Manejo do paciente com COVID-19 em pronação e prevenção de lesão por pressão

Abstract

ABSTRACT: COVID-19 reached all continents, and was then included as a pandemic by the World Health Organization. It is an infectious disease proven by the new SARS-CoV-2 virus, which can evolve into a more severe condition of COVID-19, a Respiratory Syndrome Severe Acute (SRGA). As a prophylactic measure, these patients are submitted to closed orotracheal intubation. In order to improve the breathing pattern, there is an indication for prone positioning, which in turn has complications such as pressure injuries. Objectives: To identify the care for patients performed through the pronation position in patients with COVID-19, as well as the management of the prevention of pressure injuries related to this positioning. Methods: This is a narrative review of the literature on the management of patients diagnosed with COVID-19, who progressed to SRAG and used a pronation maneuver. Results: The training of the team to pronounce the patient is of important importance so that it is done in an effective and safe way in order to minimize the risks of adverse events of this intervention. Conclusions: It should be noted that these injuries can prolong or decrease the length of hospital stay with the risk of infections, consequently or increase the use of medications and other clinical complications. Thus it is feasible, make the following proposals in this work to avoid this problem.