Facial ulcers in patients with COVID-19 admitted to ICU: review of the evidence.
Br J Nurs
; 31(4): S22-S32, 2022 Feb 24.
Article
in English
| MEDLINE | ID: covidwho-1716169
ABSTRACT
OBJECTIVE:
Many patients with COVID-19 admitted to intensive care undergo prone positioning. These patients are at risk of developing facial pressure ulcers (PUs). This study aimed to identify evidence-based recommendations to prevent or reduce their incidence.METHOD:
A multi-case study was undertaken using secondary data published between November 2020 and April 2021 discussing facial PUs in patients with COVID-19. CINAHL and MEDLINE electronic databases were analysed. Sixteen publications met the inclusion criteria. The overall quality of evidence was low.RESULT:
Studies reported a high incidence of facial PUs. The evidence suggests key preventive areas are skin assessment, pressure-redistribution surfaces, eye coverings, education, medical devices and prophylactic dressings. Recommendations included skin cleaning and moisturising, eye coverings, replacing endotracheal tube holders and using hydrocolloid or film dressings.CONCLUSION:
Considering the severe implications for patients and healthcare systems caused by facial PUs, ICUs should develop strategies to prevent and minimise them.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pressure Ulcer
/
COVID-19
Type of study:
Observational study
/
Prognostic study
/
Reviews
Limits:
Humans
Language:
English
Journal:
Br J Nurs
Year:
2022
Document Type:
Article
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