Perioperative: Support Surfaces for Skin Grafts & Flaps
The management of skin grafts and flaps is heavily reliant on staff expertise. The article Support Surfaces for Skin Grafts and Flaps: A Scoping Review provides an overview of skin graft and flap procedures in the treatment of pressure ulcers and examines the effectiveness of low air loss and high air loss support surfaces. The article provides good information on the common complications associated with skin grafts/flaps and strategies for the management of skin graft/ flap patients. The article also presents information on reactive and active integrated bed systems, mattresses, overlays and seat cushions. The paper also identifies that there is evidence that turing patients every four hours when support surfaces are used is as effective in preventing pressure ulcers as turning patients more frequently without a support surface. It is identified that low air loss surfaces are more effective than mixed pulsating air mattresses in prevention of heel ulcers.