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At least 199 records · Page 11Linked to original sources
PubMed2000

Randomized controlled trial to determine the safety and efficacy of a multi-cell pulsating dynamic mattress system in the prevention of pressure ulcers in patients undergoing cardiovascular surgery.

The purpose of this study was to determine the efficacy and safety of a multi-cell pulsating dynamic mattress system in comparison with conventional management for the prevention of pressure ulcers in the operative and postoperative period in patients having cardiovascular surgery. The study was a single center, prospective, randomized, controlled trial. Patients who were having cardiovascular surgery for a duration of at least 4 hours were randomly assigned, prior to surgery, to dynamic mattress system or conventional management--both of which were initiated in the operating room and continued for up to 7 days postoperatively. Patients were assessed daily using a standardized scoring system. The results of the study showed that 198 patients in the dynamic pressure system (n = 98) or conventional management group (n = 100) were similar at baseline. A strong trend of decreased pressure ulcers existed in the dynamic pressure system group (n = 2) compared to the conventional management group (n = 7). The study concluded that a multi-cell pulsating dynamic mattress system is safe and mitigates risks for and decreases incidence of pressure ulcers in patients who undergo cardiovascular surgery.

Activities of Daily Living↗
PubMed2002

The ramp mattress suture: a new suturing technique combined with a surgical procedure to obtain papillae between implants in the buccal area.

This article has been written to show the opportunity and eventually the predictability to obtain new papillae between implants and a better esthetic result by the use of a new suturing technique. After raising a full-thickness flap from the palatal to the vestibular side, it can be stabilized in such a position using a new suturing technique (ramp mattress suture) to apply pressure and tearing forces on the flap in an apicocoronal direction at the vestibular site and an opposite traction in a coronoapical direction at the palatal site. The ramp mattress suture seems to be capable of pulling the flap in an apicocoronal direction in the vestibular site, as well as in a coronoapical direction in the palatal site. Thanks to such a mattress suture, it will be possible to obtain a more coronal gingival margin. After an adequate healing period of approximately 5 weeks, a vestibular scalloped gingivectomy is performed around the vestibular surface of the abutment to create either a scalloped gingival margin or interproximal papillae only in the vestibular area, forming a gingival ramp in a palatovestibular direction to reasonably reduce the residual increased vestibular depth and optimize the esthetic result. Eight patients, for a total of 56 papillae, were treated with this new suturing technique. The esthetic results satisfied both clinician and patient expectations.

Adult↗
PubMed2004

Preventing pressure ulcers: choosing a mattress.

The standard hospital mattress is not suitable for patients at risk of developing pressure ulcers. The type of mattress or overlay system they require will depend on their pressure ulcer risk, medical history and local practice. This article provides a guide to pressure-relieving mattresses.

Bedding and Linens↗
PubMed1991

Wound infection following high saphenous ligation. A trial comparing two skin closure techniques: subcuticular polyglycolic acid and interrupted monofilament nylon mattress sutures.

A prospective, randomized trial was performed to compare the incidence of wound infection following skin closure with subcuticular polyglycolic acid and interrupted monofilament nylon mattress sutures in patients undergoing high saphenous ligation (126 patients; 75 polyglycolic acid wounds, 86 interrupted monofilament nylon mattress wounds). By 6 weeks after operation, pus had discharged from 15 (20%) polyglycolic acid wounds compared with seven (8%) interrupted monofilament nylon mattress wounds (P = 0.05), giving an overall infection rate of 13.7%. Infection occurred in 23% of the 56 procedures performed by the two surgeons with the highest infection rates compared with 8% of the 105 procedures performed by the remaining nine surgeons (P = 0.02). The excess of infections in wounds closed with subcuticular polyglycolic acid was caused by an excess of infections in operations performed by the two surgeons with the highest infection rates. The higher infection rate found with subcuticular polyglycolic acid appeared to be operator dependent.

Adolescent↗
PubMed1990

[A multipurpose vacuum mattress in health care].

The authors draw attention to vacuum mattresses which are a modern appliance for the immobilization of casualties and patients. They present their initial experience with the use of these mattresses during examinations on a computed tomograph, during all-body stereotaxis and minor surgical operations. The material from which the mattress is made allows X-rays to penetrate, therefore it can be used also for immobilization of restless patients and children during X-ray examinations. It is, however, possible to manufacture also various types of vacuum splints for fixation of the extremities after injuries.

Equipment and Supplies↗
PubMedDate not supplied

Comparisons of rectal, femoral, axillary, and skin-to-mattress temperatures in stable neonates.

