Home Bratislava Medical Journal 2021 Bratislava Medical Journal Vol.122, No.8, p.590–593,2021

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564


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Bratislava Medical Journal Vol.122, No.8, p.590–593,2021

Title: The use of prone positioning in severe COVID-19 outside the intensive care unit
Author: M. Yildiz, F. Ozturk Ergur, M. Uzel Senel, S. Kavurgaci, A. Ozturk Health Sciences University Faculty of Medicine, Ankara Ataturk Chest Disease and Chest

Abstract: OBJECTIVES: It was aimed to demonstrate the applicability of the prone position with high-flow oxygen to COVID-19 patients with severe respiratory failure in the service in September when the number of cases and the need for intensive care were increased.
MATERIAL AND METHODS: The prone position was applied for a minimum of 30-minute periods for at least four hours a day. The patients’ oxygen saturation levels and respiration rates were monitored before and 30 minutes after prone positioning.
RESULTS: Ten patients, nine males (9/1, M/F), were included in the study. Mean oxygen saturation at baseline was 75.8±12.14 (min: 50 %; max: 90 %) and all patients had high oxygen demand. The oxygen saturation of the patients differed significantly before and after (83.4±6.38 %; 90±5.31 %, p <0.001) prone positioning. Similarly, respiration rates differed significantly before and after (23.9±6; 21.4±4.97, p <0.001) prone positioning. Two patients died during treatment.
CONCLUSION: This study highlights the promise of prone positioning performed in ward conditions for improving oxygenation in COVID-19. While the study contains a small group, it may provide guidance for the clinical management of COVID-19 patients to prevent the need for intensive care in the challenging course of therapy (Tab. 2, Fig. 2, Ref. 15).

Keywords: COVID-19, prone position, oxygen, saturation
Published online: 20-Jul-2021
Year: 2021, Volume: 122, Issue: 8 Page From: 590, Page To: 593

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