Facial pressure ulcers in COVID-19 patients undergoing prone positioning: How to prevent an underestimated epidemic?

Autor: Anne-Sophie Lacagne, Jean-Marc Foletti, Laurent Guyot, Ambre Perrillat, Nicolas Graillon
Přispěvatelé: Assistance Publique - Hôpitaux de Marseille (APHM), Laboratoire de Biomécanique Appliquée (LBA UMR T24), Aix Marseille Université (AMU)-Université Gustave Eiffel, Anthropologie bio-culturelle, Droit, Ethique et Santé (ADES), Aix Marseille Université (AMU)-EFS ALPES MEDITERRANEE-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Stomatology, Oral and Maxillofacial Surgery
Journal of Stomatology, Oral and Maxillofacial Surgery, Elsevier Masson, 2020, 121 (4), pp.442-444. ⟨10.1016/j.jormas.2020.06.008⟩
Journal of Stomatology, Oral and Maxillofacial Surgery, 2020, 121 (4), pp.442-444. ⟨10.1016/j.jormas.2020.06.008⟩
ISSN: 2468-7855
DOI: 10.1016/j.jormas.2020.06.008
Popis: Prone positioning is an adjuvant therapy used to treat COVID-19 pneumonia complicated by acute respiratory distress syndrome. However, prolonged pressure on facial skin at the level of the bony structures may be responsible for facial pressure ulcers. In the context of severe COVID-19 pneumonia, we hypothesized that hypoxemia, microvascular injury and thrombosis can increase the risk of pressure ulcers. We described two cases in order to emphasize the risk of facial pressure ulcers as a result of prone positioning, so as to discuss their physiopathology and highlight the importance of appropriate preventive measures.
Databáze: OpenAIRE