The purpose of this study was to compare four sites for temperature recording in the neonate: rectum, femoral, axilla, and skin-to-mattress. Simultaneous measurements were made at the four sites in 99 stable, term neonates. Temperatures were recorded each minute for 15 minutes. The optimal temperatures (highest temperature recorded minus 0.2 degrees F) did not vary across the four sites, but there were significant differences in the mean times required to achieve optimal temperature and in the optimal placement times (time required for 90% of the subjects to reach optimal temperature). The rectal site required significantly less time than the other sites (M = 2.66 minutes, optimal placement time = 5 minutes). The femoral and axillary sites required significantly more time than rectal and significantly less time than skin-to-mattress (M = 6 minutes, optimal placement time = 11 minutes). The skin-to-mattress site required significantly more time than the other sites (M = 8.5 minutes, optimal placement time = 13 minutes).

Axilla↗
PubMed1987

Skin blood flow in relation to external pressure and temperature in the supine position on a standard hospital mattress.

The purpose of this investigation was to study the relationship between skin blood flow, external pressure and temperature in the skin over bony prominences and muscle padded areas, when healthy individuals and patients with hemiplegia were lying in the supine position on a standard hospital mattress. The pressure values under the gluteus maximus muscle and the sacrum increased significantly in the supine position with bent knees. The heels resting on the mattress gave very high pressure values. Some patients had no observable skin blood flow in the skin over the sacrum and the gluteus maximus muscle. In many individuals there was no observable blood flow in the skin over the heel among both healthy individuals and patients, which was confirmed by very high post-ischemic reactive hyperaemia. There is also a heat accumulation when lying on the mattress which increases the requirement for skin blood flow.

Adult↗
PubMed1986

Factors affecting the pressure-distributing properties of foam mattress overlays.

A universal concern of those in nursing care is the occurrence of decubitus ulcers. To minimize this problem foam overlays are routinely used on hospital beds throughout the country. This study was undertaken to develop laboratory testing procedures which will reliably predict the support characteristics of mattress overlays in clinical service. Initially, test methods based on constant load and constant deformation boundary conditions were developed. These methods were applied to measure the pressure-distributing properties of 10 polyurethane foams fabricated in a wide range of pliancies and densities. Based on these laboratory data, a single index was developed to express the effectiveness of each overlay in distributing interface pressures. This index was found to be influenced by the stiffness (ILD), density, and thickness of each device. These data were then compared with measurements of interface pressure obtained from volunteer subjects who were supported on mattress overlays fabricated from each of the original foams. Correlation of these data with the laboratory results demonstrated that the effectiveness index was an accurate predictor of mattress overlay performance under end-use conditions.

Beds↗
PubMed1995

Evaluation of a low-air-loss mattress system in the treatment of patients with pressure ulcers.

Many individuals who are on prolonged bed rest suffer from pressure-induced ulcers. Pressure ulcers result from soft tissue being compressed between the skeleton or other supporting body structures and the relatively immovable surfaces commonly found with conventional mattresses in homes, hospitals, and prolonged care nursing facilities. In this study, we have evaluated the utility of a low-air-loss mattress system* in the treatment of patients with pressure ulcers by measuring stabilized ulcers before and after use of this system to determine if such ulcers worsened, improved or healed. Our observations indicate that use of this low-air-loss mattress system reduces the size and facilitates the healing of previously stable, chronic pressure ulcers.

Aged↗
PubMedDate not supplied

Applications for a corneal mattress suture in anterior limbal wound repairs.

We describe the use of a corneal mattress suture to manage two complications of trabeculectomy: first, to repair an anterior conjunctival tear/disinsertion in a limbus-based conjunctival flap; and, second, to restore wound integrity by reinforcing a focal section of scleromalacia or to close a perforation remaining from a previous cataract wound encountered during complicated trabeculectomy. In each setting, a single, double-armed 10-0 nylon corneal mattress suture is used as an anchor to establish a watertight limbal-wound closure. Additionally, for repairing an area of a scleromalacia/perforation, the corneal mattress suture can be used to incorporate a graft of Tenon's fascia into the wound.

Aged↗
PubMed1996

An audit of mattresses in one teaching hospital.

The poor state of some hospital mattresses has been associated with the formation of pressure sores and the spread of infection. Nurses need to be aware of potential problems with old, faulty or poor-quality mattresses. Mattresses must be checked regularly.

Beds↗
PubMed1997

Evaluating replacement mattresses.

A multidisciplinary team evaluated four replacement mattresses. The mattress that was found to be most effective in preventing pressure ulcers was then compared to the static air mattress. The study's results and outcomes are presented.

Bedding and Linens↗
PubMed1997

[The effect of position and mattress on the development of pressure sores].

