At present, the 2019-nCoV epidemic situation is in severe and complex period. In order to prevent the virus from invading and infecting, it is very important and urgent for medical personnel to protect themselves. However, in the process of using protective equipment by medical personnel, the performance of device related pressure injuries (DRPI) caused by pain, numbness, redness, and even breakage caused by the equipment has seriously endangered the health of medical personnel. This article, based on Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide 2019, references, and clinical experiences of wound specialists in West China Hospital of Sichuan University, summarize the preventive and protective measures of West China Hospital for medical personnel to prevent DRPI, so as to provide clinical preventive measurements for medical personnel.
OBJECTIVE: To investigate the clinical effect of skin flaps repairing severe thermopressure injury of hand. METHODS: From January 1989 to December 1998, 112 patients with severe thermopressure injury of hand were repaired by various skin flaps transfer, the size of skin flaps was 6 cm x 8 cm to 12 cm x 18 cm. Postoperative patients were treated by combined rehabilitation in early stage. RESULTS: All the flaps were survived with satisfactory effect. Sixty-six patients were followed up 6 to 12 months, skin flaps all showed better colour and texture, and function of the hand was satisfactory. CONCLUSION: Different skin flaps are adopted to repair severe thermopressure injury of the hand according to different skin defects of the hand, combined early rehabilitation treatment, to achieve good recovery of function and appearance of the hand to the greatest extent.
This article interprets the core updated content of WHS Guidelines for the Treatment of Pressure Ulcers-2023 update compared to Wound Healing Society 2015 update on Guidelines for Pressure Ulcers in multiple key areas, including posture and support surface, infection, wound bed preparation, surgical treatment, and adjuvant therapy. Additionally, the article deeply interprets the new content of the 2023 updated guidelines (palliative wound care for patients with severe pressure ulcers), in order to provide efficient and convenient reference tools for domestic medical personnel to quickly grasp the latest developments in pressure ulcer treatment, standardize treatment processes, and improve treatment effectiveness.
Objective To evaluate factors associated with the occurrence of oral mucosal pressure injuries in intubated intensive care unit (ICU) patients through meta-analysis, providing reference for clinical prevention of oral mucosal pressure injuries. Methods Literature retrieval was conducted in databases including PubMed, Web of Science, Embase, The Cochrane Library, CNKI, CBM, VIP, and Wanfang, supplemented by manual searches. The retrieval time limit was from the establishment of each database to August 2025. Two reviewers independently screened studies, extracted data, and assessed quality. Review Manager 5.3 and Stata 17.0 were used to conduct the meta-analysis of eligible studies. Results A total of 14 studies were included, involving 6536 patients. Meta-analysis revealed that prolonged artificial airway placement duration, higher acute physiology and chronic health evaluation Ⅱ scores, vasoactive drug use, prone position ventilation, serum albumin levels, and Richmond agitation-sedation scale (RASS) scores were risk factors for oral mucosal pressure injuries in ICU intubated patients. Conclusions Oral mucosal pressure injuries remain prevalent among ICU intubated patients. Comprehensive analysis of influencing factors can aid healthcare providers in preventing and optimizing interventions to reduce their occurrence.