfermagem Atual In Derme
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/1426
• topic: Recém-nascido; pele; lesão por pressão.; Recién nacido; piel; lesión por presión; Recién nacido; piel; lesión por presión

ABSTRACT Objective: to identify in scientific evidence the main causes, prevention measures and care strategies for newborns and children at risk of pressure injury. Method: Integrative review performed in the bases: SCielo, MEDLINE, BDENF, LILACS, EBSCO, CINAHL. Eighteen articles were analyzed regarding the level of evidence and content, using the PICO strategy, double-blind and timeless method with the descriptors: newborn AND skin AND pressure lesion. Results: There was evidence of literature published in 2003, with level IV of evidence, more published by nurses. The main causes identified were: predominance of injuries caused by medical devices, especially nasal CPAP and pulse oximeters. As well as individual characteristics (age, size, duration of therapy, ambient humidity and temperature). As for preventive measures and strategies, the following stand out: the use of valid and reliable instruments for evaluating the rigorous surveillance of professionals. Among the care measures identified were: barrier dressings, polyvinyl foam and barrier adhesives. Conclusions: It is concluded that injuries caused by medical devices are the main causes of pressure injuries in newborns and children, using skin assessment scales and professional surveillance as prevention strategies. As a care strategy, the use of barrier dressings was highlighted. Descriptors: Newborn; skin; pressure injury.