The aim of this investigation was to determine which positions were associated with the lowest pressures to the skin in persons lying in bed. The pressure was recorded in ten different lying positions on two mattresses in 26 healthy volunteers. The semi Fowler position and the prone position were associated with a very low pressure. The 30 degrees laterally inclined position had significantly lower pressure than the classical 90 degrees side lying position. The highest pressure was measured in the 90 degrees side lying position and thus it should be avoided. A polyethylene-urethane mattress reduced pressure by 20 to 30% in comparison to a standard hospital mattress.

Adult↗
PubMed1992

Effects of position and mattress overlay on sacral and heel pressures in a clinical population.

A comparison of pressure reducing properties of alternating air, static air, and water mattress overlays was conducted with 57 patients in a surgical intensive care unit. Sacral and heel pressures in both recumbent and semi-Fowler's positions were tested for each surface using a repeated measures design. Mean pressures for the alternating air mattress were significantly higher than pressures with other surfaces, regardless of position or site. There were significant main effects for position and site, with higher pressures in the semi-Fowler's position and at the sacral site. A significant interaction between surface, site, and position was found. Pressure sores developed in eight patients, but the incidence was not significantly different across groups. A pressure measuring device constructed from available clinical materials proved to be both sensitive and reliable. The findings suggest alternating air overlays should be avoided, and that positioning and periodic position change to reduce sacral pressures for patients requiring prolonged upper body elevation is important.

Aged↗
PubMed1987

Effects of fungicide treatment and vacuuming on pyroglyphid mites and their allergens in mattress dust.

House-dust mites (Pyroglyphidae) are an important source of indoor airborne allergens. Several methods may be applied to reduce the population growth of these mites and thus the quantity of allergen formed. One such method is to interfere with the mites' food chain. Fungi are a key factor in this food chain: they serve as an indirect food source. In this study we investigated the results of the repeated application of a fungicide (natamycin) on mattresses. As controls we treated some mattresses with a placebo, while others were left untreated. The application of natamycin appeared to hamper mite development. Additional vacuuming reduced the quantity of mite allergens present. In the usual household situation repeated treatment will be necessary to obtain a long-term reduction.

Allergens↗
PubMedDate not supplied

Backboard versus mattress splint immobilization: a comparison of symptoms generated.

The study objective was to compare spinal immobilization techniques to a vacuum mattress-splint (VMS) with respect to the incidence of symptoms generated by the immobilization process. We used a prospective, cross-over study in a university hospital setting. Participants consisted of 37 healthy volunteers without history of back pain or spinal disease. Interventions consisted of two phases. In Phase I, subjects were randomly assigned to be immobilized on either a wooden backboard or a mattress-splint for 30 min. The incidence and severity of any symptoms generated by the immobilization process were recorded. In Phase II, the two groups were again tested after a 2-week washout period, with the method of immobilization being reversed. Symptoms and severity were again recorded. Pain symptoms were confined to four anatomic sites: Occipital prominence, lumbosacral spine, scapulae, and cervical spine. After adjusting for the effect of order of exposure, subjects were 3.08 times more likely to have symptoms when immobilized on a backboard than when immobilized on the VMS. They were 7.88 times more likely to complain of occipital pain and 4.27 times more likely to complain of lumbosacral pain. Severity of occipital and lumbosacral pain was also significantly greater during backboard immobilization. We conclude that, when compared to a VMS, standard backboard immobilization appears to be associated with an increased incidence of symptoms in general and an increased incidence and severity of occipital and lumbosacral pain in particular.

Adolescent↗
PubMed2006

An in vivo comparison of the modified Mason-Allen suture technique versus an inclined horizontal mattress suture technique with regard to tendon-to-bone healing: a biomechanical and histologic study in sheep.

The purpose of this study is to examine long-term tendon-to-bone healing, by use of a sheep animal model, after rotator cuff repairs performed with 2 different suture techniques: an inclined horizontal mattress suture pattern placed with special arthroscopic instrumentation (HMS) and the modified Mason-Allen pattern (MMA). After a pre hoc power analysis, 18 skeletally mature sheep were randomly assigned to either the HMS or MMA repair technique, with contralateral limbs used for the control group. At 26 weeks, the animals were euthanized. Six sheep from each group underwent biomechanical testing. Load-to-failure and stiffness results indicated no statistically significant difference between the 2 groups. Avulsion of the tuberosity was the primary mode of failure for both groups. In the remaining 6 sheep, histologic evaluation demonstrated that, regardless of treatment, the tendon appeared completely healed in the bony trough. Because the long-term biomechanical and histologic properties of healed tendons repaired with an HMA technique are equal to those obtained with an MMA technique, the inclined horizontal mattress suture may be appropriate for arthroscopic rotator cuff repair. Short-term studies are necessary to determine whether these findings are true early after tendon repair, when failure may be most common.

Animals↗