Effectiveness of Polyurethane Foam (Pink Pad) Compared With Mepilex Dressing for Pressure Ulcer Prevention in Operating Room: A Randomized Controlled Trial

What this Trial Is About

Researchers are comparing two types of dressings, polyurethane foam (Pink Pad) and Mepilex Border Sacrum dressings, to prevent pressure ulcers in patients undergoing cardiac surgery at King Abdullah Medical City. The study focuses on patients at risk for pressure ulcers, using standard hospital protocols based on international guidelines to assess risk and provide prevention. This randomized clinical trial aims to evaluate which dressing may better help prevent pressure ulcers during surgery, especially for patients positioned in ways that increase risk, such as the Trendelenburg position. The study involves two intervention groups: one using a single-use polyurethane foam system including a pink foam pad and related supports, and the other using self-adherent multilayer foam dressings applied to the sacrum. Both interventions are applied by operating room nurses during surgery. Patients will be examined by the wound management team after surgery and again at 3 and 7 days post-operation. Dressings are removed after 7 days or earlier if clinically needed. If patients are discharged sooner, they are examined before discharge. Follow-up lasts up to 7 days post-operation. Participants will be monitored through scheduled examinations and assessments by the wound management team to check for pressure ulcer development. The study measures the incidence of pressure ulcers within 7 days after surgery as its primary outcome. Any patient unable to continue due to death or changes in care setting will be excluded. Researchers will use risk assessment scales and clinical evaluations to track outcomes, ensuring patient safety and adherence to hospital protocols throughout the study period.

Polyurethane Foam-Pink Pad (RCT) Use in OR