Resources

Share this article

Minimising the risk for pressure ulcers in the operating room using a specialised low-profile alternating pressure overlay

Amit Gefen
20 May 2020

Among the many different care settings associated with an increased pressure ulcer (PU) risk, the operating room (OR) is being recognised as a particularly dangerous environment, with at least 1 in 10 patients developing intraoperative PUs. The “cause and effect” of the OR on PU development is a barrier, as PUs are often blamed on the postoperative settings and care practice, which shifts the focus away from the OR setting itself. Nevertheless, the specific rigid constraints that apply in the OR and which are unique to this environment, namely, the inability to reposition patients during the surgical period and the need to have them on a ‘stable’ support surface that implies use of relatively stiff padding materials, lead to body exposure to extreme conditions of sustained tissue deformations. Accordingly, the risk of PUs, which are triggered and driven by these sustained tissue deformation exposures, is especially high on the operating table (OT). The basic OT design has changed very little over at least a century and OT pads, in particular, did not evolve despite the well-known risk for intraoperative PUs. A new alternating pressure overlay system, designed for OR use, offers a robust solution for the above problems and makes substantial technological progress in a field where contemporary medical technology is generally poor. The relevant laboratory work and clinical research that were reported recently in this regard are reviewed here from a bioengineering perspective, to highlight the importance of such a novel technology in PU prevention among surgical patients under the unique restrictions that apply in the OR setting.

Free for all healthcare professionals

Sign up to the Wounds Group journals





By clicking ‘Subscribe’, you are agreeing that the Wounds Group are able to email you periodic newsletters. You may unsubscribe from these at any time. Your info is safe with us and we will never sell or trade your details. For information please review our privacy policy.

Are you a healthcare professional? This website is for healthcare professionals only. To continue, please confirm that you are a healthcare professional below.

We use cookies responsibly to ensure that we give you the best experience on our website. If you continue without changing your browser settings, we’ll assume that you are happy to receive all cookies on this website. Read about how we use cookies.

I am not a healthcare professional.