Interface pressure redistribution on skin during continuous lateral rotation therapy: A feasibility study

Robert Anderson; Charmaine Kleiber; Joseph Greiner; Lynn Comried; Miriam Zimmerman

doi:10.1016/j.hrtlng.2016.02.003

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Interface pressure redistribution on skin during continuous lateral rotation therapy: A feasibility study

Journal article

Peer reviewed

Interface pressure redistribution on skin during continuous lateral rotation therapy: A feasibility study

Robert Anderson, Charmaine Kleiber, Joseph Greiner, Lynn Comried and Miriam Zimmerman

Heart & lung, Vol.45(3), pp.237-243

05/2016

DOI: 10.1016/j.hrtlng.2016.02.003

PMID: 26992481

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Abstract

Continuous Lateral Rotation Therapy (CLRT) is a therapy used in ICUs for early mobilization of ventilated patients. CLRT is believed by some in health care to not be sufficient to allow for capillary re-perfusion, and may lead to tissue damage. To determine if there are differences in skin interface pressures, skin integrity, or perceived discomfort across three positioning scenarios. A Hill-Rom Total Care SpOrt® bed was equipped with a pressure mapping device. Ten healthy volunteers were placed in each positioning scenario for 30 minutes; interface pressures were recorded. CLRT alone demonstrated statistically lower interface pressures on ischial tuberosities (p < 0.05) as compared to the scenarios with static wedge. Higher pressures were noted on the heels in CLRT alone (p < 0.05). One subject noted pain with CLRT. No erythema or breakdown noted. This feasibility study supports the use of CLRT to decrease pressure on capillary beds and decrease patient discomfort.

Critical Care

Intensive care units

Pressure ulcer

Critical care nursing

Physical mobility

Deep tissue injury

Rotokinetic beds

Details

Title: Subtitle: Interface pressure redistribution on skin during continuous lateral rotation therapy: A feasibility study
Creators: Robert Anderson - University of Iowa
Charmaine Kleiber - Office of Nursing Research, Evidence-Based Practice and Quality, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, 200 Hawkins Drive RM T100 GH, Iowa City, IA 52242-1009, USA
Joseph Greiner - Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, 200 Hawkins Drive RM T100 GH, Iowa City, IA 52242-1009, USA
Lynn Comried - Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, 200 Hawkins Drive RM T100 GH, Iowa City, IA 52242-1009, USA
Miriam Zimmerman - Biostatistics, University of Iowa, Iowa City, IA 52242, USA
Resource Type: Journal article
Publication Details: Heart & lung, Vol.45(3), pp.237-243
DOI: 10.1016/j.hrtlng.2016.02.003
PMID: 26992481
NLM abbreviation: Heart Lung
ISSN: 0147-9563
eISSN: 1527-3288
Publisher: Elsevier Inc
Language: English
Date published: 05/2016
Academic Unit: Biostatistics; Nursing
Record Identifier: 9983997489302771

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