Effectiveness of prone position in spontaneously breathing patients with COVID-19: A prospective cohort study.
Brigitta FazziniAlex J FowlerParjam ZolfaghariPublished in: Journal of the Intensive Care Society (2021)
We present a single centre study describing the effect of awake prone position (PP) on oxygenation and clinical outcomes in spontaneously breathing patients with novel coronavirus disease (COVID-19). Between 1st March and 30th April 2020, forty eight of 138 patients managed outside of the critical care unit with facemask oxygen, high flow nasal oxygen (HFNO) or continuous positive airway pressure (CPAP), underwent PP. Prone position was associated with significant improvement in oxygenation, lower ICU admission, tracheal intubation, and shorter ICU length of stay. Lack of response to PP may be an indicator of treatment failure, requiring early escalation.
Keyphrases
- coronavirus disease
- positive airway pressure
- obstructive sleep apnea
- sleep apnea
- intensive care unit
- end stage renal disease
- newly diagnosed
- ejection fraction
- randomized controlled trial
- emergency department
- mechanical ventilation
- chronic kidney disease
- systematic review
- prognostic factors
- cardiac arrest
- clinical trial
- respiratory syndrome coronavirus
- patient reported outcomes
- deep brain stimulation
- open label
- acute respiratory distress syndrome
- chronic rhinosinusitis