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At least 235 records · Page 13Linked to original sources
PubMed1986

Influence of the 30 degrees laterally inclined position and the 'super-soft' 3-piece mattress on skin oxygen tension on areas of maximum pressure--implications for pressure sore prevention.

The measurement of the transcutaneous PO2 (tc PO2) demonstrates that localized pressure on skin sites under bony prominences (e.g., the sacral and trochanteric areas) decreases the tc PO2 at these skin positions to zero when subjects are lying motionless on a normal hospital mattress. This explains the high risk of pressure sore formation in elderly patients, who have a greatly reduced frequency of involuntary movements. Therefore, the first principle of pressure sore prevention is the elimination of localized pressure on both the trochanteric and sacral skin areas simultaneously. This can be achieved by bedding elderly patients who are at risk on a 'super-soft' mattress and by turning them regularly to the 30 degrees laterally inclined position. With healthy adults, placed in this position, both the skin areas over the trochanteric and sacral bony prominences remain almost free from pressure and thus normally oxygenated. In addition, the tc PO2 measurement allows an immediate assessment of the efficacy of a procedure for sore prevention.

Beds↗
PubMed1989

Inhalant allergy in asthmatic children: skin prick test, radioallergosorbent test and chemiluminescent assay compared with allergen levels in their mattress dusts.

Mattress dusts from the beds of 51 asthmatic children with positive skin tests to house dust mite were assayed for Der p I, Fel d I and certain viable fungi. The results of skin tests to grass, cat, dog, Alternaria, Aspergillus, Cladosporium and Penicillium, radioallergosorbent tests to cat, mite, dog and grass and the chemiluminescent assay were compared and correlations made with allergen concentrations in the dust. The sensitivity of the three tests appeared comparable (percentage agreement = 54.5-94), however, an increased level of allergen in the mattress dust was not a good indicator of the degree of sensitization of the child (p greater than 0.05).

Allergens↗
PubMed1998

Antimony leaching from cot mattresses and sudden infant death syndrome (SIDS).

1. Polyvinyl chloride (PVC) cot mattress covers from SIDS cases were investigated as potential sources of soluble (potentially ingestable) antimony in the cot environment. 2. Body fluids (urine, saliva) and proprietary domestic detergents/sterilizing fluids markedly enhanced leaching of antimony from PVC. Release of antimony was also enhanced at both low and high pH and by elevated temperature. The extent of antimony leaching did not correlate well with PVC content of this element. 3. These data do not support the assumption that postmortem analysis of antimony content proves exposure to gaseous antimony trihydride from mattress PVC. 4. Ingestion of antimony released from PVC could account for the high variability associated with reported detectable levels of antimony in liver from both SIDS and other infants. It could also explain suspected additional postnatal exposure to this element, which gives rise to elevated levels of Sb in the hair of some healthy infants.

Antimony↗
PubMed2002

Allergens and endotoxin on mothers' mattresses and total immunoglobulin E in cord blood of neonates.

The current authors examined whether mite and cat allergen and bacterial endotoxin levels in dust of the mothers' mattresses were associated with cord blood immunoglobulin (Ig)E (CB-IgE) levels in newborns. Data from 1,332 term and normal weight neonates, from an ongoing birth cohort study, influences of life-style related factors on the immune system and the development of allergies in childhood (LISA), with complete information on exposure to biocontaminants in mattress dust and CB-IgE were analysed. Two thirds of CB-IgE were undetectable (<0.35 kU x L(-1)). Thus, 0.35 and 0.45 kU x L(-1) (4th quartile) were chosen as cut-offs. Nonparametric smoothing (generalised additive models) showed statistically significant confounder-adjusted associations between elevated CB-IgE levels (> or = 0.45 kU x L(-1)) and log-transformed exposures to cat (linear), mite (inverse u-shaped), and endotoxin (u-shaped). After adjustment for covariables, elevated CB-IgE levels (logistic regression using the 1st-4th quartiles of exposure) were positively associated with high cat-allergen exposure and medium exposure to mite allergen, but were inversely associated with exposure to endotoxin. The associations were similar, but somewhat weaker, when 0.35 kU x L(-1) was used as cut-off. These results, showing an association between prenatal allergen and endotoxin exposures and immunoglobulin E production, suggest that the development of foetal immune responses may be affected.

