COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention

Santos, Vinícius Batista; Aprile, Daniele Cristina Bosco; Lopes, Camila Takáo; Lopes, Juliana de Lima; Gamba, Mônica Antar; Costa, Karina Aparecida Lopes da; Domingues, Tânia Arena Moreira

doi:10.1590/0034-7167-2020-1185

Cited by 8 publications

(4 citation statements)

References 23 publications

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“…Another necessary strategy, not addressed in the studies that comprised the sample, is the application of a checklist during the care directed to the pregnant woman who needs pronation. Using checklists based on scientific evidence corroborates the prevention and reduction of care errors, as well as it facilitates communication among the professionals ( 32 ) . Such care tools must be properly implemented, concomitantly with permanent training of the health professionals, in order to ensure proper conduction of the procedure and patient safety during health care.…”

Section: Discussionmentioning

confidence: 99%

Use of the prone position in pregnant women with COVID-19 or other health conditions

Cavalcante

Fernandes

Rocha³

et al. 2021

Rev. Latino-Am. Enfermagem

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Objective: to analyze, in the scientific literature, the knowledge available on the use of the prone position in pregnant women diagnosed with COVID-19 or other health conditions. Method: an integrative literature review developed through the following guiding question: What is the scientific knowledge available on the use of the prone position in pregnant women with COVID-19 or other health conditions? The search for studies was carried out in eight databases. Results: using the prone position in pregnant women with Acute Respiratory Distress syndrome allowed for improvements in lung compliance and oxygenation. It also allowed reducing uterine compression on the maternal large vessels, and a reduction in blood pressure was observed in pregnant women with pre-eclampsia. The prone position was also safe in the surgical management of pregnant patients. In addition, the following conditions stood out as disadvantages related to the prone position in pregnant women: possibility of aortocaval compression, causing severe hypotension, and inability to easily monitor fetal status or to perform emergency Cesarean sections. Conclusion: the prone position was considered safe, reliable and comfortable for its use in the clinical management of pregnant women, where specific care measures must be taken to avoid compression of gravid abdomen, as well as fetal monitoring is important to detect placental circulation impairment.

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Section: Discussionmentioning

confidence: 99%

Use of the prone position in pregnant women with COVID-19 or other health conditions

Cavalcante

Fernandes

Rocha³

et al. 2021

Rev. Latino-Am. Enfermagem

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“…Relacionado a esse posicionamento, os autores identificados nesta revisão debateram sobre a prevenção de lesões da pele em forma de inspeção prévia, com avaliação de toda extensão da pele e em todos os indivíduos com risco de desenvolvimento de lesões por pressão. Atrelado a essa medida está a elaboração formal de protocolos, em forma de checklist, como instrumento a minimizar eventos adversos pela frequência que a pronação é praticada no cenário intra-hospitalar da pandemia 10,17,20 .…”

Section: Resultsunclassified

Covid-19: Um Resgate Bibliográfico Sobre Práticas Exitosas Na Prevenção De Lesões Por Pressão

Araújo

Soares²

2022

REV. CIÊNC. PLURAL

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Introdução: Em dezembro de 2019 na China, o SARS-CoV-2 foi identificado e declarado como pandemia pela Organização Mundial da Saúde. Sua transmissibilidade entre humanos e evolução com estabilidade clínica e hemodinâmica, aumentam o risco do desenvolvimento de lesões por pressão nos pacientes mais críticos. Objetivo: Identificar os principais cuidados hospitalares para manter a integridade da pele nos pacientes com Covid-19 propensos a lesão por pressão. Metodologia: Estudo descritivo do tipo revisão integrativa realizado nas bases: Literatura Latino-Americana de Ciências da Saúde, Base de Dados de Enfermagem, Scientific Eletronic Library Online e Biblioteca Nacional de Medicina dos Estados Unidos com os descritores Covid-19, Lesão por pressão, Assistência ao paciente e Padrões de referência. Os critérios de inclusão foram textos completos disponíveis gratuitamente, publicados entre 2019 e 2021, que compartilhassem da temática em adultos e/ou idosos. Foram excluídos artigos incompletos, plataformas pagas, carta e notas editor, reflexões e os artigos duplicados foram contabilizados uma vez, o idioma de origem não foi fator excludente. Resultados: Foram identificados 398 artigos potencialmente relevantes e 7 foram selecionados. As principais práticas relacionadas a prevenção de lesões por pressão em pacientes com COVID-19 apontam intervenções como o uso de checklist, avaliação periódica da pele, definição do risco de desenvolvimento de lesão por pressão, mudança de decúbito conforme tolerância do paciente, uso de superfície para redistribuição de peso, cobertura profilática multicamadas e controle da umidade da pele. Conclusões: As principais práticas para evitas as lesões por pressão nos pacientes com Covid-19 no ambiente hospitalar estão associadas com o cuidado direto ou indiretamente ligados a pele, adoção de medidas preventivas e sistemáticas dentro da realidade clínica e hemodinâmica dos pacientes.

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“…The study points out that despite our routine ophthalmic protocols, invasive mechanical ventilation applications predispose to corneal surface damage in patients in the intensive care unit (43)(44) . Thus, knowledge of complementary protocols for eye care in critically ill patients is necessary.…”

Section: Eye Care In Critically Ill Patients In the Prone Positionmentioning

confidence: 99%

Eye Care Interventions in Critical/Surgical Patients in the Prone Position: Scoping Review

et al. 2022

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Objectives: This study aimed to map evidence of eye care interventions in managing critical or surgical patients submitted to prone positions. Materials and method: This scoping review was prepared according to the Joanna Briggs Institute’s methodology, following the PRISMA-ScR criteria. A search was conducted from July to August 2020 in the SCOPUS, Web of Science, Science Direct, PubMed Central, CINAHL, and COCHRANE databases. The following research question was delimited: “What are the strategies and interventions used for eye care in the management of critical patients or surgical patients submitted to the prone position?” The sample consisted of 24 studies after applying the inclusion and exclusion criteria. Results: Eye care interventions in managing critical/surgical patients submitted to the prone position were eye examination, use of lubricants/specific ophthalmic solution, reverse Trendelenburg positioning, and protection with adhesive tape. Conclusions: This review allowed the understanding of eye care for critical/surgical patients in a prone position. Among the care presented, a large part is related to nursing since it is closer to patient care. The findings emphasize the need to implement patient safety policies with eye care as a priority.

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COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention

Cited by 8 publications

References 23 publications

Use of the prone position in pregnant women with COVID-19 or other health conditions

Use of the prone position in pregnant women with COVID-19 or other health conditions

Covid-19: Um Resgate Bibliográfico Sobre Práticas Exitosas Na Prevenção De Lesões Por Pressão

Eye Care Interventions in Critical/Surgical Patients in the Prone Position: Scoping Review

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