Influence of support surfaces on the distribution of body interface pressure in surgical positioning

Authors

  • Karoline Faria de Oliveira Universidade Federal do Triângulo Mineiro, Departamento de Enfermagem na Assistência Hospitalar
  • Patrícia da Silva Pires Universidade Federal da Bahia, Escola de Enfermagem
  • Ana Lúcia De-Mattia Universidade Federal de Minas Gerais, Escola de Enfermagem
  • Elizabeth Barichello Universidade Federal do Triângulo Mineiro, Departamento de Enfermagem na Assistência Hospitalar
  • Cristina Maria Galvão Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto
  • Cleudmar Amaral de Araújo Universidade Federal de Uberlândia, Faculdade de Engenharia Mecânica
  • Maria Helena Barbosa Universidade Federal do Triângulo Mineiro, Departamento de Enfermagem na Assistência Hospitalar https://orcid.org/0000-0003-2749-2802

DOI:

https://doi.org/10.1590/1518-8345.2692.3083

Keywords:

Patient Positioning, Patient Safety, Perioperative Care, Perioperative Nursing, Perioperative Period, Pressure Ulcer

Abstract

Objective: to evaluate the interface pressure (IP) of support surfaces (SSs) on bony prominences. Method: a quasi-experimental study with repeated measures on each SS. Twenty healthy adult volunteers participated in the study. The participants were placed in the supine position on a standard operating table for evaluation of IP on the bony prominences of the occipital, subscapular, sacral, and calcaneal regions using sensors. Seven evaluations were performed for each bony prominence: one on a standard operating table, and the others on tables containing SSs made of viscoelastic polymer, soft foam, or sealed foam. Descriptive statistics and analysis of variance were used to analyze the data. Results: the mean IP was higher on the viscoelastic polymer-based SS compared to the other SSs (p<0.001). The mean IP was relatively lower on the density-33 sealed foam and density-18 soft foam. In addition, this variable was comparatively higher in the sacral region (42.90 mmHg) and the calcaneal region (15.35 mmHg). Conclusion: IP was relatively lower on foam-based SSs, especially on density-18 soft foam and density-33 sealed foam. Nonetheless, IP was not reduced on the viscoelastic polymer SS compared to the control SS.

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Published

2019-04-01

Issue

Section

Original Articles

How to Cite

Influence of support surfaces on the distribution of body interface pressure in surgical positioning. (2019). Revista Latino-Americana De Enfermagem, 26, e3083. https://doi.org/10.1590/1518-8345.2692.3083