TY - JOUR
T1 - Facial ulcers in patients with COVID-19 admitted to ICU
T2 - Review of the evidence
AU - Madueño, Jaime Moreno
AU - Sayer, Lynn
N1 - Publisher Copyright:
© 2022 MA Healthcare Ltd. All rights reserved.
PY - 2022/2/24
Y1 - 2022/2/24
N2 - 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.
AB - 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.
KW - Causative factors
KW - COVID-19 patients
KW - Facial pressure ulcers
KW - Intensive care
KW - Prevention
UR - http://www.scopus.com/inward/record.url?scp=85125553343&partnerID=8YFLogxK
U2 - 10.12968/bjon.2022.31.4.S22
DO - 10.12968/bjon.2022.31.4.S22
M3 - Review article
C2 - 35220748
AN - SCOPUS:85125553343
SN - 0966-0461
VL - 31
SP - S22-S32
JO - British Journal of Nursing
JF - British Journal of Nursing
IS - 4
ER -