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HOME Bratislava Medical Journal 2021 Bratislava Medical Journal Vol.122, No.8, p.590–593,2021
HOME Bratislava Medical Journal 2021 Bratislava Medical Journal Vol.122, No.8, p.590–593,2021
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Bratislava Medical Journal Vol.122, No.8, p.590–593,2021 |
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| 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). |
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| Keywords: COVID-19, prone position, oxygen, saturation | ||
| Published online: 20-Jul-2021 | ||
| Year: 2021, Volume: 122, Issue: 8 | Page From: 590, Page To: 593 | |
| doi:10.4149/BLL_2021_094 |
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