2021HAL (Le Centre pour la Communication Scientifique Directe)Open access

A Literature Review of Prone Position in Non-intubated Patients with COVID-19 as a Useful Maneuver to Avoid Mechanical Ventilation

Juárez-Villa Daniel, Mora-Ruiz Pablo, Sáenz-Luna Carlos, Zavala-Jonguitud Luis, Olascoaga-Lugo Arturo, Flores Guillermo, Iván Zepeda-Quiróz

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Abstract

The spectrum of coronavirus disease 2019 (COVID-19) ranges from asymptomatic to acute respiratory distress syndrome (ARDS). Prone position has been widely used in ARDS patients with mechanical ventilation and its benefits have been proven. The prone position in the awake patient is a different procedure than in the patient under invasive mechanical ventilation. This maneuver can be extrapolated to non-intubated patients with COVID-19, avoiding mechanical ventilation in some patients. Previous reports have demonstrated the benefits of this intervention.

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What this paper is about

The spectrum of coronavirus disease 2019 (COVID-19) ranges from asymptomatic to acute respiratory distress syndrome (ARDS). Prone position has been widely used in ARDS patients with mechanical ventilation and its benefits have been proven. The prone position in the awake patient is a different procedure than in the patient under invasive mechanical ventilation. This maneuver can be extrapolated to non-intubated patients with COVID-19, avoiding mechanical ventilation in some patients. Previous reports have demonstrated the benefits of this intervention.

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Available abstract

The spectrum of coronavirus disease 2019 (COVID-19) ranges from asymptomatic to acute respiratory distress syndrome (ARDS). Prone position has been widely used in ARDS patients with mechanical ventilation and its benefits have been proven. The prone position in the awake patient is a different procedure than in the patient under invasive mechanical ventilation. This maneuver can be extrapolated to non-intubated patients with COVID-19, avoiding mechanical ventilation in some patients. Previous reports have demonstrated the benefits of this intervention.

Key concepts: Prone position, Mechanical ventilation, ARDS, Medicine, Coronavirus disease 2019 (COVID-19), Asymptomatic, Ventilation (architecture), Intensive care medicine

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