Prone position complications in patients with covid19 from october 2020to august 2021 in the adult intensive care unit

Abstract

The SARS Covid 19 pandemic has required a rapid response from the health team in intensive care units worldwide. The use of well-known therapeutic strategies such as the prone position (PD) for the care of patients with respiratory distress and severe refractory hypoxemia brought with it a series of complications, which is why their registration is crucial for their subsequent analysis. The general objective of this research was to analyze the complications of prone decubitus in patients with Covid19 from October 2020 to August 2021 at the Adult Intensive Care Unit - Sanatorio Allende Córdoba. Specific objectives describe the population according to socio-demographic conditions, identify and categorize the main complications recorded. The type of study was descriptive, retrospective and cross-sectional. The patient population (n = 235), the document analysis technique, the medical records instrument The following results were obtained: The sociodemographic characteristics of the studied population, 26% were women and 74% were men. Of days of hospitalization, 31% correspond from 3 to 10 days, 26% between 21 to 30 days, 23% between 11 to 20 days, 12% comprise from 31 to 40 days; 6% between 41 to 50 days and only 2% required 60 to 70 days. The presence of obesity corresponded to 51% in this population. Duration of the prone decubitus technique, it stands out that 45% were between 16 to 36 hours, 41% between 6 to 12 hours. and the remaining 14% between 40 to 74 hours. Regarding the appearance of pressure ulcers and location, the following results: 37% corresponded to the lip area, 29% to the forehead area, 23% were located in the knee area, only 11% corresponded to the wall anterior thorax. Presence of edema or mucosal lesions, 55% presented facial edema and 45% conjunctival edema. 69% presented lingual mucosa lesions and 31% corneapl ulcers.