PropertyValue
?:abstract
  • 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.
is ?:annotates of
?:creator
?:doi
?:doi
  • 10.1155/2020/6688120
?:journal
  • Crit_Care_Res_Pract
?:license
  • cc-by
?:pdf_json_files
  • document_parses/pdf_json/a56f19aacc346952d7186c2b9dcff980ab2382ba.json
?:pmc_json_files
  • document_parses/pmc_json/PMC7701208.xml.json
?:pmcid
?:pmid
?:pmid
  • 33299605.0
?:publication_isRelatedTo_Disease
?:sha_id
?:source
  • Medline; PMC
?:title
  • Prone Position after Liberation from Prolonged Mechanical Ventilation in COVID-19 Respiratory Failure
?:type
?:year
  • 2020-11-12

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