Decreasing respiratory device-related pressure injuries in the NICU using 3D printed barrier templates
Objective Use of non-invasive ventilation (NIV) in very low birthweight infants to decrease the incidence of bronchopulmonary dysplasia can also lead to pressure injuries (PI) caused by the respiratory device interface. We aimed to decrease our incidence of PIs related to the mask/prongs interface u...
Gespeichert in:
| Veröffentlicht in: | Journal of perinatology 2024-12, Vol.44 (12), p.1848-1853 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1853 |
|---|---|
| container_issue | 12 |
| container_start_page | 1848 |
| container_title | Journal of perinatology |
| container_volume | 44 |
| creator | Goodyear, Lydia Rao, Rakesh Huck, Julia Buckles, Marcy Murphy, Jordan Naufel, Zeyna Niesen, Angela O’Connor, Zachary Winterbauer, Abigail Wheeler, Carly Penaloza, Colette Barthel, Ashley Pet, Gillian C. |
| description | Objective
Use of non-invasive ventilation (NIV) in very low birthweight infants to decrease the incidence of bronchopulmonary dysplasia can also lead to pressure injuries (PI) caused by the respiratory device interface. We aimed to decrease our incidence of PIs related to the mask/prongs interface used for NIV (PI-NIV).
Study design
We identified correct use of barriers and appropriate interface fit as key targets for intervention. Over several PDSA cycles, we developed custom 3D printed barrier templates to allow for barriers to be cut at the bedside and created concise educational documents to assist with interface fitting and troubleshooting.
Results
The incidence of all PI-NIV decreased from 5.64 to 2.27 per 1000 NIV patient-days and the incidence of reportable (stage 3–4 and unstageable) PI-NIV decreased from 1.13 to 0 per 1000 NIV patient-days during the study period.
Conclusions
With appropriate barrier usage and targeted education, the risk of PI-NIV can be minimized. |
| doi_str_mv | 10.1038/s41372-024-01878-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2918510330</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3134201137</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-f8207ca777904df8b9737dfa17c2fee4b92ce71947ceb6cc80d39fa135e64caa3</originalsourceid><addsrcrecordid>eNp9kc1OwzAQhC0EoqXwAhxQJC5cDLbXiZ0javmTKrjQs-U4G0jVJsVOkHh7HFpA4sDJlvab8XqGkFPOLjkDfRUkByUoE5IyrpWmao-MuVQZTVMJ-2TMlASqQWYjchTCkrFhqA7JCLTIVAbpmFQzdB5tqJuXxGPY1N52rf9ISnyvHVKPK9thmWziLPQek7pZ9r7GEC9J94rJ48N0kfRfcphFrG4GvLA-Qj7pcL0ZDMIxOajsKuDJ7pyQxe3N8_Sezp_uHqbXc-pAZB2ttGDKWaVUzmRZ6SJXoMrKcuVEhSiLXDhUPJfKYZE5p1kJeRxDipl01sKEXGx9N7596zF0Zl0Hh6uVbbDtgxE512kMD1hEz_-gy7b3TdzOAAcpGI_pRkpsKefbEDxWJv5xbf2H4cwMLZhtCya2YL5aMIPobGfdF2ssfyTfsUcAtkAYEntB__v2P7afuIGTZw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3134201137</pqid></control><display><type>article</type><title>Decreasing respiratory device-related pressure injuries in the NICU using 3D printed barrier templates</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Goodyear, Lydia ; Rao, Rakesh ; Huck, Julia ; Buckles, Marcy ; Murphy, Jordan ; Naufel, Zeyna ; Niesen, Angela ; O’Connor, Zachary ; Winterbauer, Abigail ; Wheeler, Carly ; Penaloza, Colette ; Barthel, Ashley ; Pet, Gillian C.</creator><creatorcontrib>Goodyear, Lydia ; Rao, Rakesh ; Huck, Julia ; Buckles, Marcy ; Murphy, Jordan ; Naufel, Zeyna ; Niesen, Angela ; O’Connor, Zachary ; Winterbauer, Abigail ; Wheeler, Carly ; Penaloza, Colette ; Barthel, Ashley ; Pet, Gillian C.</creatorcontrib><description>Objective
Use of non-invasive ventilation (NIV) in very low birthweight infants to decrease the incidence of bronchopulmonary dysplasia can also lead to pressure injuries (PI) caused by the respiratory device interface. We aimed to decrease our incidence of PIs related to the mask/prongs interface used for NIV (PI-NIV).