Allergens↗
PubMedDate not supplied

Alternating pressure mattresses: comfort and quality of sleep.

Comfort is particularly important for patients with terminal illness where the priority is to maximize quality of life. Equally important is effective pressure area care, as such patients are at high risk of developing pressure sores because of their poor general condition (Bale and Regnard, 1995). The present randomized controlled study set in a hospice focused on the development of methodology for assessing patient comfort and quality of sleep and used this to compare two widely used, alternating air pressure mattresses (the Nimbus II and the Pegasus Airwave). The Nimbus II mattress performed consistently better than the Pegasus Airwave in terms of patient comfort and quality of sleep. Features of the Nimbus II that may explain its better performance include less extreme changes in pressure, lower peak inflation pressures and the ability to automatically vary the pressure to suit the patient's position and weight.

Adult↗
PubMedDate not supplied

The Pegasus Overture alternating-pressure mattress overlay.

Pressure sores affect approximately 10% of the adult population and occur in various hospitals and community settings (Department of Health, 1992). It is therefore essential to adopt a logical approach when selecting the optimum piece of equipment for patients at risk of pressure sore development. Alternating-pressure mattresses have been used for many years in both hospitals and community environments to prevent and treat pressure sores. In September 1995, Pegasus Airwave Limited launched a new alternating-pressure mattress overlay, the Overture. It is designed for use with patients who have mobility problems and are at low to medium risk of developing pressure sores or have superficial tissue damage. This article describes the features of the Overture and its suitability for use in different care settings.

Adult↗
PubMedDate not supplied

Vicair Academy Mattress in the prevention of pressure damage.

There are many costs associated with the development of pressure ulcers, both in terms of the patient experience and those associated with healing. If patients who are deemed to be at risk are identified and suitable preventive equipment is provided, incidence of pressure ulcer development can be reduced significantly. Pressure-reducing mattresses are primarily used to prevent pressure ulcers from occurring, in conjunction with other preventive measures, such as repositioning. The Vicair Academy Mattress, manufactured by Vicair BV and distributed by Gerald Simonds, uses Vicair's 'dry air' flotation system to offer maximum pressure and shear protection to patients who are at high risk of developing pressure ulcers.

Aged↗
PubMed1998

Measuring interface pressures in mattresses.

This evaluation compared the pressure support qualities of three mattresses by measuring the interface pressures using 20 subjects. The results indicate that the Pegasus Airwave mattress had significantly higher readings than Quattro DC2000 (p = 0.021, 95% confidence level) and the Nimbus II (p = 0.009, 99% confidence level) but that there is no significant difference between interface pressures for the Quattro DC2000 and the Nimbus II.

Beds↗
PubMed1998

Evaluating pressure-relieving mattresses.

In this study, three mattresses were evaluated to assess their effectiveness in relation to the pain and discomfort experienced by 40 patients with neurological disorders who had Waterlow scores > or = 15 and required pressure support. The results indicate that one mattress (the Quattro DC2000) performed significantly better than the other two (Nimbus II and Pegasus Airwave).

Adolescent↗
PubMed1999

Clinical evaluation of a new pressure-relieving mattress.

