The Face of COVID‐19: Facial Pressure Wounds Related to Prone Positioning in Patients Undergoing Ventilation in the Intensive Care Unit
Sydney Jiang, Christina H. Fang, Jen‐Ting Chen, Richard V. Smith
Abstract
In the setting of COVID-19 (coronavirus disease 2019)-associated moderate and severe acute respiratory distress, persistently hypoxemic patients often require prone positioning for >16 hours. We report facial pressure wounds and ear necrosis as a consequence of prone positioning in patients undergoing ventilation in the intensive care unit in a tertiary medical center in New York City.
Topics & Concepts
Prone positionCoronavirus disease 2019 (COVID-19)Intensive care unitMedicineAcute respiratory distressARDSMechanical ventilationSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakVentilation (architecture)Intensive care medicineEmergency medicineRespiratory distressDiseaseAnesthesiaInternal medicineInfectious disease (medical specialty)LungPathologyOutbreakMechanical engineeringEngineeringRespiratory Support and MechanismsPneumothorax, Barotrauma, EmphysemaAirway Management and Intubation Techniques