ArticleInternational wound journal2020
Protecting prone positioned patients from facial pressure ulcers using prophylactic dressings: A timely biomechanical analysis in the context of the COVID-19 pandemic.
Article in International wound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04884737 (Decreasing Intraoperative Skin Damage in Prone Position Surgeries), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Decreasing Intraoperative Skin Damage in Prone Position Surgeries
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- COVID-19 related pressure injuries in patients and personnel: A systematic review.Journal of tissue viability · 2021Pooled it
- Evidence on Measures for the Prevention of Pressure Injuries in Mechanically Ventilated Patients in Prone Positioning: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Silicone adhesive multilayer foam dressings for preventing facial pressure injuries in COVID-19 patients in prone position.Journal of the Intensive Care Society · 2023Article
- Differences in prophylactic performance across wound dressing types used to protect from device-related pressure ulcers caused by a continuous positive airway pressure mask.International wound journal · 2023Article
- Strategies to preventing pressure injuries among intensive care unit patients mechanically ventilated in prone position: a systematic review and a Delphi study.Frontiers in medicine · 2023Article
- The biomechanical efficacy of a dressing with a soft cellulose fluff core in protecting prone surgical patients from chest injuries on the operating table.International wound journal · 2022Article
- Facial Pressure Sores in COVID-19 Patients during Prone Positioning: A Case Series and Literature Review.Plastic and reconstructive surgery. Global open · 2022Article
- The performance of gelling fibre wound dressings under clinically relevant robotic laboratory tests.International wound journal · 2022Review
- The biomechanical efficacy of a hydrogel-based dressing in preventing facial medical device-related pressure ulcers.International wound journal · 2022Article
- Masseter muscle pressure injury: First report of a prone position complication in patients with COVID-19.Intensive & critical care nursing · 2022Article
- Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients.Intensive & critical care nursing · 2022Article
- Muscle strength and functional outcome after prone positioning in COVID-19 ICU survivors.Intensive & critical care nursing · 2022Article
- Our contemporary understanding of the aetiology of pressure ulcers/pressure injuries.International wound journal · 2022Article
- Prevention of Hospital-Acquired Pressure Injury in COVID-19 Patients in the Prone Position.Intensive & critical care nursing · 2022Article
- The impact of the SARS-CoV-2 pandemic on the management of chronic limb-threatening ischemia and wound care.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2022Review
- Complications of prone positioning in patients with COVID-19: A cross-sectional study.Intensive & critical care nursing · 2021Article
- Skin damage prevention in the prone ventilated critically ill patient: A comprehensive review and gap analysis (PRONEtect study).Journal of tissue viability · 2021Review
- The mechanobiology theory of the development of medical device-related pressure ulcers revealed through a cell-scale computational modeling framework.Biomechanics and modeling in mechanobiology · 2021Article
- Protecting prone positioned patients from facial pressure ulcers using prophylactic dressings: A timely biomechanical analysis in the context of the COVID-19 pandemic.International wound journal · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
Prone positioning is used for surgical access and recently in exponentially growing numbers of coronavirus disease 2019 patients who are ventilated prone. To reduce their facial pressure ulcer risk, prophylactic dressings can be used; however, the biomechanical efficacy of this intervention has not been studied yet. We, therefore, evaluated facial soft tissue exposures to sustained mechanical loads in a prone position, with versus without multi-layered silicone foam dressings applied as tissue protectors at the forehead and chin. We used an anatomically realistic validated finite element model of an adult male head to determine the contribution of the dressings to the alleviation of the sustained tissue loads. The application of the dressings considerably relieved the tissue exposures to loading. Specifically, with respect to the forehead, the application of a dressing resulted in 52% and 71% reductions in soft tissue exposures to effective stresses and strain energy densities, respectively. Likewise, a chin dressing lowered the soft tissue exposures to stresses and strain energy densities by 78% and 92%, respectively. While the surgical context is clear and there is a solid, relevant need for biomechanical information regarding prophylaxis for the prone positions, the projected consequences of the coronavirus pandemic make the present work more relevant than ever before.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.