Abstract
Objective: To reflect on specific recommendations for the prevention of pressure injuries in patients affected by the new coronavirus (COVID-19) in intensive care. Method: theoretical reflection study based on the concept of pressure injury defined by the National Pressure Injury Advisory Panel. Results: the contents were categorized into three thematic axes: specific risk factors for the development of pressure injuries for patients with COVID-19; international recommendations on pressure injuries in patients with COVID-19 and challenges for implementing recommendations for preventing pressure injuries in the face of the COVID-19 pandemic in the Brazilian scenario. Conclusion: to promote the prevention of pressure injuries in intensive care patients with COVID-19 it is essential that health professionals are able to implement advanced interventions, in order to mitigate the intrinsic and extrinsic risks specific to that patient. However, it is essential to recognize potentially preventable lesions, differentiating them from possible inevitable ones, as well as making a differential diagnosis of lesions resulting from the pathogenesis of the virus itself.
Highlights
The disease caused by the new coronavirus, known as COVID-19, is a disease that affects the respiratory tract, in which the virus is extremely infectious and generates varied clinical conditions, as well as different symptoms in the affected individual
Patients admitted to the intensive care unit (ICU), intubated under mechanical ventilation, will frequently present skin lesions, especially pressure injuries (PI), due to their compromised clinical and hemodynamic conditions, immobility in the bed, decreased sensory perception, among other intrinsic and extrinsic factors that favor the development of these injuries[2]
The prevention of PI in the context of the coronavirus presents itself as an even more challenging situation, as the changes resulting from the infection expose the patient to greater instability, less tissue oxygenation, prolonged hospital stay in a critical unit and possible repositioning difficulty, factors that favor the development of PIs5
Summary
The disease caused by the new coronavirus, known as COVID-19, is a disease that affects the respiratory tract, in which the virus is extremely infectious and generates varied clinical conditions, as well as different symptoms in the affected individual. The prevention of PI in the context of the coronavirus presents itself as an even more challenging situation, as the changes resulting from the infection expose the patient to greater instability, less tissue oxygenation, prolonged hospital stay in a critical unit and possible repositioning difficulty, factors that favor the development of PIs5. They are associated with aspects related to health services, such as scarcity of materials and technologies for prevention, limited human resources, among others[5]. The objective of this article is to reflect on the prevention of PI in patients with COVID-19 in intensive care in the light of international recommendations
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