ALB and decubitus ulcer: According to current evidence, multilayer silicone foam, Care bundle and multiple intervention programs, alternative inflatable head pad, pressure reducing foam mattress, and electric bed frames are effective strategies to prevent pressure ulcers and according to our recent review the gender (females more than males), advanced age, diabetes, surgery duration, and preoperative serum albumin level are as the risk factors for developing PI in cardiac surgical patient that it needs to consider these risk factors to prevent PI before and during surgery.