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Olga Rosenstein

Schneider Children’s Medical Center of Israel

Title: Pressure ulcer preventing program among pediatric ECMO population- quantities study

Biography

Biography: Olga Rosenstein

Abstract

Pressure ulcers are common complication of ECMO treatment, due to prolonged sedation, lying position, cannulas fixation and decreased perfusion.

The incidence of pressure ulcers in pediatric intensive care units in US is about 27%. High complexity of pediatric ECMO patients has led to increase incidence of pressure ulcers in this population. Pediatric Cardiac Intensive Care Unit (PCICU) in Schneider Children's Medical Center is the leading center in Israel for pediatric ECMO.

In 2012, a new pressure ulcer prevention protocol was introduced. It includes: use of pressure relieve mattress, frequent repositioning head and neck protection with Polymem dressing, cannulae protection using Granuflex dressing and skin moisturizing.

The purpose of the study was to evaluate the efficiency of this new practice in preventing pressure ulcers among pediatric ECMO patients.