Medical Device-Related Pressure Injury: What Wound Care Teams Need to Know
Summary: Comprehensive guide to medical device-related pressure injuries (MDRPI): device-shaped ulcers from sustained pressure/shear (masks, tubes, collars). Risks: patient (immobility/edema), device (rigid/tight), care (delayed checks). Prevention bundles: structured assessments, prophylactic silicone foams, microclimate control, repositioning, interprofessional input (RT/nursing/PT). Emerging: infrared/ultrasound for subclinical detection. Incidence highest ICU; bundles ↓ 30-50%.
Key Highlights:
- Risks: Patient/device/care factors; ICU highest.
- Bundles: Inspections under devices, foams, offloading.
- Roles: RT fit, nursing monitor, PT position.
- Tech: Infrared/ultrasound early detection.
- Outcomes: Bundles ↓ incidence 30-50%; education key.
Keywords: MDRPI, pressure injury, prevention bundles, device interfaces, interprofessional