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

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...

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Detalles Bibliográficos
Autores principales: Perrillat, A., Foletti, J.-M., Lacagne, A.-S., Guyot, L., Graillon, N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Masson SAS. 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301820/
https://www.ncbi.nlm.nih.gov/pubmed/32565264
http://dx.doi.org/10.1016/j.jormas.2020.06.008
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author Perrillat, A.
Foletti, J.-M.
Lacagne, A.-S.
Guyot, L.
Graillon, N.
author_facet Perrillat, A.
Foletti, J.-M.
Lacagne, A.-S.
Guyot, L.
Graillon, N.
author_sort Perrillat, A.
collection PubMed
description 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.
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spelling pubmed-73018202020-06-18 Facial pressure ulcers in COVID-19 patients undergoing prone positioning: How to prevent an underestimated epidemic? Perrillat, A. Foletti, J.-M. Lacagne, A.-S. Guyot, L. Graillon, N. J Stomatol Oral Maxillofac Surg Case Report 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. Elsevier Masson SAS. 2020-09 2020-06-18 /pmc/articles/PMC7301820/ /pubmed/32565264 http://dx.doi.org/10.1016/j.jormas.2020.06.008 Text en © 2020 Elsevier Masson SAS. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Case Report
Perrillat, A.
Foletti, J.-M.
Lacagne, A.-S.
Guyot, L.
Graillon, N.
Facial pressure ulcers in COVID-19 patients undergoing prone positioning: How to prevent an underestimated epidemic?
title Facial pressure ulcers in COVID-19 patients undergoing prone positioning: How to prevent an underestimated epidemic?
title_full Facial pressure ulcers in COVID-19 patients undergoing prone positioning: How to prevent an underestimated epidemic?
title_fullStr Facial pressure ulcers in COVID-19 patients undergoing prone positioning: How to prevent an underestimated epidemic?
title_full_unstemmed Facial pressure ulcers in COVID-19 patients undergoing prone positioning: How to prevent an underestimated epidemic?
title_short Facial pressure ulcers in COVID-19 patients undergoing prone positioning: How to prevent an underestimated epidemic?
title_sort facial pressure ulcers in covid-19 patients undergoing prone positioning: how to prevent an underestimated epidemic?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301820/
https://www.ncbi.nlm.nih.gov/pubmed/32565264
http://dx.doi.org/10.1016/j.jormas.2020.06.008
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