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Survey on Sternal Wound Management in the Italian Pediatric Cardiac Intensive Care Units

(1) Background: a review of the literature found a lack of standardized pediatric guidelines regarding wound management after cardiac surgery. (2) Objective: the aim of the study is to investigate the cardiac surgical wound management in Italian pediatric cardiac intensive care units. (3) Methods: w...

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Autores principales: Prendin, Angela, Tabacco, Benedicta, Fazio, Paola Claudia, Strini, Veronica, Brugnaro, Luca, De Barbieri, Ilaria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308053/
https://www.ncbi.nlm.nih.gov/pubmed/34356247
http://dx.doi.org/10.3390/healthcare9070869
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author Prendin, Angela
Tabacco, Benedicta
Fazio, Paola Claudia
Strini, Veronica
Brugnaro, Luca
De Barbieri, Ilaria
author_facet Prendin, Angela
Tabacco, Benedicta
Fazio, Paola Claudia
Strini, Veronica
Brugnaro, Luca
De Barbieri, Ilaria
author_sort Prendin, Angela
collection PubMed
description (1) Background: a review of the literature found a lack of standardized pediatric guidelines regarding wound management after cardiac surgery. (2) Objective: the aim of the study is to investigate the cardiac surgical wound management in Italian pediatric cardiac intensive care units. (3) Methods: we sent an online questionnaire to the 13 Italian pediatric cardiac intensive care units. (4) Results: ten pediatric cardiac intensive care units (77%) have a protocol for the management of the cardiac surgical wound. The staff members that mainly have the responsibility for the wound management after cardiac surgery are registered nurses and physicians together both in the pediatric cardiac intensive care units (69%), and when a patient is transferred to another ward (62%). Thirty-eight percent of the pediatric cardiac intensive care units have a protocol used to monitor wound infection, and the staff mostly uses a written shift report (54%) to monitor the infection. (5) Discussion: this is the first survey to investigate the management of the wound after cardiac surgery in Italian pediatric cardiac intensive care units. The small sample size and the fact that the centers involved are only Italian cardiac intensive care units are the limits of this study. (6) Conclusions: in the Italian pediatric cardiac intensive care units it emerged that there is a diversity in the treatments adopted and a lack of specific protocols in the management of the pediatric cardiac surgical wound.
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spelling pubmed-83080532021-07-25 Survey on Sternal Wound Management in the Italian Pediatric Cardiac Intensive Care Units Prendin, Angela Tabacco, Benedicta Fazio, Paola Claudia Strini, Veronica Brugnaro, Luca De Barbieri, Ilaria Healthcare (Basel) Article (1) Background: a review of the literature found a lack of standardized pediatric guidelines regarding wound management after cardiac surgery. (2) Objective: the aim of the study is to investigate the cardiac surgical wound management in Italian pediatric cardiac intensive care units. (3) Methods: we sent an online questionnaire to the 13 Italian pediatric cardiac intensive care units. (4) Results: ten pediatric cardiac intensive care units (77%) have a protocol for the management of the cardiac surgical wound. The staff members that mainly have the responsibility for the wound management after cardiac surgery are registered nurses and physicians together both in the pediatric cardiac intensive care units (69%), and when a patient is transferred to another ward (62%). Thirty-eight percent of the pediatric cardiac intensive care units have a protocol used to monitor wound infection, and the staff mostly uses a written shift report (54%) to monitor the infection. (5) Discussion: this is the first survey to investigate the management of the wound after cardiac surgery in Italian pediatric cardiac intensive care units. The small sample size and the fact that the centers involved are only Italian cardiac intensive care units are the limits of this study. (6) Conclusions: in the Italian pediatric cardiac intensive care units it emerged that there is a diversity in the treatments adopted and a lack of specific protocols in the management of the pediatric cardiac surgical wound. MDPI 2021-07-09 /pmc/articles/PMC8308053/ /pubmed/34356247 http://dx.doi.org/10.3390/healthcare9070869 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Prendin, Angela
Tabacco, Benedicta
Fazio, Paola Claudia
Strini, Veronica
Brugnaro, Luca
De Barbieri, Ilaria
Survey on Sternal Wound Management in the Italian Pediatric Cardiac Intensive Care Units
title Survey on Sternal Wound Management in the Italian Pediatric Cardiac Intensive Care Units
title_full Survey on Sternal Wound Management in the Italian Pediatric Cardiac Intensive Care Units
title_fullStr Survey on Sternal Wound Management in the Italian Pediatric Cardiac Intensive Care Units
title_full_unstemmed Survey on Sternal Wound Management in the Italian Pediatric Cardiac Intensive Care Units
title_short Survey on Sternal Wound Management in the Italian Pediatric Cardiac Intensive Care Units
title_sort survey on sternal wound management in the italian pediatric cardiac intensive care units
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308053/
https://www.ncbi.nlm.nih.gov/pubmed/34356247
http://dx.doi.org/10.3390/healthcare9070869
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