Pressure injuries in newborns and children

Pressure injuries in newborns and children are skin injuries caused by factors such as pressure, friction, or vibration. This injury is more common in newborns and children because their skin is more delicate than that of adults. Pressure injuries commonly occur in newborns and children to the head, buttocks, soles of feet, ankles, arms, and wrists. These areas are often under prolonged pressure or friction, which can easily cause skin damage and ulcers. Prevention and treatment are important for pressure injuries in newborns and children.

Medical devices that may cause pressure injuries in neonates and children:

Respiratory equipment (tracheal intubation, non-invasive breathing mask, head immobilization device)

Nasal tube

nasogastric or orogastric tube

Here are some ways to prevent and treat it:

1. Frequent skin examination: Parents and caregivers should frequently examine the skin of newborns and children, especially areas that have been under prolonged pressure or friction, and where tight clothing is worn. If abnormalities such as erythema, blisters, or ulcers are found on the skin, measures should be taken in time.

2. Prophylactic use of hydrocolloid dressings or silicone dressings, for example, hydrocolloid d pressing n asal can annual fixation can also be used for nasal tube pressure injuries. It uses hydrocolloid wound dressings to fix the nasal cannula, which can improve the fixation effect of the nasal cannula, and using nasal protective dressings can reduce the incidence of nasal pressure injury during nasal endotracheal intubation. There are also similar silicone protective dressings that can prevent pressure injuries from happening.

2. Keep the skin dry: the skin of newborns and children should be kept dry and avoid being in a humid environment for a long time. If diapers need to be changed, do so promptly and use soft, breathable diapers.

3. Use suitable mattresses and sheets: Mattresses and sheets for newborns and children should be made of soft, breathable, and hygroscopic materials to reduce skin friction and pressure.

4. Give appropriate massage: Appropriate massage can promote blood circulation and skin health of newborns and children, but attention should be paid to the intensity and frequency to avoid skin damage caused by excessive massage.

5. Use special care products: For newborns and children with pressure injuries, special care products can be used, such as lotions containing vitamin E and aloe vera, ointments containing zinc, etc., to promote skin healing and repair.

Overall, the prevention and treatment of pressure injuries in newborns and children is very important. Parents and caregivers should check the skin frequently, keep the skin dry, use appropriate mattresses and sheets, give proper massage, and use special care products. If any abnormalities are found on the skin, seek medical attention in time.

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Editor: kiki Jia

Date: August 9, 2023