Study design
We identified correct use of barriers and appropriate interface fit as key targets for intervention. Over several PDSA cycles, we developed custom 3D printed barrier templates to allow for barriers to be cut at the bedside and created concise educational documents to assist with interface fitting and troubleshooting.
Results
The incidence of all PI-NIV decreased from 5.64 to 2.27 per 1000 NIV patient-days and the incidence of reportable (stage 3–4 and unstageable) PI-NIV decreased from 1.13 to 0 per 1000 NIV patient-days during the study period.
Conclusions
With appropriate barrier usage and targeted education, the risk of PI-NIV can be minimized.</description><identifier>ISSN: 0743-8346</identifier><identifier>ISSN: 1476-5543</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-024-01878-7</identifier><identifier>PMID: 38267635</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>3-D printers ; 3-D technology ; 692/700/1720 ; 692/700/459 ; Birth weight ; Bronchopulmonary Dysplasia - etiology ; Bronchopulmonary Dysplasia - prevention & control ; Continuous positive airway pressure ; Education ; Equipment Design ; Extubation ; Gestational age ; Hospital costs ; Humans ; Infant, Newborn ; Infant, Premature ; Infant, Very Low Birth Weight ; Injuries ; Intensive care ; Intensive Care Units, Neonatal ; Interfaces ; Lung diseases ; Masks - adverse effects ; Medical equipment ; Medicine ; Medicine & Public Health ; Multidisciplinary teams ; Neonatal care ; Newborn babies ; Noninvasive Ventilation - adverse effects ; Noninvasive Ventilation - instrumentation ; Patient safety ; Pediatric Surgery ; Pediatrics ; Premature babies ; Premature birth ; Pressure Ulcer - etiology ; Pressure Ulcer - prevention & control ; Printing, Three-Dimensional ; Quality Improvement Article ; Therapists ; Three dimensional printing ; Trouble shooting ; Troubleshooting ; Ventilators</subject><ispartof>Journal of perinatology, 2024-12, Vol.44 (12), p.1848-1853</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Nature America, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-f8207ca777904df8b9737dfa17c2fee4b92ce71947ceb6cc80d39fa135e64caa3</cites><orcidid>0000-0002-8250-1858 ; 0000-0002-8673-7112</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41372-024-01878-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41372-024-01878-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38267635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goodyear, Lydia</creatorcontrib><creatorcontrib>Rao, Rakesh</creatorcontrib><creatorcontrib>Huck, Julia</creatorcontrib><creatorcontrib>Buckles, Marcy</creatorcontrib><creatorcontrib>Murphy, Jordan</creatorcontrib><creatorcontrib>Naufel, Zeyna</creatorcontrib><creatorcontrib>Niesen, Angela</creatorcontrib><creatorcontrib>O’Connor, Zachary</creatorcontrib><creatorcontrib>Winterbauer, Abigail</creatorcontrib><creatorcontrib>Wheeler, Carly</creatorcontrib><creatorcontrib>Penaloza, Colette</creatorcontrib><creatorcontrib>Barthel, Ashley</creatorcontrib><creatorcontrib>Pet, Gillian C.</creatorcontrib><title>Decreasing respiratory device-related pressure injuries in the NICU using 3D printed barrier templates</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective
Use of non-invasive ventilation (NIV) in very low birthweight infants to decrease the incidence of bronchopulmonary dysplasia can also lead to pressure injuries (PI) caused by the respiratory device interface. We aimed to decrease our incidence of PIs related to the mask/prongs interface used for NIV (PI-NIV).
Study design
We identified correct use of barriers and appropriate interface fit as key targets for intervention. Over several PDSA cycles, we developed custom 3D printed barrier templates to allow for barriers to be cut at the bedside and created concise educational documents to assist with interface fitting and troubleshooting.
Results
The incidence of all PI-NIV decreased from 5.64 to 2.27 per 1000 NIV patient-days and the incidence of reportable (stage 3–4 and unstageable) PI-NIV decreased from 1.13 to 0 per 1000 NIV patient-days during the study period.
