Design Development of Pillow for Lateral Position during Endotracheal Intubation

2.50
Hdl Handle:
http://hdl.handle.net/10755/153205
Type:
Presentation
Title:
Design Development of Pillow for Lateral Position during Endotracheal Intubation
Abstract:
Design Development of Pillow for Lateral Position during Endotracheal Intubation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Tanaka, Noriyoshi, BSN, RN
P.I. Institution Name:Tokai University Hospital / Tokai University
Title:Clinical Nurse
Co-Authors:Takeshi Toya, MA
[Research Presentation] When patients remain in a lateral position for a prolonged period of time, e.g., in during intubation, patients often suffer from facial pressure ulcers, endotracheal intubation tube trouble and visual loss damage. To reduce the incidence of these problems, we considered the use of a trial pillow that would enable new design and pressure distribution. The pillow was a rectangular parallelepiped shape and a hole was located in the center to the mouth angle and for the eye. 521 Japanese adults were checked to determine the appropriate hole size and its position. A material called "EVERLIGHT (R) SF-EGN25" (Bridgestone Corporation) was selected for its ability to decrease pressure. We measured 31 adults recruited by using Xsensor (TM) for surface pressure when placed in the lateral position with lateral positioning devices, a trial pillow (TP), a horse shoe (HS) and a ring pillow (RP). Results of the lateral position average surface pressure on the face were less with the TP than with the HS and RP (17.41 +/- 1.15mmHg vs. 32.15 +/- 4.71mmHg, 25.12 +/- 4.58mmHg, respectively, p<0.01). The number of areas where pressure exceeded 30mmHg and 50mmHg was lower for the TP than the HS and RP (4.87 +/- .95cm square vs. 30.46 +/- 8.24cm square, 23.26 +/- 8.22cm square> 30mmHg, p<0.01; 0.07 +/- 0.28cm square vs. 7.38 +/- 4.56cm square, 1.43 +/- .72cm square > 50mmHg, respectively, p<0.01). It is suggested that use of the trial pillow with excellent decompression ability and an increase in contact area between head and pillow allowed a decrease in pressure and therefore avoided pressure ulcer development. In addition, the presence of a hole in the center enabled better facial observation as well as preventing pressure-related problems.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDesign Development of Pillow for Lateral Position during Endotracheal Intubationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153205-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Design Development of Pillow for Lateral Position during Endotracheal Intubation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tanaka, Noriyoshi, BSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Tokai University Hospital / Tokai University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">noritana@is.icc.u-tokai.ac.jp</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Takeshi Toya, MA</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] When patients remain in a lateral position for a prolonged period of time, e.g., in during intubation, patients often suffer from facial pressure ulcers, endotracheal intubation tube trouble and visual loss damage. To reduce the incidence of these problems, we considered the use of a trial pillow that would enable new design and pressure distribution. The pillow was a rectangular parallelepiped shape and a hole was located in the center to the mouth angle and for the eye. 521 Japanese adults were checked to determine the appropriate hole size and its position. A material called &quot;EVERLIGHT (R) SF-EGN25&quot; (Bridgestone Corporation) was selected for its ability to decrease pressure. We measured 31 adults recruited by using Xsensor (TM) for surface pressure when placed in the lateral position with lateral positioning devices, a trial pillow (TP), a horse shoe (HS) and a ring pillow (RP). Results of the lateral position average surface pressure on the face were less with the TP than with the HS and RP (17.41 +/- 1.15mmHg vs. 32.15 +/- 4.71mmHg, 25.12 +/- 4.58mmHg, respectively, p&lt;0.01). The number of areas where pressure exceeded 30mmHg and 50mmHg was lower for the TP than the HS and RP (4.87 +/- .95cm square vs. 30.46 +/- 8.24cm square, 23.26 +/- 8.22cm square&gt; 30mmHg, p&lt;0.01; 0.07 +/- 0.28cm square vs. 7.38 +/- 4.56cm square, 1.43 +/- .72cm square &gt; 50mmHg, respectively, p&lt;0.01). It is suggested that use of the trial pillow with excellent decompression ability and an increase in contact area between head and pillow allowed a decrease in pressure and therefore avoided pressure ulcer development. In addition, the presence of a hole in the center enabled better facial observation as well as preventing pressure-related problems.</td></tr></table>en_GB
dc.date.available2011-10-26T12:06:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:06:55Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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