Pressure Injuries in the Operating Room and Their Perioperative Incidence in Patients Undergoing Neurosurgery.
Instituto de Investigación Marqués de Valdecilla
170 participants
Dec 1, 2023
OBSERVATIONAL
Summary
This research project is a descriptive, longitudinal prospective observational study in the HUMV neurosurgery operating rooms. The patients included will be adults 18 years old or older, who will be scheduled for surgery by the Neurosurgery service. Those who meet the selection criteria determined for this study will be chosen consecutively and will be followed from the immediate preoperative moment until 72 hours after the end of the surgery. Data collection shall be carried out by direct observation and immersion in clinical records of patients who have signed the informed consent. The study will be carried out in 4 phases: immediate preoperative, intraoperative, immediate postoperative and late postoperative, recording the data using various measuring instruments, and a record sheet. Finally, the cumulative incidence of LPPs developed in the perioperative environment will be calculated and a statistical analysis will be performed.
Eligibility
Inclusion Criteria5
- Patients who understand and sign the informed consent.
- Adult patients of both sexes who will undergo a schedule surgery of more than 3 hours, by the service of neurosurgery of the University Hospital Marqués of Valdecilla (HUMV), between 2023 and 2024.
- Patients positioned in prone, supine, lateral and beach chair/sitting.
- Surgeries susceptible to bladder catheterisation with body temperature measurement.
- Patients admitted into neurosurgery ward, the day before surgery.
Exclusion Criteria9
- Patients who do not sign informed consent.
- Patients with visible pressure injurie present before surgery.
- Patients with cognitive disorder or written and oral knowledge difficulty.
- Patients who reject the operation.
- Patients not operated due to lack of prior time.
- Patients who do not receive vasoactive drugs such as ephedrine, phenylephrine and noradrenaline.
- Patients whose postoperative period is performed in the ICU.
- Patients whose surgical intervention, despite the initial estimate of the surgical time, lasted less than 3 hours.
- Patients admitted >24 hours prior the surgery.
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Interventions
Patients who have undergone neurosurgery form more than 3 hours.
Locations(2)
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NCT06615271