The Down Side of Prone Positioning
Autor: | Minh Quan Le, Lauren T. Shapiro, Richard Rosales, Laura Y. Huang |
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Rok vydání: | 2020 |
Předmět: |
030506 rehabilitation
medicine.medical_specialty Rehabilitation business.industry medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation medicine.disease medicine.disease_cause 03 medical and health sciences Pneumonia Prone position 0302 clinical medicine Increased risk Intensive care Critical illness Pandemic medicine 0305 other medical science business Intensive care medicine 030217 neurology & neurosurgery Coronavirus |
Zdroj: | American Journal of Physical Medicine & Rehabilitation. 99:870-872 |
ISSN: | 1537-7385 0894-9115 |
DOI: | 10.1097/phm.0000000000001530 |
Popis: | The coronavirus 2019 pandemic has resulted in a surge of patients with acute respiratory distress syndrome. Prone positioning may be used in such patients to optimize oxygenation. Severe infections may leave survivors with significant functional impairment necessitating rehabilitation. Those who have experienced prolonged prone positioning are at increased risk for complications not typically associated with critical illness. This case report describes the course and clinical findings of a survivor of acute respiratory distress syndrome due to coronavirus 2019 who was prone positioned while in intensive care and subsequently admitted to an inpatient rehabilitation facility. Her related complications, as well as those described in the literature, are reviewed. Critical elements of a comprehensive rehabilitation treatment plan for those who have been prone positioned, including implementation of preventive strategies, as well as early recognition and treatment of related injuries, will be described. |
Databáze: | OpenAIRE |
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