ArticleFrontiers in medicine2020
Pressure Injury Prevention in COVID-19 Patients With Acute Respiratory Distress Syndrome.
Article in Frontiers in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Skin Problems in the Facial Area due to the Use of Personal Protective Equipment in Healthcare Workers: A Systematic Review.Journal of clinical nursing · 2025Pooled it
- Long-term complications of prone position ventilation with relevance for acute and postacute rehabilitation: a systematic review of the literature.European journal of physical and rehabilitation medicine · 2023Pooled it
- Awake prone positioning for patients with COVID-19 pneumonia in intensive care unit: A systematic review and meta-analysis.Frontiers in medicine · 2022Pooled it
- Evaluation of occupational fatigue among Chinese nursing managers: a cross-sectional online study.Frontiers in public health · 2026Article
- A Retrospective Observational Analysis of Factors Determining the Formation of Pressure Ulcers in ICU Patients Treated for COVID-19.Journal of inflammation research · 2025Article
- Nurses' experiences of hospital-acquired pressure injury prevention in acute healthcare services in Victoria, Australia: A qualitative study using the Theoretical Domains Framework.International wound journal · 2024Article
- The PhLIP team: Feasibility of a physiotherapy-led intensive prone positioning team initiative during the COVID-19 pandemic.Australian critical care : official journal of the Confederation of Australian Critical Care Nurses · 2023Observational
- 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
- Pressure injury prevalence and characteristics in patients with COVID-19 admitted to acute inpatient rehabilitation unit.Frontiers in rehabilitation sciences · 2023Article
- Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients.Intensive & critical care nursing · 2022Article
- Characteristics, treatment, and nursing care of patients infected by Sars-CoV-2 hospitalized in intensive care units: multicenter study of colombian hospitals.Investigacion y educacion en enfermeria · 2022Article
- Prevention of Hospital-Acquired Pressure Injury in COVID-19 Patients in the Prone Position.Intensive & critical care nursing · 2022Article
- Clinical Coders' Perspectives on Pressure Injury Coding in Acute Care Services in Victoria, Australia.Frontiers in public health · 2022Article
- "Prone positioning as an emerging tool in the care provided to patients infected with COVID-19: a scoping review".Revista latino-americana de enfermagem · 2021Article
- Pressure Injury Surveillance and Prevention in Australia: Monash Partners Capacity Building Framework.Frontiers in public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was identified in China in December 2019 and became a pandemic in a short period of time. While most infected people might have mild symptoms, older people and people with chronic illnesses may develop acute respiratory distress syndrome (ARDS). Patients with ARDS with worsening hypoxemia require prone positioning to improve the respiratory mechanics and oxygenation. Intubated patients may stay in a prone position up to 12-16 h, increasing the risk of pressure injury (PI). Frequent skin inspections and PI risk assessment in COVID-19 patients will be challenging due to hospital infection control measures aimed to reduce the risk for health professionals. In this perspective article, we summarize the best practice recommendations for prevention of PI in SARS-CoV-2-infected ARDS patients in prone positioning. Prior to positioning patients in prone position, the main recommendations are to (1) conduct a skin assessment, (2) use pressure redistribution devices, (3) select an appropriate mattress or an overlay, (4) ensure that the endotracheal tube securing device is removed and the endotracheal tube is secured with tapes, (5) use a liquid film-forming protective dressing, and (6) lubricate the eyes and tape them closed. Once a patient is in prone position, it is recommended to (1) use the swimmer's position, (2) reposition the patient every 2 h, and (3) keep the skin clean. When the patient is repositioned to supine position, healthcare professionals are advised to (1) assess the pressure points and (2) promote early mobilization.
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