Effectiveness of Protective Cushions in Preventing NIV Face Mask - Associated Pressure Ulcers: A Prospective Study in Elderly Patients

Dr. Amit Goel, Dr Shikha Jain, Dr. BR Shamanna

Abstract: Introduction: Face mask is most applied interface while using Non - Invasive Mechanical Ventilation (NIV). NIV face mask associated pressure ulcers are widely reported. However clear preventive strategies for this issue are lacking. We aimed to evaluate the effect of protective cushion on NIV face mask associated pressure ulcers. Material & Methods: Total 64 elderly patients (32 in each arm - control and study) were taken in this prospective, randomised comparison study in a tertiary care ICU in North India, who were in respiratory failure and required NIV. Results: We reported significant delay in time of pressure ulcer formation in study group as compared to control group. There was 50% fewer pressure ulcer formation in study group; however it was not statistically significant. Conclusion: NIV mask associated pressure ulcer formation can be delayed and reduced with use of protective dressing.

Keywords: NIV, Pressure ulcers, Cushion, Foam dressing