tetano
Editor, Senior Moderator
Respir Med Case Rep
. 2020;30:101096.
doi: 10.1016/j.rmcr.2020.101096. Epub 2020 May 19.
Prone Positioning to Improve Oxygenation and Relieve Respiratory Symptoms in Awake, Spontaneously Breathing Non-Intubated Patients With COVID-19 Pneumonia
Jaques Sztajnbok[SUP] 1 [/SUP], Jean Henri Maselli-Schoueri[SUP] 1 [/SUP], Lucas Mendes Cunha de Resende Brasil[SUP] 1 [/SUP], Lucilene Farias de Sousa[SUP] 1 [/SUP], Camila Muniz Cordeiro[SUP] 1 [/SUP], Luciana Marques Sans?o Borges[SUP] 1 [/SUP], Ceila Maria Sant' Ana Malaque[SUP] 1 [/SUP]
Affiliations
Abstract
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.
Keywords: Acute respiratory distress syndrome; COVID-19; Coronavirus; Noninvasive ventilation; Prone positioning; Pulmonary ventilation.
. 2020;30:101096.
doi: 10.1016/j.rmcr.2020.101096. Epub 2020 May 19.
Prone Positioning to Improve Oxygenation and Relieve Respiratory Symptoms in Awake, Spontaneously Breathing Non-Intubated Patients With COVID-19 Pneumonia
Jaques Sztajnbok[SUP] 1 [/SUP], Jean Henri Maselli-Schoueri[SUP] 1 [/SUP], Lucas Mendes Cunha de Resende Brasil[SUP] 1 [/SUP], Lucilene Farias de Sousa[SUP] 1 [/SUP], Camila Muniz Cordeiro[SUP] 1 [/SUP], Luciana Marques Sans?o Borges[SUP] 1 [/SUP], Ceila Maria Sant' Ana Malaque[SUP] 1 [/SUP]
Affiliations
- PMID: 32455107
- PMCID: PMC7236748
- DOI: 10.1016/j.rmcr.2020.101096
Abstract
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.
Keywords: Acute respiratory distress syndrome; COVID-19; Coronavirus; Noninvasive ventilation; Prone positioning; Pulmonary ventilation.