Pressure ulcers in paediatric patients on extracorporeal membrane oxygenation.


:It has been shown that pressure ulcer formation in critically ill paediatric patients increases morbidity and mortality. We sought to identify factors associated with pressure ulcer formation in paediatric patients on extracorporeal membrane oxygenation (ECMO). From December 2014 to 2015, we identified patients at our institution who developed a pressure ulcer to create two cohorts: ulcer and no ulcer. Variables of interest included: type of ECMO, ECMO indication, hours on ECMO, location of cannulas, volume of crystalloid and blood products received during the first 7 days or during the length of the ECMO run, albumin and lactate levels on the day of cannulation, and presence of vasopressor support or steroid therapy. Of 43 patients studied, 11 (25.5%) developed a pressure ulcer. Patients that developed ulcers were older (P = 0.001) and weighed more (P = 0.006). Femoral cannulation was more frequent in the ulcer group (36.4% vs 6.3%, P = 0.029), and duration of ECMO was longer (P = 0.007). Age, weight, duration of ECMO, and femoral cannulation may contribute to the development of pressure ulcers in children who require ECMO support. Further analysis is imperative to identify specific techniques and protocols that will prevent pressure ulcers in this critically ill population.


Int Wound J


Tam SF,Mobargha A,Tobias J,Schad CA,Okochi S,Middlesworth W,Duron V




Has Abstract


2019-04-01 00:00:00












  • Allogenic platelet gel in the treatment of pressure sores: a pilot study.

    abstract::Although platelet gel is considered one of the most popular tools in the treatment of chronic ulcers, current consensus on its use is not unanimous. A prospective randomised trial was carried out at the Plastic Surgery Unit of the 'Salvatore Maugeri' Foundation Hospital of Pavia (Italy). The study involved 13 patients...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验


    authors: Scevola S,Nicoletti G,Brenta F,Isernia P,Maestri M,Faga A

    更新日期:2010-06-01 00:00:00

  • Topical grape (Vitis vinifera) seed extract promotes repair of full thickness wound in rabbit.

    abstract::In recent years, oxidative stress and free radicals have been implicated in impaired wound healing. Grape (Vitis vinifera) seed extract (GSE) possesses anti-inflammatory and antioxidant properties. The present study was undertaken to assess the potential activity of grape seed hydroalcoholic extract in wound healing i...

    journal_title:International wound journal

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    authors: Hemmati AA,Aghel N,Rashidi I,Gholampur-Aghdami A

    更新日期:2011-10-01 00:00:00

  • Bacteriotherapy with Lactobacillus plantarum in burns.

    abstract::Bacterial colonisation and infection remain the major causes of delayed healing and graft rejection following burns. Topical treatment is necessary to reduce the incidence of burn wound infection. Silver sulphadiazine (SD-Ag) is an often used microbicidal agent. However, this treatment produces adverse reactions and s...

    journal_title:International wound journal

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    authors: Peral MC,Martinez MA,Valdez JC

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  • Rheumatoid arthritis-associated inflammatory leg ulcers: a new treatment for recalcitrant wounds.

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    journal_title:International wound journal

    pub_type: 杂志文章


    authors: Coelho S,Amarelo M,Ryan S,Reddy M,Sibbald RG

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    journal_title:International wound journal

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    authors: Bollero D,Malvasio V,Catalano F,Stella M

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  • Porcine acellular dermal matrix (PADM) vascularises after exposure in open necrotic wounds seen after complex hernia repair.

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    journal_title:International wound journal

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    authors: Gowda AU,Chang SM,Chopra K,Matthews JA,Sabino J,Stromberg JA,Zahiri HR,Pinczewski J,Holton LH 3rd,Silverman RP,Singh DP

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    journal_title:International wound journal

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    authors: Mir MA,Khurram MF,Khan AH

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  • Risk of readmissions, mortality, and hospital-acquired conditions across hospital-acquired pressure injury (HAPI) stages in a US National Hospital Discharge database.

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    journal_title:International wound journal

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    authors: Johani K,Malone M,Jensen S,Gosbell I,Dickson H,Hu H,Vickery K

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    authors: Franklin C,Stoffels-Weindorf M,Hillen U,Dissemond J

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    journal_title:International wound journal

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    authors: Saltmarche AE

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    authors: Vlcekova P,Krutakova B,Takac P,Kozanek M,Salus J,Majtan J

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    journal_title:International wound journal

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    journal_title:International wound journal

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    authors: Daar DA,Wirth GA,Evans GR,Carmean M,Gordon IL

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    journal_title:International wound journal

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    authors: Chen B,Xu M,Li B

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    journal_title:International wound journal

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    authors: Kröger K,Moysidis T,Feghaly M,Schäfer E,Bufe A,Initiative Chronische Wunden e.V., Germany.

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    authors: Dourmishev AL,Serafimova DK,Vassileva SG,Dourmishev LA,Schwartz RA

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    journal_title:International wound journal

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    authors: Abbas ZG,Lutale JK,Archibald LK

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    journal_title:International wound journal

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    authors: Patry J,Blanchette V

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    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验


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    更新日期:2019-04-01 00:00:00

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    journal_title:International wound journal

    pub_type: 杂志文章


    authors: Chan BC,Nanwa N,Mittmann N,Bryant D,Coyte PC,Houghton PE

    更新日期:2013-08-01 00:00:00

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    journal_title:International wound journal

    pub_type: 杂志文章


    authors: Lee KT,Pyon JK,Lim SY,Mun GH,Oh KS,Bang SI

    更新日期:2014-04-01 00:00:00