Prone positioning to improve oxygenation and relieve respiratory symptoms in awake, spontaneously breathing non-intubated patients with COVID-19 pneumonia

Emergency departments are facing an unprecedented challenge in dealing with patients who have coronavirus disease 2019 (COVID-19). The massive number of cases evolving to respiratory failure are leading to a rapid depletion of medical resources such as respiratory support equipment, which is more cr...

Full description

Saved in:
Bibliographic Details
Published in:Respiratory medicine case reports 2020-01, Vol.30, p.101096, Article 101096
Main Authors: Sztajnbok, Jaques, Maselli-Schoueri, Jean Henri, Cunha de Resende Brasil, Lucas Mendes, Farias de Sousa, Lucilene, Cordeiro, Camila Muniz, Sansão Borges, Luciana Marques, Malaque, Ceila Maria Sant' Ana
Format: Article
Language:English
Subjects:
Acute respiratory distress syndrome
Case Report
Coronavirus
COVID-19
Noninvasive ventilation
Prone positioning
Pulmonary ventilation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Emergency departments are facing an unprecedented challenge in dealing with patients who have coronavirus disease 2019 (COVID-19). The massive number of cases evolving to respiratory failure are leading to a rapid depletion of medical resources such as respiratory support equipment, which is more critical in low- and middle-income countries. In this context, any therapeutic and oxygenation support strategy that conserves medical resources should be welcomed. Prone positioning is a well-known ventilatory support strategy to improve oxygenation levels. Self-proning can be used in the management of selected patients with COVID-19 pneumonia. Here, we describe our experience with two COVID-19-positive patients who were admitted with respiratory failure. The patients were successfully managed with self-proning and noninvasive oxygenation without the need for intubation.
ISSN:2213-0071
2213-0071
DOI:10.1016/j.rmcr.2020.101096