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Updated: Apr 15, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Chin necrosis as a consequence of prone positioning in the intensive care unit
Daniel Lee John Bunker1, Michael Thomson2
1Department of Plastic Surgery, Launceston General Hospital, 274-280 Charles Street, Launceston, TAS 7250, Australia ; Department of Plastic Surgery, St. Vincent's Hospital, 390 Victoria Street, Darlinghurst, Sydney, NSW 2010, Australia.
Abstract:
Pressure necrosis of the skin is a rarely reported avoidable complication of prone positioning that can be minimised by active collaboration between care teams. We report a case of pressure necrosis of the chin after prone ventilation in the intensive care setting. Such injuries pose a risk of infection, possible need for surgical intervention, and increased costs to the health care system. Pressure necrosis injuries should be diligently guarded against by the careful selection of support devices, frequent turning, and rigorous skin care to minimise extended external compression, particularly on the face and bony prominences.
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