In introducing a new mattress into practice it is important to evaluate its performance from both the patient's and nurse's perspective. A total of 20 patients admitted to the integrated medical unit were recruited and nursed on a new pressure-relieving mattress offering two modes of pressure relief (Duo). All patients had been recently admitted to hospital and were considered to be 'at very high risk' of developing a pressure ulcer, with an initial Waterlow score > 20. Data were collected on admission, mid-point (three to four days) and study exit (seven days). The primary objective was to investigate the condition of patients' skin and the mode of choice for pressure relief. The secondary objective was to investigate reasons for nurses' and patients' choices. Structured interviews were conducted with the patient, ward nurse and research nurse whenever possible. Nineteen patients maintained or improved their skin condition during the evaluation.

Aged↗
PubMed2000

A clinical evaluation of the Nimbus 3 alternating pressure mattress replacement system.

This study assessed the clinical effectiveness of the Nimbus 3 alternating pressure mattress replacement system (APMRS) on pressure ulcer healing and comfort in subjects > or = 65 years, with at least a Grade 2 ulcer and some mobility problems. Twelve patients in a hospital setting were randomly allocated to the Nimbus 3 or another APMRS, and 20 residents in a nursing home setting to the Nimbus 3 or an alternating pressure mattress overlay. Wound surface area (WSA) (cm2) was recorded twice weekly and comfort once weekly. In the hospital setting, there were no significant differences between groups in the reduction in WSA per day. In the nursing home setting, though subjects on Nimbus 3 had significantly more pressure ulcers at baseline, there were no significant differences between groups in the reduction in WSA per day. Nimbus 3 was statistically more comfortable than control surfaces. The study's sample size has not shown the products were different with regard to clinical effectiveness. However, it might serve as a pilot for a larger, multi-centre RCT aimed at establishing the efficacy of a pressure-relieving (PR) device on pressure ulcer healing.

Aged↗
PubMed2006

Effectiveness of house dust mite acaricide tri-n-butyl tin maleate on carpets, fabrics and mattress foam: a standardization of methodology.

The aim of this study was to determine the effectiveness of the acaricide tri-n-butyl tin maleate, industrially applied to samples of carpets, mattress foam, and fabrics used for furniture upholstery, soft toys and shoe uppers. Approximately 100 adult house dust mites of the species Dermatophagoides pteronyssinus were inoculated into a Petri dish containing the sample (a piece of carpet, mattress foam, or fabric), treated with the acaricide, randomly collected. Mite-maintenance culture medium was added on top of each sample. After one, two, three, seven and 30 days of incubation at 25 degrees C and 75% relative humidity, each dish was examined using a 40X stereoscopic microscope (40X). One hundred percent acaricide effectiveness was obtained in treated materials by the end of the 30th-day postinoculation period, under optimal conditions for mite maintenance.

Animals↗
PubMed2000

Plastic wrapping of cot mattresses: results from a pilot study.

AIM: To assess the prevalence of plastic wrapping of cot mattresses and their thickness. METHODS: Mothers of infants less than six months attending Plunket clinics in Central Auckland were interviewed. The thickness of the plastic was measured. RESULTS: 99 of 110 (90%) mothers invited to participate were visited at home. The sample was socioeconomically advantaged. Most infants were breastfed and few slept prone. The prevalence of plastic wrapped cot mattresses was 23.2%, of which sixteen (out of 23) used BabeSafe and seven used other types. The mean thickness of the BabeSafe was 0.15 mm (range 0.12-0.19 mm) and the other types were 0.10 mm (range 0.04-0.13 mm). One sample of plastic was 0.04 mm. CONCLUSION: Thin plastic wrapping is being used and is potentially dangerous.

Adult↗
PubMed2005

Concentrations of dust, allergens and endotoxin in stables, living rooms and mattresses from cattle farmers in southern Bavaria.

Agricultural work is considered to be a major risk factor for occupational diseases. In particular, allergic reactions to cow dander cause numerous cases of airway disorders. We measured the concentration of allergens (e.g. Bos d2, Der p1) and endotoxin in the stables, living-rooms and mattresses of 46 farmers with a diagnosis of occupational asthma or allergic rhinitis caused by cow dander allergen. The concentration of cow dander allergen was highest in stables (median 20,400 microg/g) but also noticeable in dust samples from living-rooms (median 155 microg/g) and mattresses (median 195 microg/g). The sensitization threshold (20-50 microg/g) was exceeded in most cases. Thus, allergen transport from the stables to bed must be prevented by optimizing the hygiene of farmers and family members.

