TY - JOUR
T1 - Decreasing respiratory device-related pressure injuries in the NICU using 3D printed barrier templates
AU - Goodyear, Lydia
AU - Rao, Rakesh
AU - Huck, Julia
AU - Buckles, Marcy
AU - Murphy, Jordan
AU - Naufel, Zeyna
AU - Niesen, Angela
AU - O’Connor, Zachary
AU - Winterbauer, Abigail
AU - Wheeler, Carly
AU - Penaloza, Colette
AU - Barthel, Ashley
AU - Pet, Gillian C.
N1 - Publisher Copyright:
© 2024, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85183420624&partnerID=8YFLogxK
U2 - 10.1038/s41372-024-01878-7
DO - 10.1038/s41372-024-01878-7
M3 - Article
C2 - 38267635
AN - SCOPUS:85183420624
SN - 0743-8346
JO - Journal of Perinatology
JF - Journal of Perinatology
ER -