Conclusions
With appropriate barrier usage and targeted education, the risk of PI-NIV can be minimized.</description><subject>3-D printers</subject><subject>3-D technology</subject><subject>692/700/1720</subject><subject>692/700/459</subject><subject>Birth weight</subject><subject>Bronchopulmonary Dysplasia - etiology</subject><subject>Bronchopulmonary Dysplasia - prevention & control</subject><subject>Continuous positive airway pressure</subject><subject>Education</subject><subject>Equipment Design</subject><subject>Extubation</subject><subject>Gestational age</subject><subject>Hospital costs</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Very Low Birth Weight</subject><subject>Injuries</subject><subject>Intensive care</subject><subject>Intensive Care Units, Neonatal</subject><subject>Interfaces</subject><subject>Lung diseases</subject><subject>Masks - adverse effects</subject><subject>Medical equipment</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multidisciplinary teams</subject><subject>Neonatal care</subject><subject>Newborn babies</subject><subject>Noninvasive Ventilation - adverse effects</subject><subject>Noninvasive Ventilation - instrumentation</subject><subject>Patient safety</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Premature babies</subject><subject>Premature birth</subject><subject>Pressure Ulcer - etiology</subject><subject>Pressure Ulcer - prevention & control</subject><subject>Printing, Three-Dimensional</subject><subject>Quality Improvement Article</subject><subject>Therapists</subject><subject>Three dimensional printing</subject><subject>Trouble shooting</subject><subject>Troubleshooting</subject><subject>Ventilators</subject><issn>0743-8346</issn><issn>1476-5543</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1OwzAQhC0EoqXwAhxQJC5cDLbXiZ0javmTKrjQs-U4G0jVJsVOkHh7HFpA4sDJlvab8XqGkFPOLjkDfRUkByUoE5IyrpWmao-MuVQZTVMJ-2TMlASqQWYjchTCkrFhqA7JCLTIVAbpmFQzdB5tqJuXxGPY1N52rf9ISnyvHVKPK9thmWziLPQek7pZ9r7GEC9J94rJ48N0kfRfcphFrG4GvLA-Qj7pcL0ZDMIxOajsKuDJ7pyQxe3N8_Sezp_uHqbXc-pAZB2ttGDKWaVUzmRZ6SJXoMrKcuVEhSiLXDhUPJfKYZE5p1kJeRxDipl01sKEXGx9N7596zF0Zl0Hh6uVbbDtgxE512kMD1hEz_-gy7b3TdzOAAcpGI_pRkpsKefbEDxWJv5xbf2H4cwMLZhtCya2YL5aMIPobGfdF2ssfyTfsUcAtkAYEntB__v2P7afuIGTZw</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Goodyear, Lydia</creator><creator>Rao, Rakesh</creator><creator>Huck, Julia</creator><creator>Buckles, Marcy</creator><creator>Murphy, Jordan</creator><creator>Naufel, Zeyna</creator><creator>Niesen, Angela</creator><creator>O’Connor, Zachary</creator><creator>Winterbauer, Abigail</creator><creator>Wheeler, Carly</creator><creator>Penaloza, Colette</creator><creator>Barthel, Ashley</creator><creator>Pet, Gillian C.</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QL</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8250-1858</orcidid><orcidid>https://orcid.org/0000-0002-8673-7112</orcidid></search><sort><creationdate>20241201</creationdate><title>Decreasing respiratory device-related pressure injuries in the NICU using 3D printed barrier templates</title><author>Goodyear, Lydia ; Rao, Rakesh ; Huck, Julia ; Buckles, Marcy ; Murphy, Jordan ; Naufel, Zeyna ; Niesen, Angela ; O’Connor, Zachary ; Winterbauer, Abigail ; Wheeler, Carly ; Penaloza, Colette ; Barthel, Ashley ; Pet, Gillian C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-f8207ca777904df8b9737dfa17c2fee4b92ce71947ceb6cc80d39fa135e64caa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>3-D printers</topic><topic>3-D technology</topic><topic>692/700/1720</topic><topic>692/700/459</topic><topic>Birth weight</topic><topic>Bronchopulmonary Dysplasia - etiology</topic><topic>Bronchopulmonary Dysplasia - prevention & control</topic><topic>Continuous positive airway pressure</topic><topic>Education</topic><topic>Equipment Design</topic><topic>Extubation</topic><topic>Gestational age</topic><topic>Hospital costs</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infant, Very Low Birth Weight</topic><topic>Injuries</topic><topic>Intensive care</topic><topic>Intensive Care Units, Neonatal</topic><topic>Interfaces</topic><topic>Lung diseases</topic><topic>Masks - adverse effects</topic><topic>Medical equipment</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multidisciplinary teams</topic><topic>Neonatal care</topic><topic>Newborn babies</topic><topic>Noninvasive Ventilation - adverse effects</topic><topic>Noninvasive Ventilation - instrumentation</topic><topic>Patient safety</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Premature babies</topic><topic>Premature birth</topic><topic>Pressure Ulcer - etiology</topic><topic>Pressure Ulcer - prevention & control</topic><topic>Printing, Three-Dimensional</topic><topic>Quality Improvement Article</topic><topic>Therapists</topic><topic>Three dimensional printing</topic><topic>Trouble shooting</topic><topic>Troubleshooting</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goodyear, Lydia</creatorcontrib><creatorcontrib>Rao, Rakesh</creatorcontrib><creatorcontrib>Huck, Julia</creatorcontrib><creatorcontrib>Buckles, Marcy</creatorcontrib><creatorcontrib>Murphy, Jordan</creatorcontrib><creatorcontrib>Naufel, Zeyna</creatorcontrib><creatorcontrib>Niesen, Angela</creatorcontrib><creatorcontrib>O’Connor, Zachary</creatorcontrib><creatorcontrib>Winterbauer, Abigail</creatorcontrib><creatorcontrib>Wheeler, Carly</creatorcontrib><creatorcontrib>Penaloza, Colette</creatorcontrib><creatorcontrib>Barthel, Ashley</creatorcontrib><creatorcontrib>Pet, Gillian C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goodyear, Lydia</au><au>Rao, Rakesh</au><au>Huck, Julia</au><au>Buckles, Marcy</au><au>Murphy, Jordan</au><au>Naufel, Zeyna</au><au>Niesen, Angela</au><au>O’Connor, Zachary</au><au>Winterbauer, Abigail</au><au>Wheeler, Carly</au><au>Penaloza, Colette</au><au>Barthel, Ashley</au><au>Pet, Gillian C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreasing respiratory device-related pressure injuries in the NICU using 3D printed barrier templates</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>44</volume><issue>12</issue><spage>1848</spage><epage>1853</epage><pages>1848-1853</pages><issn>0743-8346</issn><issn>1476-5543</issn><eissn>1476-5543</eissn><abstract>Objective
Use of non-invasive ventilation (NIV) in very low birthweight infants to decrease the incidence of bronchopulmonary dysplasia can also lead to pressure injuries (PI) caused by the respiratory device interface. We aimed to decrease our incidence of PIs related to the mask/prongs interface used for NIV (PI-NIV).
Study design
We identified correct use of barriers and appropriate interface fit as key targets for intervention. Over several PDSA cycles, we developed custom 3D printed barrier templates to allow for barriers to be cut at the bedside and created concise educational documents to assist with interface fitting and troubleshooting.
Results
The incidence of all PI-NIV decreased from 5.64 to 2.27 per 1000 NIV patient-days and the incidence of reportable (stage 3–4 and unstageable) PI-NIV decreased from 1.13 to 0 per 1000 NIV patient-days during the study period.
Conclusions
With appropriate barrier usage and targeted education, the risk of PI-NIV can be minimized.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>38267635</pmid><doi>10.1038/s41372-024-01878-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-8250-1858</orcidid><orcidid>https://orcid.org/0000-0002-8673-7112</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2024-12, Vol.44 (12), p.1848-1853 |
| issn | 0743-8346 1476-5543 1476-5543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2918510330 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | 3-D printers 3-D technology 692/700/1720 692/700/459 Birth weight Bronchopulmonary Dysplasia - etiology Bronchopulmonary Dysplasia - prevention & control Continuous positive airway pressure Education Equipment Design Extubation Gestational age Hospital costs Humans Infant, Newborn Infant, Premature Infant, Very Low Birth Weight Injuries Intensive care Intensive Care Units, Neonatal Interfaces Lung diseases Masks - adverse effects Medical equipment Medicine Medicine & Public Health Multidisciplinary teams Neonatal care Newborn babies Noninvasive Ventilation - adverse effects Noninvasive Ventilation - instrumentation Patient safety Pediatric Surgery Pediatrics Premature babies Premature birth Pressure Ulcer - etiology Pressure Ulcer - prevention & control Printing, Three-Dimensional Quality Improvement Article Therapists Three dimensional printing Trouble shooting Troubleshooting Ventilators |
| title | Decreasing respiratory device-related pressure injuries in the NICU using 3D printed barrier templates |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T05%3A46%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Decreasing%20respiratory%20device-related%20pressure%20injuries%20in%20the%20NICU%20using%203D%20printed%20barrier%20templates&rft.jtitle=Journal%20of%20perinatology&rft.au=Goodyear,%20Lydia&rft.date=2024-12-01&rft.volume=44&rft.issue=12&rft.spage=1848&rft.epage=1853&rft.pages=1848-1853&rft.issn=0743-8346&rft.eissn=1476-5543&rft_id=info:doi/10.1038/s41372-024-01878-7&rft_dat=%3Cproquest_cross%3E3134201137%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3134201137&rft_id=info:pmid/38267635&rfr_iscdi=true |