A multidisciplinary approach to prevent and treat pressure sores in proned COVID-19 patients at a quaternary university hospital
Fábio de Freitas Busnardo, Gustavo Gomes Ribeiro Monteiro, Rogério Rafael da Silva Mendes, Laielly Abbas, Vitor Penteado Figueiredo Pagotto, Cristina Pires Camargo, Maria José Carvalho Carmona, Rolf Gemperli
Abstract
An estimated 10-15% of patients with respiratory disease resulting from coronavirus disease 2019 (COVID-19) develop acute respiratory failure and require intensive care (). In order to improve breathing patterns in patients with severe acute respiratory syndrome (SARS), prone positioning can make ventilation more efficient. Proning minimizes ventral alveolar distension and reduces dorsal alveolar collapse by decreasing the difference between dorsal and ventral transpulmonary pressure. It also prevents compression of the lungs, consequently improving blood perfusion and gas exchange (). When [...]