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Prone Positioning Non-intubated COVID-19 Patients with Severe Hypoxemia Was Safe

Prone Positioning Non-intubated COVID-19 Patients with Severe Hypoxemia Was Safe

In a small sample, prone positioning non-intubated COVID-19 patients with severe hypoxemia was safe; however, many patients did not tolerate prolonged durations. Although patients had improved oxygenation and respiratory rate in the prone position, many still required intubation.

Future studies are required to determine methods to improve the tolerability of awake prone positioning and whether there is an impact on clinical outcomes.

17 patients were included between April and May 2020.

The median (range) number of prone positioning days was 1 (1–7) and the median number of sessions was 2 (1–6) per day.

The duration of prone positioning was 75 (30–480) min, and the peripheral oxygen saturation was 91% (84–95) supine and 98% (92–100) prone.

Limitations to prone position duration were pain/general discomfort (47%) and delirium (6%); 47% of patients had no limitations.

7 patients (41%) required intubation and two patients (12%) died.

CriticalCare.news
August 18, 2020

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