EPUAP Review 10.1.indd - European Pressure Ulcer Advisory Panel

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EUROPEAN PRESSURE ULCER ADVISORY PANEL When high risk patients cannot be repositioned manually, active support surfaces are needed as they can change their load distribution properties. 2.4. Overlay or mattress replacement alternating pressure active support surfaces have a similar efficacy in terms of pressure ulcer incidence. (Strength of Evidence = A) 2.5. Do not use small cell alternating pressure air mattresses or overlays. (Strength of Evidence = C) Alternating pressure air mattresses with small air cells (diameter
PRESSURE ULCER PREVENTION GUIDELINES other factors which are likely to occur and will increase risk of pressure ulcer development including: a) Length of the operation b) Increased hypotensive episodes intra-operatively c) Low core temperature during surgery d) Reduced mobility on day 1 post-operatively 2. Use a pressure-redistributing mattress on the operating table for all individuals identified as being at risk of pressure ulcer development. (Strength of Evidence = B) Several operating room support surfaces have been developed to redistribute pressure. 3. Position of the patient in such a way as to reduce the risk of pressure ulcer development during surgery. (Strength of Evidence = C) 4. Elevate the heel completely (off load) in such a way as to distribute the weight of the leg along the calf without putting all the pressure on the Achilles tendon. The knee should be in slight flexion. (Strength of Evidence = C) Hyperextension of the knee may cause obstruction of the popliteal vein and this could predispose to deep vein thrombosis. 5. Elevate the individual’s heels during surgery to reduce the risk of pressure ulcer occurrence on the heel. (Strength of Evidence = C) 6. Pay attention to pressure redistribution prior to and after surgery. (Strength of Evidence = C) 6.1 Place individuals on a pressure-redistributing mattress both prior to and after surgery. (Strength of Evidence = C) 6.2 Position the individual in a different posture preoperatively and postoperatively to the posture during surgery. (Strength of Evidence = C) Volume 10, Number 1, 2009 13
Page 1 and 2: epuap E U R O P E A N P R E S S U R
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Page 7 and 8: PRESSURE ULCER PREVENTION GUIDELINE
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Page 15 and 16: NEWS FROM THE PRESIDENT ELECT from
Page 19 and 20: PROFILE OF ARJOHUNTLEIGH, ONE OF OU
Page 21 and 22: EPUAP MEMBERS Paying Members Miss C
Page 23 and 24: EPUAP MEMBERS Ms Sarah Lewis, 14 La
Page 25 and 26: EPUAP MEMBERS Mrs Christine Smith,

EPUAP Review 10.1.indd - European Pressure Ulcer Advisory Panel

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