ACUTE SKIN FAILURE E LESÃO POR PRESSÃO EM PACIENTE COM COVID-19

Aline Oliveira Ramalho; tALITA; Vera Lúcia Conceição de Gouveia Santos; Paula Cristina Nogueira

Autores/as

Aline Oliveira Ramalho Universidade de São Paulo − Escola de Enfermagem − São Paulo (SP), Brasil/ Hospital Sírio Libanês – São Paulo (SP), Brasil. https://orcid.org/0000-0001-6065-5488
tALITA Universidade de São Paulo − Escola de Enfermagem − São Paulo (SP), Brasil. https://orcid.org/0000-0001-8997-6584
Vera Lúcia Conceição de Gouveia Santos Universidade de São Paulo − Escola de Enfermagem − São Paulo (SP), Brasil. https://orcid.org/0000-0002-1288-5761
Paula Cristina Nogueira Universidade de São Paulo − Escola de Enfermagem − São Paulo (SP), Brasil.

Resumen

Objetivo: Informar los principales hallazgos en un paciente con COVID-19 ingresado en una unidad de cuidados intensivos (UCI), que desarrolló una lesión considerada Insuficiencia cutánea aguda (PPA), así como diferenciar la lesión por presión (LP) de la PPA. Método: estudio observacional, longitudinal y descriptivo, del tipo reporte de caso, desarrollado en un hospital de São Paulo, en la UCI exclusivamente para personas diagnosticadas con COVID-19, entre los meses de marzo a septiembre de 2020. La muestra estuvo conformada por un paciente. Resultados: Un paciente con complicaciones por COVID-19, evoluciona con una lesión cutánea, inicialmente definida como LP, sin embargo, reclasificada como ASK. Los hallazgos que corroboran el diagnóstico fueron: Ventilación mecánica invasiva prolongada, insuficiencia respiratoria, renal y cardíaca y sepsis del foco respiratorio. Además, factores agravantes como el uso de fármacos vasoactivos, inestabilidad hemodinámica con intolerancia al reposicionamiento mínimo, ayuno prolongado, historia clínica con varias comorbilidades y coagulopatía intravascular diseminada inducida por infección por coronavirus. Conclusión: existe un vacío por llenar en cuanto a la diferenciación entre LP e insuficiencia cutánea aguda. Sin embargo, es fundamental que el profesional conozca los principales factores predictivos de la aparición de PPA y, principalmente, analice cada caso en detalle, asegurándose de que se han implementado todas las medidas preventivas basadas en la evidencia.

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