Prone positioning to improve oxygenation and relieve respiratory symptoms in awake, spontaneously breathing non-intubated patients with COVID-19 pneumonia

Autor: Jaques Sztajnbok, Jean Henri Maselli-Schoueri, Lucas Mendes Cunha de Resende Brasil, Lucilene Farias de Sousa, Camila Muniz Cordeiro, Luciana Marques Sansão Borges, Ceila Maria Sant' Ana Malaque
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Respiratory Medicine Case Reports, Vol 30, Iss , Pp 101096- (2020)
Druh dokumentu: article
ISSN: 2213-0071
DOI: 10.1016/j.rmcr.2020.101096
Popis: 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.
Databáze: Directory of Open Access Journals