RESUMO
The utilisation of prone positioning has been vital during the COVID-19 pandemic, however risks the development of anterior pressure ulcers. An observational study was performed to examine the prevalence of pressure ulcers in this population and define risk factors. Eighty-seven patients admitted to critical care were studied. Of 62 patients with >1 day in prone position, 55 (88.7%) developed anterior pressure ulcers, 91% of which were anterior. The most commonly affected site were the oral commisures (34.6%), related to endotracheal tube placement. Prone positioning (p < .001) and the number of days prone (OR 3.11, 95% CI 1.46-6.62, p = 0.003) were a significant risk factors in development of an anterior ulcer. Prone positioning is therefore a significant cause of anterior pressure ulcers in this population.
Assuntos
COVID-19 , Úlcera por Pressão , COVID-19/epidemiologia , Humanos , Pandemias , Posicionamento do Paciente/efeitos adversos , Úlcera por Pressão/epidemiologia , Úlcera por Pressão/etiologia , Decúbito VentralRESUMO
The Hand and Wrist Sculpture Course, organized by the Surgical Sculpture Workshops and badged by the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), is a 2-day innovative course aimed at trainees in plastic and orthopedic surgery, as well as therapists, teaching about the bony and soft tissue anatomy through a hands-on sculpting workshop for application in clinical work. The course is delivered by an expert faculty of hand surgeons with a keen interest in art and sculpture, and costs £300. The following review details the course and provides a detailed evaluation of the course.
