Pressure Injuries in the Operating Room and Their Perioperative Incidence in Patients Undergoing Neurosurgery.

Launched by INSTITUTO DE INVESTIGACIÓN MARQUÉS DE VALDECILLA · Sep 24, 2024

Keywords

ClinConnect Summary

This clinical trial is investigating the occurrence of pressure injuries, which are skin damage caused by prolonged pressure, in patients undergoing neurosurgery. The researchers at the University Hospital Marqués of Valdecilla (HUMV) will observe adult patients scheduled for surgeries lasting more than three hours. They aim to understand when and how these injuries develop during the surgical process, from just before the operation to 72 hours after it. Participants will be followed closely through different phases, including the time before, during, and after surgery, with data collected through direct observation and patient records.

To be eligible for the study, patients must be 18 years or older, understand and sign the consent form, and have a scheduled surgery by the neurosurgery team. However, those with existing pressure injuries, certain cognitive difficulties, or other specific medical conditions may not qualify. Participants can expect to be part of a systematic observation that aims to improve patient care and prevent pressure injuries in the future. Additionally, their involvement is essential in helping researchers gather important information that could benefit many patients undergoing similar procedures.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 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 Criteria:
• • 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.