Adult↗
PubMed2005

Effectiveness of a simple heated water-filled mattress for the prevention and treatment of neonatal hypothermia in the labour room.

INTRODUCTION: This study aimed to determine the proportions of normothermic infants who remained normothermic, and hypothermic infants who became normothermic following the use of a heated water-filled mattress (HWM) in the labour room. METHODS: A prospective observational study carried out in the labour room over a 2.5 month period on 228 well term infants delivered by lower segment caesarean section (LSCS) in the operating theatre (environmental temperature 18 degrees Celsius). Upon arrival in the labour room, the infants were placed on a HWM in a nursing cot. The axillary temperature was measured using a mercury thermometer for three minutes. Each infant was then wrapped with a large piece of linen, and covered with a blanket. Just before transfer to postnatal wards, the axillary temperature was re-measured. RESULTS: 52.2 percent (119/228) of infants were hypothermic (temperature less than 36.5 degrees Celsius) upon arrival in the labour room. Before leaving the labour room, the median increase in axillary temperature of the initially hypothermic infants was significantly higher (0.2 degrees Celsius, interquartile range 0.5) than those initially normothermic infants (0.0 degrees Celsius, interquartile range 0.3) (p-value is less than 0.00001). Among the initially hypothermic infants, 40.3 percent (48/119) became normothermic before transfer to postnatal wards. The significant independent risk factors associated with persistent hypothermia were lower birthweight (p-value equals 0.02), lower gestational age (p-value equals 0.02) and shorter duration on the warming mattress (p-value equals 0.08). Among 109 initially normothermic infants, 17.4 percent became mildly hypothermic (mean axillary temperature 36.2 degrees Celsius, standard deviation 0.2) before leaving the labour room. CONCLUSION: The HWM is a reasonably effective simple device for the prevention and treatment of hypothermia in the labour room.

Beds↗
PubMed1991

[Covering of ischial pressure sores using a fasciocutaneous flap from the posterior surface of thigh (modified Griffith method) after mattressing with the biceps femoris. Apropos of 11 cases].

The ischial region is the commonest site for pressure sores in paraplegics capable of sitting. The choice of treatment must be guided by two imperatives: the need for a thick tissue cover (mattressing) and perfect trophicity, the risk of recurrence which always remains possible. The association of a modified Griffith fasciocutaneous flap from the posterior surface of the thigh and a hamstring muscle flap (preferably biceps femoris) providing mattressing of the ischial region, appears to satisfy these imperatives. The other repair procedures are discussed in order to ensure the best management of the paraplegic patient's cutaneous capital, due to the continual risk of a new pressure sore or a recurrence of the ischial pressure sore.

Adult↗
PubMed1983

Skin pressure measurements on various mattress surfaces in cancer patients.

Twenty-eight patients with histologically proven carcinoma were studied on two dynamic and six static mattress surfaces to determine which mattress surface would provide the least skin surface pressure at the sacrum, dorsal spine, trochanter and heels. Measurements were taken with an especially designed inflatable bladder, and the mean of the maximum skin surface pressures was determined for the static and dynamic surfaces in the inflated and deflated state. Using less than or equal to 32 mm Hg as the skin surface pressure at which the arteriolarcapillary blood flow is interrupted, we concluded that the mud gel bed generally tended to record the lowest skin surface pressure for all of the sites. Although some of the static surfaces recorded pressures less than or equal to 32 mm Hg at the sacrum and dorsal spine, the deflated dynamic surfaces were superior to the remaining static surfaces in reducing the skin surface pressures.

Bedding and Linens↗