Impact of prone position on outcomes of COVID-19 patients with spontaneous breathing
| Autor: | Sana Kharrat, Kamilia Chtara, Chokri Ben Hamida, Hedi Chelly, Olfa Turki, Khaiereddine Ben Mahfoudh, Mounir Bouaziz, Basma Suissi, Malek Hfidhi, Rania Ammar, Mabrouk Bahloul, Anis Maalla |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.diagnostic_test
Respiratory distress RC86-88.9 business.industry COVID-19 Medical emergencies. Critical care. Intensive care. First aid patient outcomes Pulmonary Critical Care and Intensive Care Medicine Critical Care Nursing Tachypnea intensive care unit Hypoxemia Prone position Pulse oximetry Respiratory failure Anesthesia respiratory distress prone position Breathing medicine Original Article medicine.symptom business Oxygen saturation (medicine) |
| Zdroj: | Acute and Critical Care Acute and Critical Care, Vol 36, Iss 3, Pp 208-214 (2021) |
| ISSN: | 2586-6060 |
| Popis: | Background: In this study, we explored whether early application of the prone position (PP) can improve severe hypoxemia and respiratory failure in coronavirus disease 2019 (COVID-19) patients with spontaneous breathing.Methods: This is a prospective observational study of severe, critically ill adult COVID-19 patients admitted to the intensive care unit. All vital parameters were recorded in real time for all patients. Moreover, the results of chest computed tomography (CT), when available, were analyzed.Results: PP was applied in 21 patients who were breathing spontaneously. The application of PP was associated with a significant increase in oxygen saturation measured by pulse oximetry (SpO2) from 82%±12% to 96%±3% (P0.05 for both).Conclusions: Our study confirmed that the early application of PP can improve hypoxemia and tachypnea in COVID-19 patients with spontaneous breathing. Randomized controlled trials are needed to confirm the beneficial effects of PP in COVID-19 patients with spontaneous breathing. |
| Databáze: | OpenAIRE |
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