PRESSURE ULCERS IN THE MAXILLOFACIAL REGION AS A COMPLICATION OF INVASIVE ARTIFICIAL LUNG VENTILATION: LITERATURE REVIEW AND OWN EXPERIENCE

Objective. To identify the frequency of pressure ulcers in the maxillofacial area in patients with COVID-19 and to describe clinical cases, as well as to propose methods to minimize the occurrence of this complication.

Materials and methods. On the basis of the 5th city clinical hospital of the city of Minsk, during 3 calendar months of 2022, prospective observation of 75 patients of departments of anesthesiology and resuscitation No. 2 and No. 3 was carried out. Among them, pressure ulcers in the maxillofacial region were observed in at least 20 people. Five patients of them were monitored prospectively.

Results. The average age of patients was 69.8 years. Patients were on ventilators for an average of 15.8 days. Most often, pressure ulcers appeared on the surface of the following structures: forehead — 12.5 %, cheeks — 12.5 %, lips — 50 %, nose — 25 % of cases. The average time of development of pressure ulcers from the moment of ventilation start was 5.2 days.

Conclusion. Primary and secondary prevention of pressure ulcers in the maxillofacial region in general surgical and therapeutic hospitals will potentially reduce the incidence of severe complications associated with pressure ulcers in the maxillofacial region.

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Автор(ы): S. A. Klimuk, M. F. Sivets, N. S. Skrabets, A. L. Popchanka