Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department.

Autor: Bastoni D; Emergenza, Azienda USL di Piacenza, Piacenza, Italy dbastonidoc@gmail.com., Poggiali E; Emergenza, Azienda USL di Piacenza, Piacenza, Italy., Vercelli A; Emergenza, Azienda USL di Piacenza, Piacenza, Italy., Demichele E; Emergenza, Azienda USL di Piacenza, Piacenza, Italy., Tinelli V; Emergenza, Azienda USL di Piacenza, Piacenza, Italy., Iannicelli T; Emergenza, Azienda USL di Piacenza, Piacenza, Italy., Magnacavallo A; Emergenza, Azienda USL di Piacenza, Piacenza, Italy.
Jazyk: angličtina
Zdroj: Emergency medicine journal : EMJ [Emerg Med J] 2020 Sep; Vol. 37 (9), pp. 565-566. Date of Electronic Publication: 2020 Jul 06.
DOI: 10.1136/emermed-2020-209744
Abstrakt: We report the experience of prone ventilation in selected patients treated with helmet non-invasive ventilation (NIV) continuous positive airway pressure (CPAP) for acute respiratory failure in COVID-19 pneumonia. Preliminary results showed an improvement in the PaO 2 value and PaO 2 /FiO 2 ratio after 1 hour of prone ventilation. No variation of the lung ultrasound pattern before and after prone ventilation has been detected. At the time of writing, we attempted proning with helmet NIV CPAP in 10 patients. In 4 out of 10 patients, the attempt failed due to lack of compliance of the patient, scarce pain control even with ongoing treatment and refusal by the patient to prone positioning.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE
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