Early application of prone position for management of Covid-19 patients

Each physician should consider factors like diffuse pulmonary edema and dependent alveolar collapse, elevated intra-abdominal pressure or decreased chest wall compliance of patients before performing PP. [...]although routine PP is not recommended in obese patients because of more procedural challen...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2020-11, Vol.66, p.109917-109917, Article 109917
Main Authors: Golestani-Eraghi, Majid, Mahmoodpoor, Ata
Format: Article
Language:English
Subjects:
Abdomen
Betacoronavirus
Coronavirus Infections
Coronaviruses
Correspondence
COVID-19
Humans
Intubation
Mortality
Pandemics
Patients
Pneumonia, Viral
Prone Position
Respiratory Distress Syndrome
SARS-CoV-2
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Summary:Each physician should consider factors like diffuse pulmonary edema and dependent alveolar collapse, elevated intra-abdominal pressure or decreased chest wall compliance of patients before performing PP. [...]although routine PP is not recommended in obese patients because of more procedural challenges, this intervention can be performed in obese COVID-19 patients. [...]at this critical moment in the global outbreak of COVID-19, our simple and effective clinical expert-guided management can help to achieve success in the battle against the high mortality of COVID-19. Variable Value Number 10 patients Mean duration of PP 9 h Oxygenation Before 46.34 ± 5.23 After 62.54 ± 4.57 Sustained improvement (12 mmHg) in SpO2 after 1 h 60% Delayed positive results after 12 h (one of them was finally intubated) 30% Tolerated and discharged from ICU 80% Intubated and expired 20% Severe complications (hypotension or desaturation during rotating) 0% Table 1 Patients' characteristics during the study.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2020.109917