Medical Device-Related Pressure Injury: What Wound Care Teams Need to Know
Summary: Medical device-related pressure injury (MDRPI) results from sustained pressure/shear at skin-device interfaces, often device-shaped over bony prominences. Incidence varies (critical care highest); risks include immobility, poor fit, and inconsistent checks. Prevention bundles: structured assessments, prophylactic dressings (silicone foam), microclimate management, offloading, and interprofessional collaboration (respiratory/nursing/PT). Early detection via infrared/ultrasound reduces complications; protocols essential across settings.
Key Highlights:
- Risks: Patient (immobility, edema), device (rigid, tight), care (delayed escalation).
- Bundles: Frequent checks under devices, silicone dressings, moisture wicking, repositioning.
- Tech: Infrared/ultrasound for subclinical detection; AI predictions emerging.
- Roles: Respiratory for fit, nursing for monitoring, PT for positioning.
- Outcomes: Bundles cut incidence 30-50%; education with photos/audits key.
Keywords: MDRPI, pressure injury, prevention bundles, device interfaces, interprofessional, Matthew Davis