Reducing skin breakdown in patients receiving extracorporeal membranous oxygenation

Nurs Clin North Am. 2014 Mar;49(1):61-8. doi: 10.1016/j.cnur.2013.11.003.


This article describes three strategies a cardiovascular-thoracic intensive care unit implemented to decrease the rate of hospital-acquired pressure ulcers in patients on extracorporeal membranous oxygenation support. These strategies include increased staff awareness of physiologic factors placing a critically ill patient on extracorporeal support at increased risk for development of pressure ulcers, development of a turning guideline and a skin care bundle, and use of coaching by a clinical nurse specialist to promote pressure ulcer prevention.

Keywords: Critically ill surgical patients; Extracorporeal membranous oxygenation; Mechanical circulatory support; Nurse sensitive indicator; Pressure ulcers.

Publication types

  • Review

MeSH terms

  • Extracorporeal Membrane Oxygenation / adverse effects*
  • Humans
  • Patient Care Team
  • Pressure Ulcer / etiology
  • Pressure Ulcer / prevention & control*
  • Skin / pathology*