Prone Position after Liberation from Prolonged Mechanical Ventilation in COVID-19 Respiratory Failure
Joint Authors
Karpov, Andrei
Mitra, Anish R.
Crowe, Sarah
Haljan, Gregory
Source
Critical Care Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-16
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective and Rationale.
Prone positioning of nonintubated patients has prevented intubation and mechanical ventilation in patients with respiratory failure from coronavirus disease 2019 (COVID-19).
A number of patients in a recently published cohort have undergone postextubation prone positioning (PEPP) following liberation from prolonged mechanical ventilation in attempt to prevent reintubation.
The objective of this study is to systematically search the literature for reports of PEPP as well as describe the feasibility and outcomes of PEPP in patients with COVID-19 respiratory failure.
Design.
This is a retrospective case series describing the feasibility and tolerability of postextubation prone positioning (PEPP) and its impact on physiologic parameters in a tertiary intensive care unit during the COVID-19 pandemic.
Setting and Patients.
This study was conducted on patients with COVID-19 respiratory failure hospitalized in a tertiary Intensive Care Unit at Surrey Memorial Hospital during the COVID-19 pandemic.
Measurements and Results.
We did not find prior reports of PEPP following prolonged intubation in the literature.
Four patients underwent a total of 13 PEPP sessions following liberation from prolonged mechanical ventilation.
Each patient underwent a median of 3 prone sessions (IQR: 2, 4.25) lasting a median of 1.5 hours (IQR: 1.2, 2.1).
PEPP sessions were associated with a reduction in median oxygen requirements, patient respiratory rate, and reintubation rate.
The sessions were well tolerated by patients, nursing, and the allied health team.
Conclusions.
The novel practice of PEPP after liberation from prolonged mechanical ventilation in patients with COVID-19 respiratory failure is feasible and well tolerated, and may be associated with favourable clinical outcomes including improvement in oxygenation and respiratory rate and a low rate of reintubation.
Larger prospective studies of PEPP are warranted.
American Psychological Association (APA)
Karpov, Andrei& Mitra, Anish R.& Crowe, Sarah& Haljan, Gregory. 2020. Prone Position after Liberation from Prolonged Mechanical Ventilation in COVID-19 Respiratory Failure. Critical Care Research and Practice،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138537
Modern Language Association (MLA)
Karpov, Andrei…[et al.]. Prone Position after Liberation from Prolonged Mechanical Ventilation in COVID-19 Respiratory Failure. Critical Care Research and Practice No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1138537
American Medical Association (AMA)
Karpov, Andrei& Mitra, Anish R.& Crowe, Sarah& Haljan, Gregory. Prone Position after Liberation from Prolonged Mechanical Ventilation in COVID-19 Respiratory Failure. Critical Care Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1138537
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138537