Your browser doesn't support javascript.
Facial ulcers in patients with COVID-19 admitted to ICU: review of the evidence.
Madueño, Jaime Moreno; Sayer, Lynn.
  • Madueño JM; Registered Nurse, at time of writing studying MSc Nursing with Registration as an Adult Nurse, King's College London.
  • Sayer L; Senior Lecturer, Department of Adult Nursing, King's College London.
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.
Subject(s)
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

Similar

MEDLINE

...
LILACS

LIS


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