Taking care of healthcare workers during COVID-19 pandemic: does plastic surgery have a role? Taking care of healthcare workers during COVID-19 pandemic

Main Article Content

Francesco Ruben Giardino
Roberto Cuomo
Andrea Sisti
Jingjian Han
Nisi Giuseppe
Luca Grimaldi


PPE; COVID19; Maslach; Pressure injuries


Background: The massive use of personal protective equipment is required by the medical and paramedical staff of the COVID-19 dedicated departments. This often causes painful pressure injuries. The aim of this study is to value the use of anesthetic cream and collagen veil masks for the treatment of pain. We also evaluated the possible psychological impact on healthcare workers involved in the emergency, which is currently a hot topic in the worldwide literature. Materials and Methods: We applied lidocaine idrochloride 5% cream and a collagen veil mask respectively  before and after each work shift. We evaluated the improvement of pain symptoms through VAS assessments. We used a modified Maslach burnout inventory as well to evaluate the psychological impact of our treatments on  healthcare workers. Results: A significant reduction of pain was detected within the first 3 days, but this was not significant over the long period (10 days). Otherwise, we saw a significant improvement of the psychological assessment (p<0,05). Conclusions: Parameters such as pain or psychological stress are not objective, but, anyway, our data show a  reduction of pain due to continuative PPE wearing and a significant improvement of psychological wellness of healthcare workers from two different countries, a finding which should not be undervalued by all the health caregivers not directly involved in COVID-19 pandemic.


Download data is not yet available.
Abstract 262 | PDF Downloads 139


1. Zhu N, Zhang D, Wang W et al.; China Novel Coronavirus Investigating and Research Team. A
novel Coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382:727-33.
2. Bouaziz JD, Duong T, Jachiet M, et al. Vascular skin symptoms in COVID-19: a french observational study. J Eur Acad Dermatol Venereol.2020.
3. Zhang Y, Cao W, Xiao M, et al. [Clinical and coagulation characteristics of 7 patients with critical COVID-2019 pneumonia and acro-ischemia]. Zhonghua Xue Ye Xue Za Zhi.2020;41:E006.
4. https://covid19.who.int/
5. Marzano AV, Cassano N, Genovese G, Moltrasio C, Vena GA. Cutaneous manifestations in patients with COVID-19: a preliminary review of an emerging issue [published online ahead of print, 2020 Jun 1]. Br J Dermatol. 2020;10.1111/bjd.19264. doi:10.1111/bjd.19264
6. Zerbini G, Ebigbo A, Reicherts P, Kunz M, Messman H. Psychosocial burden of healthcare professionals in times of COVID-19 - a survey conducted at the University Hospital Augsburg. Ger Med Sci. 2020;18:Doc05. Published 2020 Jun 22. doi:10.3205/000281
7. Montauk TR, Kuhl EA. COVID-related family separation and trauma in the intensive care unit [published online ahead of print, 2020 Jun 22]. Psychol Trauma. 2020;10.1037/tra0000839. doi:10.1037/tra0000839
8. Shechter A, Diaz F, Moise N, et al. Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic [published online ahead of print, 2020 Jun 16]. Gen Hosp Psychiatry. 2020;66:1-8. doi:10.1016/j.genhosppsych.2020.06.007
9. Maslach C., Jackson S.E., Leiter M.P., Schaufeli W.B., Schwab R.L. Consulting psychologists press; Palo Alto, CA: 1986. Maslach Burnout Inventory.
10. Osama M, Zaheer F, Saeed H, et al. Impact of COVID-19 on surgical residency programs in Pakistan; A residents' perspective. Do programs need formal restructuring to adjust with the "new normal"? A cross-sectional survey study. Int J Surg. 2020;79:252-256. doi:10.1016/j.ijsu.2020.06.004
11. Yin Z. Covid-19: Countermeasure for N95 mask-induced pressure sore. J Eur Acad Dermatol

Most read articles by the same author(s)

1 2 > >>